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Intermittent claudication is a symptom and is by definition diagnosed by a patient reporting a history of leg pain with walking relieved by rest. However, as other conditions such as sciatica can mimic intermittent claudication, testing is often performed to confirm the diagnosis of peripheral artery disease .
Cilostazol (trade name: Pletal) is FDA approved for intermittent claudication. It is contraindicated in patients with heart failure, and improvement of symptoms may not be evident for two to three weeks. [citation needed] Neurogenic claudication can be treated surgically with spinal decompression. [7]
Cilostazol, sold under the brand name Pletal among others, is a medication used to help the symptoms of intermittent claudication in peripheral vascular disease. [2] If no improvement is seen after 3 months, stopping the medication is reasonable. [3] It may also be used to prevent stroke. [2] It is taken by mouth. [2]
Symptoms may also include intermittent claudication or pain at rest. In late stages, paresthesia is replaced by anesthesia (numbness) due to death of nerve cells. [ 11 ] In severe cases, gangrene can occur suddenly and spread rapidly, [ 12 ] and should be treated within six hours of ischaemia.
Currently, several treatment options are available to patients, and they can be grouped broadly into nonsurgical and surgical options. [18] [7] Nonsurgical treatments include medications, physical therapy, and spinal injections. Medication options for neurogenic claudication have included non-steroidal anti-inflammatory drugs (NSAIDs ...
It is unclear if screening for peripheral artery disease in people without symptoms is useful, as it has not been properly studied. [21] [22] [20] For those with intermittent claudication from PAD, stopping smoking and supervised exercise therapy may improve outcomes. [11] [12] Medications, including statins, ACE inhibitors, and cilostazol, may ...
Symptoms: The symptoms are caused by ischemia of the tissues. Intermittent claudication is manifested by pain, (cramping), numbness, and fatigue in the muscles on exercise. These symptoms are relieved by rest. There may be “rest pain” at night when in bed.
Femoropopliteal bypass surgery is mainly used to treat cases of femoral artery blockage that cause more severe symptoms that restrict completion of daily tasks such as peripheral artery disease and claudication, or cases that have not responded well to other treatment options . Before surgery is considered, adjustments are made to lifestyle ...