The follow list shows some of the possible medical causes of Periostitis that are listed by the Diseases Database:
Source: Diseases DatabaseAs with all medical conditions, there may be many causal factors. Further relevant information on causes of Periostitis may be found in:
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Continuous deep or boring pain, commonly worse at night, may be the first symptom of bone cancer
Later, skin breakdown and impaired circulation may occur, along with cachexia, a fever, and impaired mobility.
Progressive, intense lower leg pain that increases with passive muscle stretching is a cardinal sign of compartment syndrome, a limb-threatening disorder
Restrictive dressings or traction may aggravate the pain, which typically worsens despite analgesic administration
Other findings include muscle weakness and paresthesia, but apparently normal distal circulation. With irreversible muscle ischemia, paralysis and an absent pulse also occur.
Severe, acute pain accompanies swelling and ecchymosis in the affected leg
Movement produces extreme pain, and the leg may be unable to bear weight. Neurovascular status distal to the fracture may be impaired, causing paresthesia, an absent pulse, mottled cyanosis, and cool skin. Deformity, muscle spasms, and bony crepitation may also occur.
Local leg pain, erythema, swelling, streaking, and warmth characterize soft-tissue and bone infections
A fever and tachycardia may be present with other systemic signs.
Continuous cramping pain in the legs and feet may worsen with walking, inducing claudication
The patient may report increased pain at night, cold feet, cold intolerance, numbness, and tingling. Examination may reveal ankle and lower leg edema, decreased or absent pulses, and increased capillary refill time. (Normal time is less than 3 seconds.)
Pain, described as shooting, aching, or tingling, radiates down the back of the leg along the sciatic nerve
Typically, activity exacerbates the pain and rest relieves it. The patient may limp to avoid exacerbating the pain and may have difficulty moving from a sitting to a standing position.
Acute strain causes sharp, transient pain and rapid swelling, followed by leg tenderness and ecchymosis
Chronic strain produces stiffness, soreness, and generalized leg tenderness several hours after the injury; active and passive motion may be painful or impossible. A sprain causes local pain, especially during joint movement; ecchymosis and, possibly, local swelling and loss of mobility develop.
Discomfort may range from calf tenderness to severe pain accompanied by swelling, warmth, and a feeling of heaviness in the affected leg
The patient may also develop a fever, chills, malaise, muscle cramps, and a positive Homans’sign. Assessment may reveal superficial veins that are visibly engorged; palpable, hard, thready, and cordlike; and sensitive to pressure.
Mild to severe leg symptoms may develop, including nocturnal cramping; a feeling of heaviness; diffuse, dull aching after prolonged standing or walking; and aching during menses
Assessment may reveal palpable nodules, orthostatic edema, and stasis pigmentation of the calves and ankles.
Localized pain and bleeding arise from infected ulcerations on the lower extremities
Mottled, bluish pigmentation is characteristic, and local edema may occur.
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Continuous deep or boring pain, commonly worse at night, may be the first symptom. Later, skin breakdown and impaired circulation may occur, along with cachexia, fever, and impaired mobility.
Progressive, intense lower leg pain that increases with passive muscle stretching is a cardinal sign of this limb-threatening disorder. Restrictive dressings or traction may aggravate the pain, which typically worsens despite analgesic administration. Other findings include muscle weakness and paresthesia, but apparently normal distal circulation. With irreversible muscle ischemia, paralysis and absent pulse also occur.
Severe, acute pain accompanies swelling and ecchymosis in the affected leg. Movement produces extreme pain, and the leg may be unable to bear weight. Neurovascular status distal to the fracture may be impaired, causing paresthesia, absent pulse, mottled cyanosis, and cool skin. Deformity, muscle spasms, and bony crepitation may also occur.
Local leg pain, erythema, swelling, streaking, and warmth characterize soft-tissue and bone infections. Fever and tachycardia may be present with other systemic signs.
Continuous cramping pain in the legs and feet may worsen with walking, inducing claudication. The patient may report increased pain at night, cold feet, cold intolerance, numbness, and tingling. Examination may reveal ankle and lower leg edema, decreased or absent pulses, and increased capillary refill time. (Normal time is less than 3 seconds.)
Pain, described as shooting, aching, or tingling that radiates down the back of the leg along the sciatic nerve. Typically, activity exacerbates the pain and rest relieves it. The patient may limp to avoid exacerbating the pain and may have difficulty moving from a sitting to a standing position.
Acute strain causes sharp, transient pain and rapid swelling, followed by leg tenderness and ecchymosis. Chronic strain produces stiffness, soreness, and generalized leg tenderness several hours after the injury; active and passive motion may be painful or impossible. A sprain causes local pain, especially during joint movement; ecchymosis and, possibly, local swelling and loss of mobility develop.
Discomfort may range from calf tenderness to severe pain accompanied by swelling, warmth, and a feeling of heaviness in the affected leg. The patient may also develop fever, chills, malaise, muscle cramps, and a positive Homans’sign. Assessment may reveal superficial veins that are visibly engorged; palpable, hard, thready, and cordlike; and sensitive to pressure.
Mild to severe leg symptoms may develop, including nocturnal cramping; a feeling of heaviness; diffuse, dull aching after prolonged standing or walking; and aching during menses. Assessment may reveal palpable nodules, orthostatic edema, and stasis pigmentation of the calves and ankles.
Gender cue Primary varicose veins originate in the superficial system and are more common in women.
Localized pain and bleeding arise from infected ulcerations on the lower extremities. Mottled, bluish pigmentation is characteristic, and local edema may occur.
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Continuous deep or boring pain, commonly worse at night, may be the first symptom of bone cancer. Later, skin breakdown and impaired circulation may occur, along with cachexia, fever, and impaired mobility.
Progressive, intense lower leg pain that increases with passive muscle stretching is a cardinal sign of compartment syndrome, a limb-threatening disorder. Restrictive dressings or traction may aggravate the pain, which typically worsens despite analgesic administration. Other findings include muscle weakness and paresthesia, but apparently normal distal circulation. With irreversible muscle ischemia, paralysis and absent pulse also occur.
With a fracture, severe, acute pain accompanies swelling and ecchymosis in the affected leg. Movement produces extreme pain, and the leg may be unable to bear weight. Neurovascular status distal to the fracture may be impaired, causing paresthesia, absent pulse, mottled cyanosis, and cool skin. Deformity, muscle spasms, and bony crepitation may also occur.
Local leg pain, erythema, swelling, streaking, and warmth characterize soft-tissue and bone infections. Fever and tachycardia may be present with other systemic signs. The patient may also experience a loss of function of the affected limb.
With occlusive vascular disease, continuous cramping pain in the legs and feet may worsen with walking, inducing claudication. The patient may report increased pain at night, cold feet, cold intolerance, numbness, and tingling. Examination may reveal ankle and lower leg edema, decreased or absent pulses, and increased capillary refill time.
Patients with sciatica experience shooting, aching, or tingling pain that radiates down the back of the leg along the sciatic nerve. Typically, activity exacerbates the pain and rest relieves it. The patient may limp to avoid exacerbating the pain and may have difficulty moving from a sitting to a standing position.
Acute strain causes sharp, transient pain and rapid swelling, followed by leg tenderness and ecchymosis. Chronic strain produces stiffness, soreness, and generalized leg tenderness several hours after the injury; active and passive motion may be painful or impossible. A sprain causes local pain, especially during joint movement; ecchymosis and, possibly, local swelling and loss of mobility develop.
Discomfort caused by thrombophlebitis may range from calf tenderness to severe pain accompanied by swelling, warmth, and a feeling of heaviness in the affected leg. The patient may also develop fever, chills, malaise, muscle cramps, and a positive Homans’sign. Assessment may reveal superficial veins that are visibly engorged, sensitive to pressure, and palpable, hard, thready, and cordlike.
Mild to severe leg symptoms may develop in patients with varicose veins, including nocturnal cramping; a feeling of heaviness; diffuse, dull aching after prolonged standing or walking; and aching during menses. Assessment may reveal palpable nodules, orthostatic edema, and stasis pigmentation of the calves and ankles.
Localized pain and bleeding arise from infected ulcerations on the lower extremities. Mottled, bluish pigmentation is characteristic, and local edema may occur.
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Bone cancer.Continuous deep or boring pain, commonly worse at night, may be the first symptom of bone cancer. Later, skin breakdown and impaired circulation may occur, along with cachexia, a fever, and impaired mobility.
Compartment syndrome.Progressive, intense lower leg pain that increases with passive muscle stretching is a cardinal sign of compartment syndrome, a limb-threatening disorder. Restrictive dressings or traction may aggravate the pain, which typically worsens despite analgesic administration. Other findings include muscle weakness and paresthesia, but apparently normal distal circulation. With irreversible muscle ischemia, paralysis and an absent pulse also occur.
Fracture.A fracture causes severe, acute pain accompanies swelling and ecchymosis in the affected leg. Movement produces extreme pain, and the leg may be unable to bear weight. Neurovascular status distal to the fracture may be impaired, causing paresthesia, an absent pulse, mottled cyanosis, and cool skin. Deformity, muscle spasms, and bony crepitation may also occur.
Infection.Local leg pain, erythema, swelling, streaking, and warmth characterize soft-tissue and bone infections. A fever and tachycardia may be present with other systemic signs.
Occlusive vascular disease.Occlusive vascular disease causes continuous cramping pain in the legs and feet that may worsen with walking, inducing claudication. The patient may report increased pain at night, cold feet, cold intolerance, numbness, and tingling. Examination may reveal ankle and lower leg edema, decreased or absent pulses, and increased capillary refill time.
Sciatica.With sciatica, pain is described as shooting, aching, or tingling and radiates down the back of the leg along the sciatic nerve. Typically, activity exacerbates the pain and rest relieves it. The patient may limp to avoid exacerbating the pain and may have difficulty moving from a sitting to a standing position.
Strain or sprain.Acute strain causes sharp, transient pain and rapid swelling, followed by leg tenderness and ecchymosis. Chronic strain produces stiffness, soreness, and generalized leg tenderness several hours after the injury; active and passive motion may be painful or impossible. A sprain causes local pain, especially during joint movement; ecchymosis and, possibly, local swelling and loss of mobility develop.
Thrombophlebitis.Thrombophebitis causes discomfort that may range from calf tenderness to severe pain and be accompanied by swelling, warmth, and a feeling of heaviness in the affected leg. The patient may also develop a fever, chills, malaise, muscle cramps, and a positive Homans'sign. Assessment may reveal superficial veins that are visibly engorged; palpable, hard, thready, and cordlike; and sensitive to pressure.
Varicose veins.With varicose veins, mild to severe leg symptoms may develop, including nocturnal cramping; a feeling of heaviness; diffuse, dull aching after prolonged standing or walking; and aching during menses. Assessment may reveal palpable nodules, orthostatic edema, and stasis pigmentation of the calves and ankles.
Venous stasis ulcer.Localized pain and bleeding arise from infected ulcerations on the lower extremities. Mottled, bluish pigmentation is characteristic, and local edema may occur.
Source: Nursing: Interpreting Signs and Symptoms, 2007
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