claudication
Jump to navigation
Jump to search
Introduction
Limping, usually referring to intermittent claudication.
Etiology
- arteriosclerosis (intermittent claudication)
- lumbar spinal stenosis & disk disease (neurogenic claudication)
- embolic disease
- Buerger's disease
- vasculitis
- pharmacologic agents
- ileofemoral vein thrombosis (DVT) with secondary arterial insufficiency
- homocystinuria
- adventitial cyst
- entrapment syndrome
- fibromuscular dysplasia
- reflex sympathetic dystrophy
- persistent sciatic artery
Clinical manifestations
- pain relieved by changes in position, not simply by resting suggests lumbar spinal stenosis rather than arteriosclerosis
- pain at night relieved by changes in position suggests lumbar spinal stenosis[4]
More general terms
More specific terms
- intermittent claudication; vascular claudication; Charcot's syndrome; myasthenia angiosclerotica
- neurogenic claudication; pseudoclaudication
References
- ↑ Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 209-211
- ↑ Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
- ↑ 4.0 4.1 Haig AJ, Park P, Henke PK, Yamakawa KS, Tomkins-Lane C, Valdivia J, Loar S. Reliability of the clinical examination in the diagnosis of neurogenic versus vascular claudication. Spine J. 2013 Dec;13(12):1826-34. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24041916 Free PMC Article