Mr Usman Jaffer discusses the operative and non-operative management of claudication.
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Can you please go through the management for claudication? Certainly. I think the trick here is that management doesn't involve necessarily doing an operation for a person with claudication. Reason being, if we are able to remove some of the risk factors which are driving the peripheral vascular disease, the claudication symptoms may well improve to the point where you no longer are looking for an operation or a procedure and And to do that, we would reduce your blood pressure, put you on the relevant medications, and engage in a supervised exercise program. So non-operative management or conservative management in terms of risk factor modification and exercise would be the first thing that I would recommend in terms of treatment or management of claudication due to peripheral vascular disease or narrowing of the arteries. In terms of an interventional or operative approach, there are various options and they are tailored according to you and according to your pattern of disease in terms of the narrowing of the arteries and the legs. And that can range from an angioplasty, that's a ballooning open of the arteries, potentially a placement of a stent, which is a metal or sort of chicken wire, in a tube that we can insert into the artery and expand, holding the walls apart, opening up any narrowings to bypass surgery which is a more involved procedure but it may be the right procedure for you depending on your situation.
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