Intermittent claudication

Occurs with obliterating atherosclerosis, obliterating endarteritis. The main sign is the appearance of pain in the calf muscles during walking, which disappear or decrease when stopped. The appearance of intermittent claudication is promoted by diabetes mellitus, increased lipid levels in the blood, obesity, smoking, elderly and senile age. Usually obliterating atherosclerosis is combined with narrowing of the vessels of the brain, heart, kidneys.
Symptoms and course depend on the severity of circulatory disorders in the limbs. Stage 1 - reduction and absence of pulse on the vessels of the legs. Stage 2 - actually intermittent claudication (pain in the calf muscles and gluteal region during walking - the patient can pass from 30 to 100 m), stage 3 - pain at rest and at night of increasing intensity, stage 4 - significant pain at rest, physical stress practically Is impossible: pronounced disturbances in the supply of soft tissues, necrosis of the tissues (necrosis) on the fingers and feet, development of gangrene.
Recognition: angiography, dopplerography of the vessels of the lower extremities.
The main one is surgical, with its impossibility - conservative: spasmolytics (no-shpa, papaverine, halidor), pain relievers, ganglioblocators (diprofen, dicoline), antiplatelet agents (trental, quarantil, aspirin), agents that improve the processes of nourishing vtkaney (vitamins, Solcoseryl). Carry out physiotherapy, hyperbaric oxygenation (oxygen treatment in a pressure chamber), sanatorium-and-spa treatment.