Pain pp 1283-1286 | Cite as


  • Dipty ManglaEmail author
  • Hersimren Basi


Claudication refers to impairment in walking, pain, discomfort, numbness, or tiredness in the legs that occurs during walking or standing and is relieved by rest. Claudication is a manifestation of either peripheral arterial disease or spinal stenosis. The aim of this chapter is to recognize claudication, differentiate between vascular or neurogenic claudication, and the management of claudication.


Claudication Neurogenic claudication Vascular claudication Leg pain Ischemic leg pain Peripheral arterial disease Lumbar spine stenosis 


  1. 1.
    Bartholomew JR, Olin JW. Pathophysiology of peripheral arterial disease and risk factors for its development. Cleve Clin J Med. 2006;73:8–14.CrossRefGoogle Scholar
  2. 2.
    Faxon DP, Fuster V, Libby P, et al. Atherosclerotic vascular disease conference: writing group III: pathophysiology. Circulation. 2004;109:2617–25.CrossRefGoogle Scholar
  3. 3.
    Gerard-Herman MD, Gornik HL, Barrett C, Barshes NR, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral arterial disease. J Am Coll Cardiol. 2017;69(11):e71–e126. Google Scholar
  4. 4.
    Verbiest H. Patho morphologic aspects of developmental lumbar stenosis. Orthop Clin North Am. 1975;6(1):177–96.PubMedGoogle Scholar
  5. 5.
    Issack PS, Cunningham ME, Pumberger M, Hughes AP, Cammisa FP Jr. Degenerative lumbar spinal stenosis: evaluation and management. J Am Acad Orthop Surg. 2012;20:527–35.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Pain ManagementAtlantiCare Health SystemPomonaUSA
  2. 2.Department of Pain ManagementAnesthesiology Institute, Cleveland Clinic FoundationClevelandUSA

Personalised recommendations