Discussions By Condition: I cannot get a diagnosis.

Wife has sever leg pain. Docs can not figure it out!!!

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • January 7, 2008
  • 04:45 PM

My wife has severe pain in the left leg. Is on the outer rear of her calf, about 2 inches below her knee. It is a small area, 50 cent piece in size. Hurts when she walks or stands. She can only stand a few minutes and can hardly walk anywhere anymore. There is NO discoloration, little spider veins in the area. Pain goes to a 10 when she stands.


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  • 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 affects 1%-2% of the population under 60 years of age, increasing in incidence with age, to affect over 5% of persons over 70 years of age.What is the prognosis and treatment for patients with intermittent claudication?The prognosis with intermittent claudication is generally favorable because the condition often stabilizes or improves in time. Conservative treatment is advised initially. Walking (to gain stamina) often helps increase the distance that the patient can walk without symptoms.Drugs that are approved for the management of intermittent claudication include pentoxifylline (Trental) and cilostazol (Pletal).If medication is inadequate, correction of the narrowing in the affected artery might be suggested. Procedures used to correct the narrowing of arteries include surgery (bypass grafting) and interventional radiology (balloon angioplasty or stents).When claudication is severe and persistent, these procedures may be required to ultimately relieve the condition and the pain. Not all persons with severe claudication can benefit from these procedures. The potential to benefit depends on the exact location and degree of artery disease and the overall health status of the patient.
    rad-skw 1605 Replies
    • January 9, 2008
    • 01:22 PM
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  • I had a painful leg (knee downwards) that most doctors could not figure out. It turned out to be deep vien thrombosis that I have had twice now.This made a large area of the leg painful rather than just a small area. Would it be right to assume possible deep vien thrombosis if the painful area is large and Claudication if the painful area is small?For the last few days the calf of my right leg has had a numb pain that I am thinking may be deep vien thrombosis again but I will be very happy if it is not.
    Skywoolf 2 Replies
    • January 10, 2008
    • 05:42 AM
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