മാഷ്

9 year old boy first born, out of non- consanguineous marriage ,developmentally normal presented with a history of swelling involving the upper left thigh at 3 years of age. It gradually progressed to involve the left thigh and legs sparing the ankle and foot. Diagnosed as lymphedema and was followed up By 5 years the the swelling in upper part of left thigh reduced but, the swelling in the left leg remained the same. The boy also started developing scoliosis from 6 years of age which was gradually progressing.  He also has pain in lower part of left thigh from 6 years of age and has increased in severity for the past 1 year . Left lower limb pain was felt along the medial side of thigh above knee,episodically which was severe for short duration. He used to have episodes of pain at night waking him up last for minutes and disappear. There was no numbness,tingling sensation. He did nt have difficulty in walking,running. He use chappels without slipping off.He is going t