This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Lumbar sympathectomy is not indicated in - 
Select and explain. 
A. Healing of ulcer over great toe, B. Claudication, C. Rest pain, D. Buerger's disease
B: Claudication
Answer: B: Claudication 
Explanation: Claudication is managed by conservative means: such as stoppage of smoking, diet, managing lipid abnormalities, excercises. Moreover sympathectomy is not very effective in claudication.
S.Das, 3/e writes about sympathectomy —"Though this operation is not very effective in claudication, yet it has some beneficial role in cases of rest pain and minor ulceration of the toes and fingers."