Intermittent claudication
(A) Most common in calf region# INTERMITTENT CLAUDICATION:> Cramp like pain felt in the muscles that is brought on by walking, not present on taking the first step (OA) relieved by standing still (IVD)> The distance walked is called the claudication distance.> Most commonly felt in the CALF, but can affect the thigh or the buttock.> Less common in the upper limb (writhing or manual labor).CLINICAL SPECTRUM OF CLAUDICATIONIntermittent(Atherosclerosis)Neurogenic(Lumbar Spinal Stenosis)Venous(Deep Vein Thrombosis)* Pain is in the muscle of the calf, thigh or buttock* Pain is in whole leg can be associated with tingling and numbness* Involvement of whole leg* Unilateral in femoropopliteal disease* Bilateral (Can also be less commonly unilateral)* Patient may describe feeling their "leg is going to burst"* Bilateral in aorto-iliac disease* Comes on suddenly on standing up or walking* Most commonly unilateral* Gradual onset after walking "claudication distance"* Relieved by sitting down, bending over and stop walking* Gradual onset after beginning to walk* Pain is relieved by rest* Unable to straighten legs* Relief on elevating the leg* Absent/reduced pulses * Cyanosed* Varicose veins* edematousNB, The claudication distance is a constant distance the patient was able to walk before the onset of symptoms
Most common in calf region
Occurs at rest
Claudication distance is not consistent for an individual
Pain is positional
Miscellaneous