Venous claudication

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Venous claudication occurs in patients with chronic venous insufficiency and those who develop post-thrombotic syndrome after deep venous thrombosis. Baseline venous hypertension in the obstructed veins worsens with exercise.

Symptoms

• Venous claudication produces a tight bursting pressure in the limb following exercise, usually worse in the thigh and uncommonly in the calf.
• Venous claudication tends to improve with cessation of exercise but total resolution takes much longer time than the resolution of intermittent claudication (IC).
• Leg elevation helps in relieving the symptoms.

Physical Examination

• It is usually associated with venous edema in the leg.