Effects and diagnosis of claudication

Health yankeeray1 August 8, 2016 0 0
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With claudication are the arteries of the lower legs and feet narrowed by atherosclerosis. Because of this narrowing of the blood and therefore oxygen supply to the legs is not good. One result is pain with movement. During exercise, the muscles need more oxygen. The oxygen can not be delivered properly and sour muscles. Acidification causes pain and limping.

Content

  • Showcase Legs are a good predictor for other vascular disorders
  • Pain and limp onset of claudication
  • Severity of claudication divided into four stages of the ACSM-scale

Showcase Legs are a good predictor for other vascular disorders

Having claudication is a good predictor for attack by arteriosclerosis of other arteries in the body, for example, the arteries in the brains, or the arteries of the heart. People with claudication have 2 to 4 times more likely to develop a different cardiovascular disease and have a 2 to 3 times more likely to die from a stroke or heart attack. The probability of getting arteriosclerosis is highly dependent on the lifestyle. An unhealthy lifestyle and diabetes mellitus, and hereditary increase the risk of developing arteriosclerosis.

Pain and limp onset of claudication

Atherosclerosis in the arteries of the legs does not lead directly to complaints. The arteriosclerosis must be so severe that the blood and oxygen supply is obstructed. When the blood and oxygen supply is hindered, the muscles of the legs do not have enough oxygen to release energy in order to be able to pull together. The muscles are then release energy in a different way and as a result of acidification. The acidification of the muscles causes pain in the muscles and also causes a limp. In particular, during movement occurs pain, because then the muscles need more oxygen. After standing still for a while the pain disappears, because then the acidification is lifted. In addition to pain is often the leg or the foot where the arteriosclerosis is in colder and the pulse is to feel less well.

Severity of claudication divided into four stages of the ACSM-scale

The severity of claudication is divided into the four stages of the ACSM-scale. The higher the scale, the more serious is the severity of claudication. The symptoms that are be given below, to the different scales of ACSM-scale:
  • Grade 1; no typical symptoms associated with claudication.
  • Grade 2; complaints to walk. These symptoms are not severe. If the symptoms occur after 100 meters walk, the stage is called 2a. If the symptoms occur within a 100 meter walk, the stage is called 2b.
  • Grade 3; also complaints at rest, especially during the night. Also feel the feet cold, the nails become thickened, heal wounds on the lower legs and feet badly and there is a change in hair growth in the affected leg.
  • Grade 4; in addition to the symptoms listed at Grade 3, there is also talk of ulcers, necrosis and gangrene in the foot.

The diagnosis claudication is made on the basis of MRA, angiography, ultrasound duplex-only index the arm and that the maximum distance covered when pain occurs. The site of the pain provides insight into the location where the constriction of the artery is.
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