Signs of Vascular insufficiency (Claudication)

Vascular Insufficiency (Claudication)

Description

The sensation of muscle fatigue or cramp-like pain that may occur in one or both legs, usually after minimal exercise. Symptoms are relieved after resting, and the calf is most commonly affected, but symptoms may be felt in the thighs, buttocks, hips or feet. Peripheral vascular disease from a buildup of plaque in the walls of arteries (atherosclerosis) is the usual cause. As the buildup continues the artery becomes more and more narrow, and can eventually lead to increased infections and loss of the leg.

Symptoms

Pain in the leg with exercise, cool feet, weak pulse, numbness, skin discoloration.

Tests

A history and physical exam will be performed. A CT angiogram or standard angiogram can identify the narrowing of the artery.

Standard Workup

CBC
Chem 12

Treatment

The treatment depends on the severity of disease and the location but may include: strict bood pressure control, diabetes control, smoking cessation, anticoagulants (warafrin/Coumadin), and anti-platelet medications (aspirin, clopridigel/plavix). Surgical procedures include intra-arterial stenting and bypass.