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Updated: June 6, 2025
The condition is usually met with in the feet, but the upper extremity may be affected, and is attended with very severe pain, rendering sleep impossible. The patient is liable to sudden attacks of numbness, tingling and weakness of the limbs which pass off with rest intermittent claudication.
This condition, then, is a rather common cause of lameness and in no case, where cause of the claudication is not obvious, is the practitioner warranted in concluding his examination without careful search for the possible existence of nail puncture of the solar surface of the foot. The X-ray offers very limited possibilities in the diagnosis of lameness.
Therefore, any affection causing a sensation and sign of pain which is increased by the bearing of weight upon the affected member, or by the moving of such a distressed part, results in an irregularity in locomotion, which is known as lameness or claudication.
Intermittent claudication has been noted from the overuse of tobacco, as well as cramps in the muscles and of the legs. A long series of investigations of the action of tobacco on high school boys and students of colleges seems to show that the age of graduation of smokers is older than that of nonsmokers, and that smokers require disciplinary measures more frequently than nonsmokers.
Claudication also may result from the impaired circulation. The emotions may cause an inhibition of the digestive secretions and of intestinal peristalsis. This means that the digestive processes are arrested, that putrefaction and autointoxication will result, and that still further strain will thus be put upon the organs of elimination.
The course taken by cases of lameness is as variable as the degree of its manifestation, and no one can definitely predict the duration of any given cause of claudication.
Subjects of this kind may not be sufficiently inconvenienced to warrant their being taken out of service, yet a lame horse, no matter how slightly affected, should not be continued in service unless it can be positively established that the degree of discomfort occasioned by the claudication is small and the work to be done by the animal, of the sort that will not aggravate the condition.
The degree of inconvenience or distress experienced by a lame animal that is being so examined is manifested by the character of the claudication; and where much pain is occasioned in locomotion there is disturbance of respiration; perspiration may be noticeable and in some instances manifestation of nervous shock are very evident this in timid, nervous animals that anticipate being punished when approached and, consequently, make every effort possible to move when urged to do so.
In such cases, lameness may result directly and resolution be prompt, or the claudication become aggravated in time, due to muscular atrophy or degenerative changes affecting the hip joint or nerves. Rheumatism or metastatic infection may be the cause of hip lameness as well as affections of the pelvic bones, lumbar and sacral vertebrae.
Ninety-seven of these patients had hemorrhages somewhere, most frequently epistaxes, sometimes hemoptysis. Janeway did not find that purpuric spots on the skin occurred early in the disease in any of his patients. Gastro-intestinal disturbances were not much in evidence unless the kidneys were insufficient. Intermittent claudication in the legs occasionally occurred.
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