ABPI is a standard diagnostic tool for patients with PAD14 and it provides an indication of disease severity; a value <0.9 indicates the presence of disease and a value <0.4 indicates severity which may be characterised by serious reduction in circulation, ischaemic rest pain and tissue loss due to ulceration and gangrene.15,16 There are potential benefits of exercise on PAD (Table-3).17 Hence, it is important to investigate the effects of different exercise protocols on PAD patients with or without
claudication and to investigate the impact of resistive type of exercises on improving the symptoms of peripheral artery disease.
The authors assessed 1,272 patients with PAD and new or worsening
claudication who were enrolled at 16 vascular specialty clinics from 2011 to 2015 in the PORTRAIT (Patient-Centered Outcomes Related to Treatment Practices in Peripheral Arterial Disease: Investigating Trajectories) registry.
Clinical characteristics of LSS include pains such as leg pain while walking and lower extremity weakness, referred as to neurogenic
claudication. Along with these symptoms, they also cover pain in leg segments applicable to the lumbar nerve root, as well as numbness, weakness, and loss of reflexes.1 Facet Joint Syndrome (FJS), a type of degenerative spondylosis, is one of the most common causes of Low Back Pain (LBP).
"Your doctor may refer you to a
claudication exercise rehabilitation program in order to determine the frequency, duration, and level of exercise intensity that is most beneficial for you," says Dr.
We described the case of a 41-year-old woman who presented with exercise-related intermittent
claudication. Although the patient experienced unilateral symptoms, a bilateral diminished blood flow was found after exercise, as shown by reduced ankle-brachial index, with tendency towards worse flow at the symptomatic side.
Claudication can be treated with medication or stenting, but the most effective pain relief is gained through exercise therapy.
"Supervised exercise is the most efficacious therapy for
claudication," Dr.
60-year-old previously healthy male presented with a progressive intermittent
claudication of his right leg of 2-month duration.
Relatively little is known about whether exercise training variables in combination with baseline measures are predictive of improvements in
claudication outcomes following a program of supervised exercise in patients with PAD and whether predictors are sex-specific.
The question remains: Does ramipril work for symptoms of
claudication? A completely separate group of researchers conducted a similar, but smaller, randomized clinical trial of ramipril in patients with intermittent
claudication.
L-carnitine has been shown in clinical trials to improve angina, intermittent
claudication, and congestive heart failure.