Why do I have shooting pain in my calves after walking?

Hi,

Welcome to icliniq.com. You are having intermittent claudication due to a peripheral arterial disease as demonstrated by your arterial ultrasound (attachment removed to protect patient identity). I am hoping it is a Doppler ultrasound. It appears that your diabetes is under control and you do not have heart failure. I understand that you have no history of heart attack either. Peripheral vascular disease, less likely but sciatica is also possible. You have normal EMG, but there is no MRI and nerve conduction study available. If ankle-brachial index is normal, then nerve conduction study has to be taken. Increase the Cilostazol to 100 mg twice daily if there is no history of heart failure, heart attack and not taking two blood thinner agents together. If taking Aspirin only, then it is safe to increase the dose to 100 mg twice daily. I would encourage you to take 81 mg of Aspirin daily. Also, do exercise grading. It is a three month program that will gradually build your exercise tolerance.