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Aching Legs and Feet. Injury is the most common cause of leg pain (aching legs). However, even a simple back pain can cause your legs to ache depending on the degree of pain. Usually, elders and diabetics and people with poor circulation are the ones who experience leg pain especially at night.
But as Dow's case shows, it can happen throughout the body. When it does, it's called peripheral arterial disease, or PAD. And in some people, PAD causes leg pain that acts as an 'early warning' that someone is at high risk for a heart attack or a stroke, says a University of Michigan Cardiovascular Center expert. Leg pain could be a sign of possible peripheral arterial disease.