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The freeMD virtual doctor has found 9 conditions that can cause Leg Pain (below the knee, one leg) and Throbbing Leg Pain. Mouse over to view each condition's most common symptoms. There are 2 common conditions that can cause Leg Pain (below the knee, one leg) and Throbbing Leg Pain. 1  Calf Strain.  Muscle Strains.
Circulatory Causes. Disorders that decrease circulation to the legs can cause aching and fatigue. An example of such a disorder is peripheral arterial disease, or PAD. PAD is caused by atherosclerotic plaques that block arteries in the extremities, similar to the plaques that block coronary arteries in coronary artery disease.