Vascular insufficiency (claudication)
About Vascular insufficiency (claudication)
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 arterial 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 & Diagnostics
A history and physical exam will be performed. A CT angiogram or standard angiogram can identify the narrowing of the artery.Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP).
OTC sleep aids and supportive treatments
Prescription medications
Conventional treatment summary
The treatment depends on the severity of disease and the location of the artery blockage. Smokers must quit immediately. Graduated walking exercises can help decrease symptoms. Drug therapy usually includes aspirin or another anti-platelet drug, such as clopidogrel/Plavix. Other drugs used to help relieve symptoms include cilostazol (Pletal) and pentoxifylline (Trental). Surgical procedures include intra-arterial stenting and artery bypass.Medical specialties
Internal Medicine · Cardiology · Vascular Surgery · Family Practice · Vascular and Interventional Radiology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Vascular insufficiency (claudication).