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Intermittent claudication - A pain in the legs while walking that develop as a result of circulatory disorders, and in the rest stop.
How does intermittent claudication?
Most often intermittent claudication occurs in middle-aged men. However, there has recently been a lot of cases of this syndrome in women. Experts tend to explain the fact that the negative impact of smoking on the female body.
For a long time the disease is asymptomatic. The patient, who has seen intermittent claudication, initially feels weak, fatigue , He manifested paresthesia in the legs. Later, with a strong physical exertion narrowed arteries do not allow increase blood flow in the lower extremities. As a consequence, there is pain. It is this feeling - the main symptom of intermittent claudication. When walking, a person has to stop frequently for a few minutes, and only after the pain subsides and he can move on.
When intermittent claudication progresses, the pain becomes persistent. The nature of pain can be different. Sometimes the pain is burning and throbbing, sometimes - a dull, aching. Pain in intermittent claudication often occur when climbing stairs, while overcoming great distances. Man forced to limp. Pain may occur in the thighs, calves, toes in. It depends on where it is obstructed or narrowed vessels. On foot pulse disappears, sometimes it also can not be heard in the popliteal fossa. Changing the color of the skin: it is pale, and with the active disease progression can appear cyanosis. The skin condition worsens, it becomes more dry.
The symptoms of intermittent claudication occur as lowering the temperature of the foot and toes, reducing its sensitivity. Develop pain in the calf muscles, and the patient feels discomfort and pain if there is pressure on the nerve trunks in the lower extremities. Sometimes appear on the feet sores . Intermittent claudication occurs chronically, the patient periodically marked remission.
If the disease continues to progress, the pain can occasionally disturb the person at rest. Often it causes the patient to wake up at night. Gradually, the patient's condition deteriorates to such an extent that he had to take painkillers.
The syndrome of intermittent claudication may indicate the development of serious diseases of the arteries of the body - obliterating endarteritis . In severe disease in the first leg ischemic ulcers can appear and later developed gangrene and made the subsequent amputation of the leg.
If treatment is intermittent claudication is not conducted in a timely manner, it is possible education collaterals - Bypass vessels, which are either fully or partially compensate for the disease. But if the container is sealed completely, you must immediately carry out surgery.
Why manifested intermittent claudication?
Intermittent claudication is a consequence of atherosclerosis , I.e. plaque formation and vascular occlusion. In atherosclerosis plaques appear in the aorta, and small and medium sized arteries. Embolism leads to insufficient blood supply and oxygen in the lower limbs. As a consequence, there is ischemia Causing pain.
Depending on the severity of peripheral arterial occlusion location depends on the intensity of the pain and the severity of other symptoms. Very often, the appearance of atherosclerotic plaques occurs initially in the arteries that greatly distant from the heart.
The causes of intermittent claudication may be associated with other cardiovascular diseases, as well as intoxication . infections . diabetes . injuries .
An important factor that provokes the development of intermittent hoarseness, is smoking. There have been a number of studies that show a direct connection of smoking and clogging of blood vessels. Effect of harmful substances contained in cigarette smoke provokes a premature aging vessels, in particular arteries, leading to the development of atherosclerotic plaques in them, increases the risk of blood clots .
Neurogenic claudication occurs in the pathology of the spine, in particular - with spinal canal stenosis . In patients with stenosis happens compression of nerve trunks bony growths or herniated discs.
How to get rid of intermittent claudication?
If the patient complains of pain in the legs, then a suspected diagnosis of intermittent claudication doctor often fails to deliver even during the initial inspection. With the appropriate symptoms and in the absence of a pulse in the lower extremities.
If more research is needed, can be assigned angiography, ultrasound vascular permeability. These studies provide information on the degree of impaired blood flow in the lower limbs. If you suspect a blockage of blood vessels the most complete picture allows you to see a specialist angiography.
Approximately 20% of patients with severe intermittent claudication are developing very quickly, requiring urgent surgical treatment. Depending on the individual characteristics of the disease are being reconstructed or plastic vessels. In the most severe cases, gangrene amputation should be carried out.
Drug treatment of intermittent claudication practice is the same as for other vascular diseases. Patients received treatment with drugs that improve the process flow. Also in the complex treatment includes the administration of drugs that improve the metabolism of fat in the body and reduce the level of cholesterol .
If a person suffers from diabetes, he must be sure to stick to your diet to bring to normal blood sugar levels. It is necessary to carefully monitor the hygiene of the feet, to prevent the emergence of large scratches, cracks, to choose the right shoes to wearing it was the most convenient.
When the treatment of intermittent claudication is practiced so-called dosed walking. This kind of physiotherapy treatments, with which you can significantly improve blood circulation feet. Every day, the patient should go for so long until you see the pain in his legs. Then you need a little rest and continue walking. Alternate walking and recreation have to repeatedly.
People who suffer from intermittent claudication, be sure to quit smoking, do not drink alcoholic beverages, to try to lose weight. Favorable impact on the condition of the patient regular use of a contrast shower, physiotherapy, foot massage.
If the disease progresses, the doctor may prescribe a procedure during which a catheter widen narrowed arteries, which are injected.
It is important to observe the correct mode of work and rest, to prevent jumps in blood pressure.
Treatment of intermittent claudication folk remedies can be carried out after consultation with a specialist. Can be effective foot bath, which should be done before bedtime. For a bath you need to boil in two liters of water and two handfuls of pine needles after a half-hour infusion broth add five tablespoons of salt. From the resulting solution is to do two baths - hot and cold, and turn to dip his feet in them. Do you need a bath as long as the hot water to cool down.
Recommended brewing herbal teas from herbs that have anti-inflammatory properties. You can prepare the infusion of St. John's wort, birch buds, seeds, fennel, Helichrysum and others. It is useful to use a tincture of hawthorn, broth hips.
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