Doctor insights on:
Can You Tell Me How Sciatic Leg Pain Is Different From Leg Claudication
Nerve vs. Blood Flow: Sciatic pain is due to compression and inflammation of the nerve roots which give rise to the sciatic nerve. It comes on at rest while sitting and the pain usually starts in the buttocks and radiates down the leg. Claudication pain is due to blockages in the arteries and results in leg muscle cramping with exercise. This resolves with rest. An arterial ultrasound can help differentiate. ...Read more
Vascular evaluation: Claudication is a sign of decreased blood flow to a leg. It does not put her at immediate risk of losing her leg, but should be assessed by a vascular surgeon. If it is mild/moderate, it can be treated with medications, exercise, and not smoking. If it is more severe, she may be a candidate for endovascular (minimally invasive) or open surgical intervention. ...Read more
Regular Walking: Supervised daily walking programs have been proven to improve the distance claudicants can walk before they develop pain. ...Read more
Start with walking: Supervised walking (30 minutes, 3 or more times/ week) will do as well for claudication as interventions such as angioplasty and stenting. Start with walking, and expand to other aerobic regimens as you can tolerate them. ...Read more
How can I tell if my l side sciatic px is from piriformis syndrome or herniated disk? The pain intensity varies & at time only in my l low back/buttock. When I have leg pain to my left foot goes cold.
Sometimes: It's very difficult to differentiate between those two. A good physical exam and history necessary. Avoid positions that worse the pain. An MRI sometimes necessary to r/o hnp. Ice, rest and stretching exercises will improved a piriformis syndrome. Also the use of nsaids meds sometimes indicated. Can take long. I went through ps symptoms in the past. Good luck. ...Read more
Absolutely: Smoking causes the process of progressive deposition of cholesterol / trigycerides in your arteries to be accelerated about 10 times faster than without smoking. In addition, your blood will clot faster (making treatment results worse if continued) and causes the arteries to constrict. All of these are added to the risk of lung and other cancers. ...Read more
Stop walking: The initial treatment for leg claudication is to stop walking on the painful leg. Increased fluid intake, an asprin, NSAID or other blood thinning medication may be appropriate. Al leg ultrasound may be prudent and sometime atherosclerotic or thombisis medication may be necessary. This pain should be evaluated by your healthcare provider. ...Read more
Typically not: Claudication most commonly affects the legs. Occlusive disease can develop in the arms but symptoms are much less common. If exertional pain is noted in the arms, evaluation by a vascular surgeon may be warranted. ...Read more
Certainly: Claudication describes the symptoms of muscle cramping and/or foot numbness/pain with exercise. People with mild to moderate vascular disease experience claudication. It is very possible for the vascular disease to progress to severe disease, in which case people develop rest pain or tissue loss. Smoking cessation, Aspirin and a cholesterol lowering medication (statin) will help. ...Read more
Claudication: Discomfort in legs due to decreased blood flow, which manifest with activity ...Read more
Yes: Claudication is leg pain with walking associated with pad (peripheral artery disease). Pad, like heart disease (cad), is a manifestation of atherosclerosis. Dietary choices like low sodium, low cholesterol, low fat, and low sugar can help control risk factors like hypertension, high cholesterol, obesity and diabetes. ...Read more
Unlikely: No. Sitting is not associated with atherosclerosis or vascular disease. However, having said that, if you do have vascular disease and claudication, regular exercise will increase your exercise endurance- this has been proven and is the first recommendation along with optimal medical management (aspirin and a statin). ...Read more
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