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Diagnosis PAD is greatly underdiagnosed. Many patients do not report symptoms, or may not even have symptoms. People should be checked for peripheral artery disease if they have leg pain during walking, or ulcers on their legs. Physical Examination The doctor should check for high blood pressure, heart abnormalities, blockage(s) in the artery in the neck, and abdominal aneurysms. The doctor should also examine the skin of the legs and feet for color changes, ulcers, infection, or injuries, and check the pulse of the arteries in the leg. Ankle-Brachial Index Intermittent claudication caused by peripheral artery disease is typically diagnosed using a calculation called the ankle-brachial index. This method also helps to diagnose PAD in patients without symptoms of intermittent claudication. The procedure is done as follows: The doctor or technician measures the systolic blood pressure of both arms while the patient is lying down. (The systolic pressure is the "top" number in a blood pressure m...
Hi, for the past 6 months I have been getting really bad shooting pains in my head and face. It always starts in my temple and ends up at the top of my head, it also feels like my face is very tight when this happens. Though they last only seconds, I am getting several a day! I have told my doctor but to no avail. Can you help please? Melanie.
What you're describing could be ice pick headaches, but they don't generally start in one place, then move to another, and they generally don't occur in the face. You can read more about them in Ice Pick Headaches - The Basics .
You were quite right to see your doctor about these headaches. They need to be investigated and diagnosed. Unfortunately, not all doctors have the background to help. When your regular doctor can't help, it's best to consult a Migraine and headache specialist. It’s important to note that neurologists aren’t necessarily Migraine and headache speci...
FullQuestion: I am a woman 56 years old and have experienced severe pain with my migraines at about 9 to 13 times a month over many, many years. I do take Maxalt and that helps most of the time. Twice in the past month I have had a very sharp shooting pain on the top left side of my head. It will last all day but not turn into my typical migraine. The Maxalt did not help it. This pain is very sharp and severe and happens about twice every minute for 5 seconds or so. Do you have any idea what it is? I just what to scream each time it comes and sometimes I start knocking on my head with my knuckles!! Please advise me.Thanks. Answer: Hello; The sharp, severe pain you describe could be several types of headache, including paroxysmal hemicrania. You need to see your doctor for diagnosis and to rule out other, possibly serious, conditions that could also cause this type of pain. With such high frequency of Migraine attacks, I must suggest you seek a migraine specialist — have you been w...
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