Exercise has been shown to be beneficial with established
cardiovascular disease and can improve walking distance with
intermittent claudication. Supervised exercise should be
offered to all with intermittent claudication, consisting of two
hours of supervised exercise a week for a three-month period,
and people encouraged to exercise to the point of maximal
pain. However, it is acknowledged that even though this is
cost effective, there is geographical variability in terms of
access to services