Leg pain with cramping

Considerations:
Intermittent claudication may occur in both legs and often continues to worsen over time. However, some people complain only of weakness in the legs when walking or a feeling of

Common Causes:
This condition is due to narrowing or blockage of the arteries ( atherosclerosis or arteriosclerosis obliterans - peripheral vascular disease ). Intermittent claudication is a form of the disorder that occurs only at certain times, such as after a period of walking. It is relieved by rest.

This is not the only cause of cramping leg pain . The list of all possible causes can be extensive and include unlikely diseases and medications. Furthermore, the list will vary based on age and gender of the individual as well as on the specific characteristics of the symptom such as location, quality, time course, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for claudication occurring alone or in combination with other problems.

Home Care:
A program of daily walking for short periods, and stopping for pain or cramping, may help improve function. It is essential to stop smoking .

Avoid applications of hot or cold on legs. Avoid tight shoes.

Call Your Healthcare Provider If:
  • there is any unexplained leg pain or cramping. Medical attention is important.



What to Expect:
The medical history will be obtained and a physical examination performed.

Medical history questions documenting claudication in detail may include:

  • time pattern
    • Do you have leg cramps at night (nocturnal cramps)?
    • How often does leg pain with cramping occur?
    • Is it getting worse?

  • quality
    • Is the pain sharp?
    • Is there an aching pain with the cramps?

  • aggravating factors
    • Is it worse after you exercise ?
    • Is it worse after you are standing?
    • Do you smoke? How much?
    • Do you drink alcohol? How much?
    • Are you diabetic? How well is your blood sugar controlled?

  • other

The physical examination may include evaluation of the femoral pulse (in the groin) and the other areas where the pulse can be felt in the legs.

Diagnostic tests that may be performed include:

Intervention:
Surgical or angioplastic treatment may be indicated if claudication interferes appreciably with the patient's essential activities or work and if the diseased arteries appear likely to improve after corrective treatment.

After seeing your health care provider:
If a diagnosis was made by your health care provider related to cramping leg pain , you may want to note that diagnosis in your personal medical record.