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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.
Causes: Compression of the nerves, arteries, or veins in the superior thoracic aperture (thoracic outlet), the passageway from the lower neck to the armpit [1] Risk factors: Trauma, repetitive arm movements, tumors, pregnancy, cervical rib [1] Diagnostic method: Nerve conduction studies, medical imaging [1] Differential diagnosis
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 ...
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
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 .
Symptoms may also include intermittent claudication or pain at rest. In late stages, paresthesia is replaced by anesthesia (numbness) due to death of nerve cells. [ 11 ] In severe cases, gangrene can occur suddenly and spread rapidly, [ 12 ] and should be treated within six hours of ischaemia.
The proximal part of left subclavian is blocked (shaded artery). This prevents antegrade ("forward") flow to the left arm and left vertebral. As a result, flow in the left vertebral is retrograde ("backwards") towards the left arm. Flow to the brain and circle of Willis is via antegrade right and left carotid and right vertebral arteries. Specialty
Pain and paresthesia are the early symptoms of compartment syndrome. [19] [6] Common symptoms are: Pain: A person may feel pain greater than the exam findings. [6] This pain may not be relieved by strong painkillers, including opioids like morphine. [20] It may be due to nerve damage from ischemia. [6]