Vascular Lower Extremity Pain
Warren W. McMurry, MD, FACS

Superficial Thrombophlebitis- burning pain with localized tenderness

Acute Deep Vein Thrombophlebitis- acute throbbing pain with calf or leg swelling

Chronis Venous Insufficiency- chronic throbbing pain, worsened by standing, distended veins, ulcer formation at the ankles

Arterial Embolic Occlusion- acute sever pain, loss of distal palpable pulses, cold, mottled, blue extremity, normal contralateral exam

Arterial Claudication- buttock, thigh, or calf pain or weakness with ambulation, symptoms quickly resolve with rest

Arterial Rest Pain- constant extremity pain relieved by dangling foot, foot ulcers marker of threatened extremity

Neurogenic Pain- normal vascular exam, constant pain symptoms not related to exercise



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