The most common blockages outside the heart tend to be in the legs. And they’re very common in smokers and diabetics. The symptoms are called claudication, which is basically discomfort when people walk. And because of that, a lot of times patients don’t even seek medical attention for that because they think this is just a symptom of arthritis, getting old, muscle pain and so forth. So unfortunately, a lot of times it goes unrecognized because the patient don’t mention it during their routine physical, or visit with their primary care physician or occasionally even with the cardiologist. There’s this expectation that.
As we get older things should hurt when we walk. It’s a pain with walking, as I mentioned, and it’s usually consistent, happens at the same distance all the time. And and it gets to the point it’s it’s bad, feels like a cramp where people have to stop. And typical to the claudication, when they stop the pain goes away and usually the amount of time it takes for the pain to go away is is consistent as well. So people will say I usually walk two blocks I get the pain I have to stop and then to five minutes after I stop the pain.
Goes away and I’ll be able to walk again. Typically it does not happen when people are sitting or laying down unless it’s really advanced phase where the blockage is so severe to start to cause pain even without walking or doing activities. It’s the same concept. It starts by defining the blockage, the exact location, the severity of it, how many blockages. And the way we do that is to what we call an angiogram, which is similar to heart catheterization in the sense you put a catheter in inject contrast except now we’re not looking at the.
Blood Clots in the Legs Symptoms, Diagnosis and Treatment
Heart, we’re looking at the the legs or whatever location we suspect that there’s blockage there. Once we establish there’s blockage then it becomes an issue what’s the best way to treat it. And it’s the same as in the heart, some blockages better served with medication and exercise, some blockages will need surgery to fix and some blockages can be fixed with a balloon and stent. Which one is the appropriate approach It’s a technical issue really. We have to see the blockage to to make that determination. Big percentage of patients who have blockages.