Assessing the vascular status of patients is a core component of assessment in primary podiatric clinical practice, as it has a direct impact on tissue viability.
History is often enough to give clues to vascular status.
• Intermittent claudication:
Measure in ‘city blocks’; location and description of symptoms; duration of pain after stopping; is it progressing?
• Rest Pain/Ischaemic neuropathy:
Indicative of severe disease (suggests that blood supply is inadequate at rest). Walking is almost impossible and legs are almost always kept below heart.
Which position initiates pain; how severe; situations that aggravate and relieve symptoms
• Pain of sudden arterial occlusion:
Acute onset – get changes in colour and temperature of skin