A claudication may occur in pear-shaped muscle syndrome, but it does not necessarily present as an intermittent claudication. It can be distinguished from intermittent claudication by the presence of hip pain, which may be accompanied by femoral pain, numbness and weakness in the affected limb, which may worsen with prolonged sitting or standing and may decrease with activity. Intermittent claudication is mainly associated with pain in the lower limbs after walking or exercising, which is relieved by sitting or squatting down to rest.