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Claudication Causes, Symptoms, Diagnosis, and Treatment on MedicineNet.com http://www.medicinenet.com/claudication/article.htm[3/8/2011 11:05:03 AM] 0 1 person Recommend A A A Font Size Share This 1 2 Next Claudication Index Glossary Find a Local Doctor Depression Tips Slideshow Myths About Depression Benefits of Treating Depression Featured on MedicineNet acetylsalicylic acid Cholesterol cilostazol Coronary Angioplasty Diabetes Mellitus High Blood Pressure pentoxifylline Peripheral Vascular Disease Statins ticlopidine Complete List » Top 10 Claudication Related Articles Lower Your Cholesterol Heart Attacks in Women Smoking & CHD Stroke Symptoms Heart Attack Symptoms Heart RSS Healthy Living Tips Heart Topics Potassium-Rich Foods May Cut Heart Disease Risk Gene Regions Linked to Heart Disease Risk Teens With Congenital Heart Disease Heart Failure Patients Don't Need Diuretics Heart Devices Not Tested Enough in Women Want More News? Sign Up for MedicineNet Newsletters! Latest Heart News home > heart center > heart a-z list > claudication index > claudication article Claudication Medical Author: John P. Cunha, DO Medical Editor: William C. Shiel, Jr., MD, FACP, FACR What is claudication? Why does claudication come and go? What can cause the artery narrowing that leads to claudication? Who typically is affected by claudication? What is the prognosis and treatment for patients with intermittent claudication? Find a local Cardiologist in your town What is claudication? Claudication is pain and/or cramping in the lower leg due to inadequate blood flow to the muscles. The pain usually causes the person to limp. The word "claudication" comes from the Latin "claudicare" meaning to limp. Claudication typically is felt while walking, and subsides with rest. It is commonly referred to as "intermittent" claudication because it comes and goes with exertion and rest. (In severe claudication, the pain is also felt at rest.) Why does claudication come and go? The usually intermittent nature of the pain of claudication is due to a temporary inadequate supply of oxygen to the muscles of the leg. The poor oxygen supply is a result of narrowing of the arteries that supply the leg with blood. This limits the supply of oxygen to the leg muscles and is especially noticeable when the oxygen requirement of these muscles rises with exercise or walking. What can cause the artery narrowing that leads to claudication? Intermittent claudication can be due to temporary artery narrowing due to spasm of the artery (vasospasm), permanent artery narrowing due to atherosclerosis, or the complete blockage of an artery of the leg. Who typically is affected by claudication? Intermittent claudication is more common in men than in women. The condition Featured Centers Check Your Asthma Symptoms Slideshow: Know Your Risks for Hearing Loss Red, Itchy Skin? Check for Psoriasis Symptoms Health Solutions From Our Sponsors Depression Med for You? MS Rx Options Claudication High Blood Pressure » What is high blood pressure? High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. High blood pressure does not mean excessive emotional tension, although Home Slideshow Pi t Image Collection Quizzes Diseases & Conditions Symptom Ch k Procedures T t Medications MedTerms Di ti Pet Health About Us | Privacy Policy | Site Map March 8, 2011 Visited 03/8/2011

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  • Claudication Causes, Symptoms, Diagnosis, and Treatment on MedicineNet.com

    http://www.medicinenet.com/claudication/article.htm[3/8/2011 11:05:03 AM]

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    home > heart center > heart a-z list > claudication index > claudication article

    Claudication

    Medical Author: John P. Cunha, DO Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

    What is claudication?Why does claudication come and go?What can cause the artery narrowing that leads to claudication?Who typically is affected by claudication?What is the prognosis and treatment for patients with intermittentclaudication?Find a local Cardiologist in your town

    What is claudication?

    Claudication is pain and/or cramping in the lower leg due to inadequate bloodflow to the muscles. The pain usually causes the person to limp. The word"claudication" comes from the Latin "claudicare" meaning to limp. Claudicationtypically is felt while walking, and subsides with rest. It is commonly referred to as"intermittent" claudication because it comes and goes with exertion and rest. (Insevere claudication, the pain is also felt at rest.)

    Why does claudication come and go?

    The usually intermittent nature of the pain of claudication is due to a temporaryinadequate supply of oxygen to the muscles of the leg. The poor oxygen supply isa result of narrowing of the arteries that supply the leg with blood. This limits thesupply of oxygen to the leg muscles and is especially noticeable when the oxygenrequirement of these muscles rises with exercise or walking.

    What can cause the artery narrowing that leads toclaudication?

    Intermittent claudication can be due to temporary artery narrowing due to spasmof the artery (vasospasm), permanent artery narrowing due to atherosclerosis, orthe complete blockage of an artery of the leg.

    Who typically is affected by claudication?

    Intermittent claudication is more common in men than in women. The condition

    Featured CentersCheck Your Asthma SymptomsSlideshow: Know Your Risks for Hearing LossRed, Itchy Skin? Check for Psoriasis Symptoms

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    Claudication

    High Blood Pressure

    What is high blood pressure?

    High blood pressure (HBP) or hypertension means highpressure (tension) in the arteries. Arteries are vesselsthat carry blood from the pumping heart to all thetissues and organs of the body. High blood pressuredoes not mean excessive emotional tension, although

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  • Claudication Causes, Symptoms, Diagnosis, and Treatment on MedicineNet.com

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    Claudication Index Glossary Find a Local Doctor

    affects 1%-2% of the population under 60 years of age, increasing in incidencewith age, to affect over 5% of persons over 70 years of age.

    What is the prognosis and treatment for patients withintermittent claudication?

    The prognosis with intermittent claudication is generally favorable because thecondition often stabilizes or improves in time. Conservative treatment is advisedinitially.

    Walking (to gain stamina) often helps increase the distance that the patientcan walk without symptoms.

    Drugs that are approved for the management of intermittent claudicationinclude pentoxifylline (Trental) and cilostazol (Pletal).

    If medication is inadequate, correction of the narrowing in the affected arterymight be suggested. Procedures used to correct the narrowing of arteriesinclude surgery (bypass grafting) and interventional radiology (balloonangioplasty or stents).

    When claudication is severe and persistent, these procedures maybe required to ultimately relieve the condition and the pain. Not allpersons with severe claudication can benefit from these procedures.The potential to benefit depends on the exact location and degreeof artery disease and the overall health status of the patient.

    References: CNN; Claudication: When circulation problems cause leg pain. Vascular DiseaseFoundation; PAD: Intermittent Claudication

    Last Editorial Review: 12/13/2007

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    Suggested Reading on Claudication by OurDoctors

    emotional tension and stress can temporarily increaseblood pressure. Normal blood pressure is below 120/80;blood pressure between 120/80 and 139/89 is called"pre-hypertension", and a blood pressure of 140/90 orabove is considered high.

    The top number, the systolic blood pressure,corresponds to the pressure in the arteries as the heartcontracts and pumps blood forward into the arteries.The bottom number, the diastolic pressure, representsthe pressure in the arteries as the heart relaxes afterthe contraction. The diastolic pressure reflects thelowest pressure to which the arteries are exposed.

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