SHOWCASE DISEASE
Walking Pain – Cladication
Although it is known as showcase disease among the people, it is a symptom. It is a complaint of vascular occlusion or stenosis.
– Due to the narrowness of the leg veins, the necessary blood flow cannot be provided to the muscles after a certain point, and the most common pain is in the calf, hip, around the thigh or in the foot (below the knee).
– It goes away when you rest. It starts when you walk again. It may require frequent breaks or even sitting. It is called window disease because people look at windows at this time.
– Intermittent PAIN WITH WALKING: It is called CLAUDICATIO INTEMITTENT.
– Apart from pain, it may be in the form of cramps or weakness.
– Stairs can happen when going uphill or running.
– The shorter the distance, the more serious the stenosis.
– A stenosis that requires immediate intervention should not come to mind. However, in our country, patients have serious vascular occlusions because they apply to the doctor later.
– Although it is said that only 20% of individuals have severe stenosis, this rate is generally higher in our country.
– The probability of intervention or surgery is around 10%.
– If the walking distance is less than 500 meters, there is a high probability of a serious underlying stenosis. If it is below 300 meters, it is considered the critical distance.
– Control of general risks for atherosclerosis is important.
– It is necessary to quit smoking, treat high blood pressure or high cholesterol, of course, regulate sugar and lose weight.
– With exercise, walking distance can increase 2-4 times.
– drug therapy in claudication; Anticoagulant blood thinners such as aspirin and clopidogrel are used.
– In addition, it was observed that walking distance increased when cilostazol (Pletal 600 mg) was administered twice a day for 3-6 months.
– Another drug is L-Carnitine. It can be used as an additional.
– In the basic approach, such complaints should be evaluated first with Doppler Ultrasonography and, if necessary, with angiography according to the findings.
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