unilateral leg pain: Only walking up hill

[pjpooba]

I wonder if any one can help.

I have a scenario to work through. I have a 71 year old male patient . Presents with unilateral caLf pain (left) only on walking up hill.

He is very active, golf and spinning ( i know at 71) and sqquash. Never ever bothers him .

Saw GP he sent to vascular surgeon who perfomed doppler: small occlusion on left but he says of little or no significance.

He says he only gets it walking up hill. Says is ender to touch.

Is it spinal?? Is it only vascular 9 but not responded to long term aspirin.

Any help or differental diagnosis and testing would be greatly appreciated

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