from: nerve root compression

Vascular Claudication

Peripheral artery disease

(with limb ischemia)

Cramping leg pain

Mostly in calves; radiating up legs

Worse with Walking Biking

Better with Rest (standing or sitting)

Pale, cool extremity

Diminished/absent pulses

(dorsalis pedis/posterior tibialis) Pallor

Arterial Doppler studies

Ankle-brachial index (ABI) Arteriography

Modify vascular risk factors, exercise rehab, antiplatelet Rx, revascularization