Overview:
Claudication is pain caused by too little blood flow, usually during exercise. Sometimes called intermittent claudication, this condition generally affects the blood vessels in the legs, but claudication can affect the arms, too.
Causes:
Claudication is most often a symptom of peripheral artery disease. In peripheral artery disease, the arteries that supply blood to your limbs are damaged, usually as a result of atherosclerosis. Atherosclerosis can develop in any of your arteries, especially those in your heart. When atherosclerosis affects your arms and legs, it’s called peripheral artery disease.
Atherosclerosis narrows the arteries and makes them stiffer and harder. That’s because the arteries get clogged with clumps of fat, cholesterol and other material, called atherosclerotic plaques. These plaques can make arteries so narrow that less blood can flow through them. You feel pain because your leg muscles are not getting enough oxygenated blood. Oxygen is the fuel that muscles need to contract.
Atherosclerosis isn’t the only possible cause of your symptoms of claudication. Other conditions associated with similar symptoms that need to be considered include spinal stenosis, peripheral neuropathy and certain musculoskeletal conditions.
Symptoms:
- Pain when exercising. You may feel pain or discomfort in your feet, calves, thighs, hips or buttocks, depending on where you might have artery narrowing or damage. Claudication can also occur in your arms, although this is less common.
- Intermittent pain. Your pain may come and go as you do less-strenuous activities.
- Pain when at rest. As your condition progresses, you may feel pain in your legs even when you’re sitting or lying down.
- Discolored skin or ulcerations. If blood flow is severely reduced, your toes or fingers may look bluish or feel cold to the touch. You may also develop sores on your lower legs, feet, toes, arms or fingers.
Risk Factors:
- Smoking
- High cholesterol
- High blood pressure
- Obesity (a body mass index over 30)
- Diabetes
- Age older than 70 years
- Age older than 50 years if you also smoke or have diabetes
- A family history of atherosclerosis, peripheral artery disease or claudication
How to Reduce Your Risk:
Seek proper treatment. Fortunately, with treatment, you may be able to maintain an active lifestyle without pain.