Intermittent claudication [top]

  • Cramping leg pain
  • Predictable onset after exertion
  • Relieved by rest
  • Poor peripheral pulses
  • History of peripheral vascular disease, diabetes, smoker, IHD
  • AssociatedImpotence - Leriche's syndrome

Spinal stenosis [top]

  • Leg pain, back pain chronic back pain
  • Pain, weakness on prolonged standing
  • History of degenerative spinal disease
  • No features of peripheral vascular disease

Lumbar disc herniation [top]

  • Shooting leg pain
  • Radiation from buttock to posterior ankle
  • Relieved by lying down

Venous insufficiency [top]

  • Lower leg pain or aching on prolonged standing
  • Varicose veins, Venous ulcers, trophic skin changes
  • Peripheral oedema
  • Previous DVT, recurrent cellulitis
  • Relieved by lying down