Pain in the calf muscles (and sometimes the buttocks) that comes on after walking a certain distance, remits fairly quickly upon resting and then recurs after the same distance is classical claudication caused by peripheral vascular disease. It should be distinguished from rest pain (pain typically in the feet that comes on at night and is relieved by hanging the affected limb over the side of the bed) and also from spinal claudication. The latter is caused by lumbar canal stenosis, it does not remit so quickly upon resting and sometimes patients find that standing in certain postures will help to relieve the pain more quickly.

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