Question
Respected Sir,
I am 66 years. I have some(little)knee pain(NOT MUCH),BUT HAVE GOT GOOD
PAIN IN TIBIA(Front bone in between knee and foot)and heavy calf muscle pain which aggravates
during walking.Leg veins are NOT PROMINENT,NO SWELLING ANYWHERE.
My body structure is lean,Weight-62 Kg,Height-5 Ft 8 inches

A)Although there is no pain sometime while bending the knees some crunching/creaking sound
comes.Whether the problem radiates to lower limbs from Knee
X Ray of knees (both legs(AP plus Lateral)shows EARLY OA CHANGES, BOTH KNEE JOINT SPACES
ARE SLIGHTLY DIMINISHED(not uncommon for a 66 year old man).Lateral Picture is ok
B)As the pain is in the lower portion(TIBIA and SHIN) to check whether there is less blood
flow in lower limbs(Peripheral Artery Disease. Doppler Ultrasonography of lower limbs was
done and the result shows
B)No evidence of Deep Vein Thrombosis,b)No soft tissue abnormality,BUT Diffuse
Artherosclerotic wall thickening of lower limb arteries,bur flow and velocity is NORMAL
C)TO CHECK WHETHER whether there is Muscle Dystrophy Creatine Phosphokinase Level in Blood was
measured and found to be high 230 instead of normal BELOW 171
D)As I am very fond of walking whether it be should be done,but for Knee Arthritis walking is
restricted.However as per advice I do Knee Exercise without STRAINING MUCH
E)I have no Sugar/Calcium /Potassium/Uric Acid/Creatinine /Urea level is normal
F)I only take BP medicines Attenol-25, Losartan-25 and Asprin-75 once daily each tablet and
Cholesterol lowering/controlling drugs(Statin )
G) THIS MUSCLE DESTROPHY IS NOT PROBABLY CURABLE,WHETHER MUSCLE RELAXTANTS WILL GIVE SOME
RELIEF.WHAT MEDICINES CAN BE TAKEN.I have taken Carnisure(CARNITINE SUPPLEMENT) without much
improvement.
With thanks

Answer
Kalyan,

It sounds like you did your due diligence in searching for an answer. I commend you on your proactive approach.

Based on the information you provided, here are my thoughts:

(1) Degenerative joint disease (DJD) / osteoarthritis (OA) can certainly contribute to shin pain. This can happen directly from the knee joint (i.e. a referred pain) as well as from the mechanical and structural changes that go along with it.

You might try checking your calf muscles for tightness, which is a common problem in people with DJD of the knees. Tightness in one or both of your calves can alter your gait pattern and the result can be shin pain. If this is the case for you, you can address the DJD with treatment that might include anti-inflammatory care, exercise to promote knee joint health and calf massage and active motion to restore normal mechanics.

(2) Regarding the vascular component - if this is a contributing factor, perhaps try less vascularly demanding activities (i.e. riding a recumbent bike) to see if this helps.

(3) Regarding the Muscular Dystrophy (MD) component... In my experience fatigue is the biggest challenge. I'm not sure how this would contribute to shin pain - so I'd strongly suggest you consult with a doctor regarding this.

Best of luck to you.

Cheers,
David