Claudication

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Intermittent Claudication

• arterial insufficiency to lower limb causes pain / limping on exercise

• Pain in a muscle
• Comes on with exercise (so determine walking distance)
• can they walk through the pain
• Relieved by rest
  • how quickly does it go away

History

• Pain in a muscle

• Comes on with exercise 

• Relieved by rest - in about 2 minutes

Severity

• Walking distance

• Can they walk through the pain?

• affects on lifestyle / work

• effects of conservative measures

• progression

Causes

• arterial insufficiency in lower limb

Differential Diagnoses

• sciatica
• osteoarthritis of hip
• anterior tibial compartment syndrome
• cauda equina claudication

Prognosis

• Untreated
  • 50% dead in 5 years
• Treated
  • 20% dead in 5 years

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