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Decreased or no pulse in an arm or leg beyond the site of blockage [1] [2] Pain in the affected area [1] [2] Muscle spasm in the affected area [1] Numbness and tingling in an arm or leg [1] [2] Paleness [1] [2] of the skin of the arm or leg; Muscle weakness of an arm or leg, [1] [2] possibly to the grade of paralysis [2]
Magnetic resonance image of the lower leg in the coronal plane showing high signal (bright) areas around the tibia as signs of shin splints. Shin splints are generally diagnosed from a history and physical examination. [3] The important factors on history are the location of pain, what triggers the pain, and the absence of cramping or numbness. [3]
They are known as the "5 Ps": pain, pallor, decreased pulse, paresthesia, and paralysis. [6] 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]
The posterior tibial artery pulse can be readily palpated halfway between the posterior border of the medial malleolus and the Achilles tendon. [1] It is often examined by clinicians when assessing a patient for peripheral vascular disease. It is very rarely absent in young and healthy individuals. [3]
IC presents when there is insufficient oxygen delivery to meet the metabolic requirements of the skeletal muscles. IC is a common manifestation of peripheral arterial disease (PAD). The pain is usually located in the calf muscles of the affected leg and is relieved by rest. [30] This occurs because during exercise, the muscles require more ...
Pulse [ edit ] The dorsalis pedis artery pulse can be palpated readily lateral to the extensor hallucis longus tendon (or medially to the extensor digitorum longus tendon) on the dorsal surface of the foot , distal to the dorsal most prominence of the navicular bone which serves as a reliable landmark for palpation. [ 3 ]
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A clinical pulse examination can be done to detect the location of the occlusion by finding the area where the pulse is detected until the area where the pulse disappears. The skin temperature would also be colder in the pulseless area compared to the areas where the pulses are present.