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Neurogenic claudication must be differentiated from other causes of leg pain, which may be present in a number of conditions involving the spine and musculoskeletal system. The differential diagnosis for NC includes: [9] Vascular claudication; Lumbosacral radicular pain secondary to lumbar disc herniation
The commonest symptom of arterial occlusion is intermittent claudication, which consists of a painful, aching sensation in the affected muscle. [3] This is often provoked with physical activity and relieved with rest. Pain and muscle aching may build up with walking, and accelerate with light jogging or walking uphill.
TOS can involve only part of the hand (as in the pinky and adjacent half of the ring finger), all of the hand, or the inner aspect of the forearm and upper arm. Pain can also be in the side of the neck, the pectoral area below the clavicle, the armpit/axillary area, and the upper back (i.e., the trapezius and rhomboid area).
Angiograms of a patient diagnosed with popliteal artery entrapment syndrome of the left lower extremity. Image A shows a neutral popliteal artery before provocative maneuvers. Images B and C show the obstruction (orange arrows) enhanced with provocative maneuvers of plantar flexion and dorsiflexion, respectively.
Claudication is a medical term usually referring to impairment in walking, or pain, discomfort, numbness, or tiredness in the legs that occurs during walking or standing and is relieved by rest. [1] The perceived level of pain from claudication can be mild to extremely severe.
Intermittent claudication is a symptom and is by definition diagnosed by a patient reporting a history of leg pain with walking relieved by rest. However, as other conditions such as sciatica can mimic intermittent claudication, testing is often performed to confirm the diagnosis of peripheral artery disease .
Pain can also be reproduced by flexing the arm against resistance. Other differential diagnoses that can mimick the symptoms of musculocutaneous palsy are: C6 radiculopathy (pain can be produced by movement of the neck), long head of biceps tendinopathy (no motor or sensory deficits), pain of the bicipital groove (relieved by shoulder joint ...
and P Arm is the highest of the left and right arm brachial systolic blood pressure The ABPI test is a popular tool for the non-invasive assessment of Peripheral vascular disease (PVD). Studies have shown the sensitivity of ABPI is 90% with a corresponding 98% specificity for detecting hemodynamically significant ( stenosis of more than 50%) in ...