Claudication usually refer to impairment in walking, or pain, discomfort, numbness, or tiredness in legs that occurs during walking or standing caused by too little blood flow, usually during exercise and is relieved by rest. The perceived level of pain from claudication can be mild to extremely severe. Claudication is most common in calf as this condition generally affects blood vessels in the legs, and can also affect feet, thighs, hips, buttocks, or arms. Most often it’s a symptom of peripheral artery disease in which the vessels that supply blood flow to legs or arms, limbs are damaged, narrowed usually as a result of atherosclerosis. When atherosclerosis affects it called peripheral artery disease as it makes harder and stiffer. Advanced atherosclerosis in lower extremities can lead to pain while walking or exercising (claudication), deficient wound healing, and/or leg ulcers.
- Pain when exercising or discomfort in feet, calves, thighs, hip or buttocks, depending on where you might have artery narrowing or damage.
- In intermittent, pain may come and go as one does less-strenuous activities.
- Pain even at rest as condition progresses, there is pain in legs even in sitting or lying down position.
- Discolored skin or ulcerations when blood flow is severely reduced, toes or fingers may look bluish or feel cold to touch. There are more chances to develop sores on lower legs, feet, toes, fingers or in arms.
Other possible symptoms include aching or burning feeling, weakness of extremities, cold feet.
Intermittent vascular; Arterial claudication most often refers to cramping pains in buttock, leg muscles, especially the calves. It is caused by poor blood circulation, called peripheral arterial disease. It’s often a result of atherosclerotic blockages more proximal to affected area; individuals with intermittent claudication may have diabetes often undiagnosed. Another cause or exacerbating factor is excessive sitting especially in absence of reasonable breaks, along with a general lack of walking or other exercise that stimulates the legs.
Spinal or neurogenic claudication is not due to lack of blood supply, but rather it is caused by nerve root compression or stenosis of spinal canal, usually from a degenerative spine, most often at L4-L5 or L5-S1 level. This may result from many factors, including bulging disc, herniated disc or fragments from previously herniated discs (post-operative), scar tissue from previous surgeries, osteophytes (bone spurs that just out from the edge of vertebra into foramen, the opening through which nerve root passes). In most cases neurogenic claudication is bilateral, i.e. symmetrical.
Jaw claudication is pain in jaw or ear while chewing. This is caused by insufficiency of arteries supplying the jaw muscles, associated with giant cell arteritis.
Prognosis: The prognosis for patients with peripheral vascular disease due to atherosclerosis is poor in western medicine; patients with intermittent claudication due to atherosclerosis are at increased risk of death from cardiovascular disease (e.g. heart attack), because the same disease that affects legs is often present in arteries of heart.
Prevention: The best way to to maintain healthy lifestyle. That means;
- Quit smoking, if smoking
- Diabetes keep blood sugar in good control, if affected
- Exercise regularly
- Lower your cholesterol and blood pressure levels, if necessary
- Eat foods that are low in saturated fat
- Healthy weight to maintain
Fortunately, with TriOrigin concept one is able to maintain an active lifestyle without pain. Otherwise claudication may limit ability to participate in social and leisure activities, interfere with work and make exercise intolerable. One feel pain because leg muscles not getting enough oxygenated blood. Oxygen is the fuel that muscles need to contract. No power in muscles means heaviness in the body; then it’s better to tonify wind meridians energy. As Wind energy is connected with muscle system.
https://triorigin.me ‘Dr Dinesh kapur’