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Leg Pain While Walking, Intermittent Claudication

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Updated: Sep 20, 2024

CLINICAL DIAGNOSTIC MANUAL



Intermittent claudication is a symptom characterised by pain, cramping, or fatigue in the leg muscles triggered by exercise, especially walking, and relieved by rest. This pain indicates inadequate blood flow to the muscles due to narrowing or blockage of the arteries. It is a common manifestation of peripheral arterial disease (PAD) and can significantly affect the patient’s quality of life.

Pathology

Suspicion Diagnosis

Confirmatory Diagnosis

Peripheral arterial disease (PAD)

Leg pain while walking, relieved by rest, weak or absent pulse.

Abnormal ankle-brachial index (ABI), arterial Doppler, angiography.

Spinal claudication

Leg pain while walking, relieved by sitting or leaning forward, leg weakness.

Spinal MRI, electromyography (EMG).


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