Conversation: The conversation between human and AI assistant.
[|Human|] I am 66, male, last disease at age 7. Now after a short walk my leg muscles feel like I ve run a marathon. Started with left hamstring, then left flute, then same on right. Now, right knee and right calf. Distance walking before onset now down to 25 yards.
[|AI|]  Dear patient You are having claudication. Is the distance you walk remains same, or it changes with successive walks? If pain starts after walking certain distance and relieves with rest in standing and when you start to walk again distance you walked before the pain starts decreases most likely cause is vascular blockage. If pain starts after walking certain distance and relieves after rest and the distance walked before the pain starts again remain same most likely cause is neurological. I would like to confirm diagnosis by 1. Mri of the lumbosacral spine and 2. Arterial Doppler of the both lower limbs. Please get it done from radiology center nearby you. If MRI is abnormal you need to consult spine surgeon. If Doppler is abnormal please consult vascular surgeon.