CLAUDICATION

CLAUDICATION

Claudication is pain that you feel when blood flow is not enough to your muscles. The term claudication was derived from the Latin word “claudicare,” which means “to limp.”

This pain happens in your calf, buttocks, or thigh after walking. Since the pain comes and goes with rest, this condition is also called intermittent claudication.

Men are more likely to acquire intermittent claudication than women. Based on the American Academy of Family Physicians, 1 to 2% under 60 years old and 18% among 70 years old and above have intermittent claudication.

However, claudication can be a symptom of peripheral artery disease (PAD). It happens when the arteries are blocked, resulting in a decrease of blood flow to the legs.

During the early stage of PAD, claudication pain occurs when you walk for a distance, then the pain vanishes when you relax. As the disease develops, the pain can happen even if you walk in shorter distances.  As time goes by, you may be incapable of walking since the claudication pain is extreme.

Claudication can also lead to a heart attack or stroke, so consult your doctor immediately.

SYMPTOMS

Cramping in the legs is the most usual symptom. It can be burning or dull. 

The usual symptoms of claudication are:

  • Pain in the legs
  • Hairless and shiny skin in the feet that can acquire sores
  • When raised, the leg is pale. On the other hand, the leg is red when lowered. 
  • Leg pain during the night
  • Impotence in males

The pain can be more serious in a certain period. It’s also possible to feel pain while resting.

The symptoms of PAD are as follows:

  • Cold skin
  • Constant pain 
  • Discoloration of skin
  • Not healing of wounds

DIAGNOSIS

The focus of claudication diagnosis is to look for narrowed arteries in the legs. The healthcare provider may administer these tests:

Angiogram. In doing this test, a thin and flexible tube is inserted into an artery in your leg then a contrast dye is injected. Doing this allows the arteries and veins to be visible on the X-ray.

Ankle-brachial index (ABI). This test is conducted to get the blood pressure in your legs and arms. The measurements from the Doppler ultrasound device and ABI are compared.

Auscultation. Using a stethoscope, the doctor gets the sound in the arteries in your abdomen or legs. The purpose of this is to know if there’s a whooshing sound or bruit. If there’s a bruit, that means that the blood flow is restricted.

Doppler ultrasound. This test is done to determine the rate and direction of blood flow. High-frequency sound waves are bounced in the red blood cells. The device receives the sound waves then transmits them to an amplifier. The flow of blood may be blocked if the sound is faint or if there’s no sound at all.

 

TREATMENTS

Maintaining a healthy lifestyle is the best way to get rid of claudication. You can have a healthy lifestyle by:

  • Maintaining a good weight
  • Getting rid of smoke
  • Exercising
  • Maintaining normal cholesterol and blood pressure levels
  • Having a healthy diet

In serious cases, surgery like Angioplasty may be required. Also, leg amputation can happen, especially for people with diabetes.

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