TITLE

Fibrositic Myofascial Pain in Intermittent Claudication: Significance of Trigger Areas in the Calf

AUTHOR(S)
Bartoli, V.; Dorigo, B.; Grisillo, D.; Beconi, D.
PUB. DATE
January 1980
SOURCE
Angiology;Jan1980, Vol. 31 Issue 1, p11
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
To test the hypothesis of a myofascial component in intermittent claudication, 56 male patients were studied. Calf blood flow, at rest and during postischemic and postexercise hyperemia, presence of trigger areas, and exercise tolerance were evaluated and compared. The results can be summarized as follows: The exercise tolerance is reduced when trigger areas are present in the calf muscles, and the more severe the trigger areas, the lower is the exercise tolerance. Trigger areas are more severe when the hyperemic flow is more reduced. The peak flow of reactive hyperemia is also correlated to work load. Pain in intermittent claudication is a complex phenomenon. According to the aforesaid results, the severity of limb ischemia and the presence of trigger areas in the calf appear to be the major factors. Besides the two reasons already known, a third is suggested to explain calf claudication: the elective location of trigger points in the gastrocnemius muscle.
ACCESSION #
16391922

 

Related Articles

  • CIRCADIAN PERIODICITY OF CALF BLOOD FLOW IN SUBJECTS WITH INTERMITTENT CLAUDICATION. Bartoli, V.; Dorigo, B.; Tedeschi, E.; Biti, G. P.; Voegelin, M. R. // Angiology;Apr1970, Vol. 21 Issue 4, p215 

    The best-fit method was applied to data of calf basal resting and reactive hyperemia blood flow, recorded at 4-hr, intervals during a day in 15 patients with intermittent claudication. The mathematical-statistical analysis suggests existence of a circadian rhythm of calf blood flow, which has...

  • Surgical shock presenting as lower limb ischaemic rest pain. McFarlane, Jonathan P.; Williams, Rhodri J. // Journal of the Royal Society of Medicine;Mar1995, Vol. 88 Issue 3, p151 

    lschaemic rest pain affecting the lower limb is characteristically constant, severe and distressing. Attention is thereby concentrated on the affected leg and its vascular supply which may distract the attending clinician from a precipitating cause. We present two patients with shock that led to...

  • Intermittent Claudication: Predictors and Outcome. Naschitz, Johanan E. // Angiology;Jan1988 Part 1, Vol. 39 Issue 1, p23 

    The authors reviewed 460 patients with intermittent claudication. With primarily conservative management, these patients were followed for an average of 4.1 years (one to ten years). The mean age was 71.7 years, ranging from thirty-six to eighty-four years; 55.9% were males. The subsequent...

  • Claudication does not always precede critical leg ischemia. Mätzke, S.; Lepäntalo, M. // Vascular Medicine;2001, Vol. 6 Issue 2, p77 

    Prevalence of intermittent claudication is often used to calculate the prevalence of critical leg ischemia (CLI), a more severe form of peripheral arterial disease (PAD). Although this logical course of the disease is intellectually appealing, not all patients with CLI have experienced any...

  • EXERTIONAL NUMBNESS AS A UNIQUE FEATURE IN INTERMITTENT CLAUDICATION. Lennihan, Richard; Mackereth, Martha // Angiology;Oct1973, Vol. 24 Issue 9, p563 

    Some patients with intermittent claudication develop exertional numbness involving the skin of the toes and foot. This may be a valuable clue to more dangerous ischemia, or it may be harmless. The problem call be clarified using ankle blood pressure as determined with the Doppler ultrasound flow...

  • Disturbances of Cutaneous Microcirculatory Autoregulation in Arterial Occlusive Disease. van den Brande, Pierre // Angiology;Nov1988, Vol. 39 Issue 11, p960 

    Skin blood flux at the dorsum of the foot was measured during local heating — by use of laser Doppler flowmetry — in 6 healthy subjects, 6 claudicants, and 6 patients with rest pain. Significantly different flux increases were noted among the three groups during the first six...

  • Increase of Walking Capacity After Acute Aminophylline Administration in Intermittent Claudication. Picano, Eugenio; Testa, Roberto; Pogliani, Mauro; Lattanzi, Fabio; Gaudio, Vincenzo; L'Abbate, Antonio // Angiology;Dec1989, Vol. 40 Issue 12, p1035 

    In the presence of peripheral atherosclerotic disease, inappropriate adenosine release during exercise might promote excessive arteriolar dilation leading to steal phenomena and ischemia. In order to test this hypothesis, IV aminophylline (6 mg/kg over fifteen minutes), a dosage known to...

  • INTERMITTENT CLAUDICATION OR RESTLESS LEGS SYNDROME? Schoeder, Jane // American Fitness;Nov/Dec2009, Vol. 27 Issue 6, p58 

    The article offers information on intermittent claudication, a circulatory problem, and restless legs syndrome, a sensory-motor disease. The author discusses the risk factors associated with them, the causes and symptoms, the medications and treatment, and the surgical procedures and...

  • Popliteal Artery Occlusion Secondary to Cystic Adventitial Disease: A Rare Etiology of Lower Extremity Ischemia in a Marathon Runner: A Case Report. Wolk, Seth W.; Lampman, Richard M.; Misare, Bruce D.; Erlandson, Errol E.; Whitehouse Jr., Walter M. // Vascular Surgery;Nov/Dec1998, Vol. 32 Issue 6, p623 

    A 44-year-old marathon runner was referred with a 2-week history of the sudden onset of severe left calf claudication. Angiography showed a 3- to 4-centimeter focal near-occlusion of the left midpopliteal artery. Magnetic resonance imaging showed a cystic structure in the left popliteal artery...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics