Leg Pain When Standing Up, Relieved by Lying Down

CLINICAL DIAGNOSTIC MANUAL

Leg pain that occurs when standing up and is relieved by lying down can be associated with various conditions affecting blood circulation or the spinal structure. This type of pain often indicates compression or irritation of spinal nerves or an obstruction of blood flow in the leg arteries. Identifying the underlying cause is crucial for effective treatment and the prevention of long-term complications.

Pathology	Suspected Diagnosis	Confirmatory Diagnosis
Peripheral vascular disease (PVD)	Leg pain when walking or standing, relief with rest, weak or absent pulse in the limbs.	Abnormal ankle-brachial index (ABI), arterial Doppler ultrasound, angiography.
Vertebral disc prolapse	Leg pain radiating from the lower back, worsens with standing or walking, improves when lying down, numbness, weakness.	Magnetic resonance imaging (MRI) of the spine, electromyography (EMG).