Hello Matt and thankyou for approaching DoctorSpring with your query.
I have gone through your case and understand yuour concern.
Please can you answer a few questions so that I can give you an informed opinion.
1) Besides the surgery 14 years back, have you had any recent surgery or trauma?
2) Have you been on prolonged bed rest, or had sat in one position for hours at a stretch?
3) Are you overweight?
4) Are you on any medication? If so please can you tell me which ones?
5) Have you noticed any loss of appetite, weight loss ( without an apparent cause)
6) Do you feel like you can feel/palpate a vein in your left thigh like a cord?
Please reply as a follow up and I will guide you accordingly.
Patient replied :
1) No, my last surgery was over a year ago, when I had my gallbladder removed
2) No, a week prior to when I started feeling the pain, I had been on an hour-long plane ride, but that's not unusual for me. Although I'm relatively sedentary in terms of exercise, I have a standing desk at work, and I spend roughly half my time standing and half my time sitting, with frequent short walks.
3) I am overweight. I'm 6'0", and weigh 265lbs, with a large chest and neck size, similar to a football player's build.
4) I am on lansoprazole (50mg) for acid reflux, and occasionally doculax as needed. I usually take a baby aspirin a day, although I've fallen away from that habit in the past few months (excepting the last week or so, when I've been taking aspirin to see if it would help with the pain, but it hasn't)
5) No, my appetite is normal
6) There's not really anything I would describe as a cord (except what I think is a hamstring behind my knee). How deep should I be probing to feel this? There's a slight increase in resistance (though I wouldn't call it a bump) on the spot near my knee which itches and has the more prominent vein, but it doesn't feel distinct, like a cord.
Sorry I can't give you anything better to go on. Thanks!
Thankyou for the additional details.
I have gone through them and it less likely to be deep vein thrombosis since you do not have redness and increased temperature in your left thigh or calf muscle. No investigations are required right now.
It is more likely to be due to a pinched nerve or musculoskeletal pain.
I would advise you to take the OTC drug Ibuprofen 400 mg thrice a day for 3 days after a meal. This should help relieve your symptoms.
However I would advise to look for the following signs like calf or thigh pain, swelling of the affected leg along with increased temperature of the leg, redness, pain on touch, or if you notice superficial venous dilation. In that case I would advise you to go to the ER.
I hope this has helped.