Vascular Problems in Musculoskeletal Disorders of the Limbs

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You feel pain because your leg muscles are not getting enough oxygenated blood.

Peripheral Vascular Disease (PVD), Peripheral Artery Disease (PAD) | ColumbiaDoctors

Oxygen is the fuel that muscles need to contract. Atherosclerosis isn't the only possible cause of your symptoms of claudication. Other conditions associated with similar symptoms that need to be considered include spinal stenosis, peripheral neuropathy and certain musculoskeletal conditions.

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The risk factors for claudication are the same as those for developing atherosclerosis, including:. In extreme cases, the circulation in your legs or arms can be so limited that you feel pain even when you aren't exercising, and your legs or arms might feel cool to the touch.

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Severe peripheral artery disease can lead to poor healing of skin injuries and ulcers. These cuts and ulcers can develop gangrene and require limb amputation. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Claudication Claudication is pain in the arms and legs that comes on with walking or using the arms.

Evidence Table

Request an Appointment at Mayo Clinic. Development of atherosclerosis If you have too many cholesterol particles in your blood, cholesterol may accumulate on your artery walls. Share on: Facebook Twitter. References Neschis DG.

Clinical features, diagnosis, and natural history of lower extremity peripheral arterial disease. Accessed Dec. Eschenhagen T. Treatment of ischemic heart disease. Fuster V, et al. Diagnosis and management of diseases of the peripheral arteries. In: Hurst's the Heart. Hoyler M, et al. The treatment of claudication. In: Current Surgical Therapy. Philadelphia, PA: Elsevier. Over time, as fatigue continues to outrun recovery and the musculoskeletal imbalance persists, a musculoskeletal disorder develops.

These risk factors can be broken up into two categories: work-related ergonomic risk factors and individual-related risk factors. So the root cause of MSDs is exposure to MSD risk factors — both work-related risk factors and individual-related risk factors. The evaluation will tell us that ergonomic risk factors are present, the worker is at risk of developing a musculoskeletal imbalance and a musculoskeletal disorder is an imminent reality.

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  • PRIME PubMed | Musculoskeletal AND Claudication, lower extremity journal articles from PubMed.
  • There are three primary ergonomic risk factors. Exposure to these workplace risk factors puts workers at a higher level of MSD risk. The strength of the associations reported in the various studies for specific risk factors after adjustments for other factors varies from modest to strong.


    The largest increases in risk are generally observed in studies with a wide range of exposure conditions and careful observation or measurement of exposures. Human beings are multi-dimensional. Limiting ourselves to a singular cause of MSDs will limit our ability to create a prevention strategy that addresses the multi-dimensional worker.

    Vascular Problems in Musculoskeletal Disorders of the Limbs

    Exposure to these individual risk factors puts workers at a higher level of MSD risk. Having a poor overall health profile puts them at greater risk of developing a musculoskeletal imbalance and eventually an MSD. Traditionally, workplace health and safety programs have been compartmentalized. Health protection programs have focused squarely on safety, reducing worker exposures to risk factors arising in the work environment itself.

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    And most workplace health promotion programs have focused exclusively on lifestyle factors off-the-job that place workers at risk. A growing body of science supports the effectiveness of combining these efforts through workplace interventions that integrate health protection and health promotion programs. Therefore general health promotion at the workplace might be one option to prevent MSDs. However, the involvement and participation of all employees and their representatives is crucial to success in such a holistic approach and, moreover, in creating a culture where ergonomics and the prevention of musculoskeletal disorders is embedded in every part of the process.

    These factors vary depending on the study but may include age, gender, smoking, physical activity, strength, anthropometry and previous WMSD, and degenerative joint diseases McCauley Bush, Besides risk factors related to work other risk factors contribute to its development, namely factors intrinsic to the worker and factors unrelated to work. A risk factor is any source or situation with the potential to cause injury or lead to the development of a disease.