Cramps

Hi Taha here. My patient his age is around 55 is complaining that he fells pain in the calf muscles and it is radiating to the leg especially he fells in the 3rd and 4th finger of the legs. He says that he feels pain like cramps in the calf muscles. So what i do? And he also says that his lower limbs are getting weak. So what exercise should I give it to him? I hope I get some input soon. Thanks

Well, first of all you should assess him. Pleas do that, take a full history, do a full neuro assessment, check the lumbar spine, ask about when the cramps occur, if they progress with further exercise etc (as in claudication) or are that at night, at rest...

A simple "what should I" do means nothing without a presentation of your initial findings :)

Actually i am forget to mention one thing that he do message on his leg before this situation one that he do the message very hardly in their calf muscles and after that he feeling this pain on his right leg.I ask him that did you feel and pain in the lumber spine he said "NO" even i do the movements of the lumber spine like flexion,extension,side flexion on both sides he did feel and pain.He only said that i feel pain in when in long standing,long driving.I give treatment that strech to your quardiceps muscles and hamstrings mucles only on his affected limb and i said do heat therapy in the calf muscles.Tell me that i am doing right or wrong.OR anyother treatment that i give it to him. Thanks..............!

by the reading ut history
i think that

patient is having PERIPHERAL VASCULAR DIEASES.

try the test of bicycle for 4 or 5 minute and check the pain?

what baout ankle pums havent u try ankle movt?

and what about thompson test, homans , and check vascular tests