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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Related Experiment Video

Updated: Jun 7, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

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Published on: December 11, 2013

Skiing and intermittant claudication: an aberrant presentation.

Barry T Katzen¹, Joseph Fuller, Scott Wong

¹Baptist Cardiovascular and Vascular Institute (BCVI), Miami, FL 33176-2197, USA. barryk@baptisthealth.net

Annals of Vascular Surgery

|November 2, 2010

Summary

This summary is machine-generated.

Peripheral arterial disease (PAD) usually causes leg pain with walking. This case highlights an unusual presentation of PAD-induced leg pain during skiing, caused by iliac artery stenosis.

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Area of Science:

Vascular Surgery
Sports Medicine
Cardiology

Background:

Intermittent claudication, a common symptom of lower extremity peripheral arterial disease (PAD), typically presents as leg pain or cramping during exercise, most often walking.
Early-onset PAD symptoms can occasionally manifest during more strenuous activities like running.

Observation:

This report details an atypical case where leg pain occurred specifically during skiing.
The pain was immediately relieved upon cessation of skiing, suggesting a direct correlation with the physical activity.

Findings:

The unusual presentation was attributed to focal iliac artery stenosis, a narrowing of the iliac artery.
This specific arterial stenosis caused exertional leg pain during the unique biomechanical demands of skiing.

Implications:

Highlights the importance of considering PAD in athletes experiencing exertional leg pain, even with atypical triggers like skiing.
Suggests that the specific demands of certain sports can unmask underlying vascular conditions like iliac artery stenosis.
Broadens the understanding of PAD symptom presentation beyond typical walking-induced claudication.