Hello, I am male 28 years old. I have no bone injury history and have recently started gym and running on treadmill. I rum for around 25 mins and 4KM on average. I have started feeling leg pain from some time. My symptoms are similar to popliteal artery entrapment syndrome (PAES) or chronic exertional compartment syndrome (CECS) which I found after some online search. More like CECS but I am not sure. I recently had a full body checkup including blood, urine and stool test and nothing major came. My physician advised me to take Serum D13 or D3 vitamin test or something. Can you advise?

Dr. Prateek PatilOrthopedist7yrs exp

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Hello lybrate-user, chronic exertional syndrome is quite rare and represents a build up in the pressures of the compartment of the muscles. Easy way to diagnose it is to measure the pressure in the compartment of muscles before and after the exercises. Cecs would affect a complete muscle compartment and cause pain in the entire extent of the muscle especially at the back of leg or the calf. Another common condition after sudden increase in activity is a stress fracture which would cause a localized pain in the skin rather than entire region and you would be able to point out a single point where you feel the pain. This would require x rays and further assessment. There are many differentials for the diagnosis and all the conditions that cause leg pain cannot be explained here. I would suggest you to consult a qualified orthopaedic surgeon for a detailed clinical assessment and further management quickly when the problems can be managed by simple methods rather than later when you require extensive management. Hope this helps. 

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