Intermittent Claudication

Intermittent-Claudication

Intermittent Claudication is a clinical diagnosis given for muscle pain (ache, cramp, numbness or sense of fatigue) classically in the calf muscle which occurs during exercise and is relieved by a short period of rest.

Intermittent Claudication is a clinical diagnosis given for muscle pain (ache, cramp, numbness or sense of fatigue) classically in the calf muscle which occurs during exercise and is relieved by a short period of rest.
• Signs
• One of the hallmarks of arterial claudication is that it occurs intermittently. It disappears after a brief rest and the patient can start walking again until the pain recurs. The following signs are general signs of atherosclerosis of the lower extremity arteries:
• Cyanosis
• Atrophic changes like loss of hair, shiny skin
• decreased temperature
• decreased pulse
• Redness when limb is returned to a “dependent” position All the “P’s”
• Increase in Pallor
• Decrease in Pulses
• Perishing cold
• Pain
• Paraesthesia
• Paralysis Exercise can improve symptoms. However, if movement increases claudication then excessive movement is difficult if not impossible.
• Pharmacological options exist as well. Medicines that control lipid profile, diabetes and hypertension may increase blood flow to the affected muscles and allow for increased activity levels.

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