LifeCare Chiropractic

The Best Chiropractic Care in Mesa, Arizona

claudication

HOW TO STOP LEG PAIN FOR GOOD

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As we get older, leg pain with walking becomes all too common.  The medical term is claudication.  The knee jerk (so to speak) reaction in medicine is to evaluate the vascular system and to see if blocked arteries are causing the problem.  However, there are two main causes of claudication.

The first is the one we have already mentioned.  Vascular claudication occurs when the patient is living a pro-atherogenic / prediabetic lifestyle.  Over time, plaque builds on the arteries going into the legs and the muscles of the legs do not have the oxygen and nutrients they need to function when the demand for oxygen increases with activity.  Exercise therapy and surgery to put a stent in the artery are two options.  Unfortunately, the outcomes from surgery, quite frankly, suck.

In this particular case, prevention is clearly the best option.

The other type of claudication is called neurogenic claudication.  This is caused when arthritis in the spine begins to shrink the opening for the nerves to come out of, a condition called spinal stenosis.  It is a slow process that creeps up over the years.

The leg pain that comes on with neurogenic claudication has some differing characteristics from the vascular type.  Pain in the legs is less predictable–sometimes it comes on after a minute, sometimes 10, sometimes 8.  The pain with vascular claudication is much more consistent with the time to onset.  Also, in neurogenic claudication, sitting down for just a minute or two can alleviate the pain quickly, while there is a recovery time in vascular claudication.

This particular study brings to light the fact that many patients with vascular claudication may also have neurogenic claudication as well (up to 76’%).  If the physicians looking for vascular claudication are NOT also looking for the spinal component of the leg pain, outcomes may not be as good.  The obvious problem here is the vascular specialist looking at the blood vessels is not all that likely to understand the need for a referral to a chiropractor (preferred) or neurosurgeon.   The patient gets stuck with incomplete treatment.

For neurogenic claudication related to spinal stenosis, a specific chiropractic treatment called Flexion Distraction can work wonders.  This requires a specialized table that applies a gentle traction to the low back, allowing some breathing room to the choked off nerves coming out of the lumbar spine.  In conjunction with chiropractic care, the use of an inversion table at home can add additional benefits to your treatment plan.

The bottom line is, anyone with pain in their legs during activity should who is pursuing help from a vascular specialist should also seek an evaluation from a chiropractor who is familiar with Flexion Distraction to evaluate and treat any neurogenic claudication that might be present as well.

POOR CIRCULATION IN THE LEGS? AVOID THIS

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Claudication.  It is the medical term for pain in the legs with activity.  It can be neurogenic in nature, meaning that the problem relates to the nerves in the lumbar spine being choked off by arthritis in the spine.  It can also be vascular in nature due to plaquing in the arteries of the common iliac artery that feeds the legs.

Neurogenic claudication can be treated very effective with Flexion Distraction adjusting in a chiropractic office.  Vascular claudication is not so easy to address.  Both conditions are the result of decades of abuse and degeneration–one condition to the spine, one to the cardiovascular system.

Claudication can be debilitating and drastically impact a patient’s quality of life.  Walking time can be reduced to minutes.  Certainly one of the absolute best approaches is to change the lifestyle that put the problem there in the first place.  While this approach encompasses all aspects of lifestyle, exercise is certainly a component.  Although exercise can be painful, exercising within a patient’s abilities can help to improve walking distance.  While this study reports a measly improvement of 78 steps, but it is still an improvement.  Keep in mind, however, that this study used only exercise and did not include a comprehensive overall of the lifestyle, which likely would’ve produced much better results.

But, for those of you who think lifestyle changes are just WAY too hard and want the easy way out, you’re in luck!!  You can have a stent placed in the common iliac artery to improve blood flow.  And since this procedure has been done since the late 1980’s you can assume it’s been well studied and is very effective and damn the cost!

Wellllll….maybe not really all that effective.

This particular study compared exercise therapy to stent placement.  The result for this approximately $10,000 surgery?  A whopping 42 more steps.  Yup.  42 more steps.  What’s that?  Like less then the difference one way to the mailbox?

So what is the bottom line?  Surgery for this condition is not going to get you as far as you might think, but lifestyle changes will take you to a new life.