By
Medical Care Review | Friday,
July 28,
2023
Peripheral artery disease (PAD) is a serious but often overlooked condition that affects many people. It happens when the arteries leading to your legs become narrowed or blocked, usually due to a buildup of fatty deposits known as plaques. This can severely reduce blood flow to your limbs and cause a range of troubling symptoms.
One of the main signs of PAD is claudication, which is pain or cramping in the legs during physical activities like walking or climbing stairs. This pain tends to go away with rest but can come back as soon as you start moving again. In more severe cases, people with PAD might experience pain even when at rest or develop sores or ulcers on their legs or feet that don’t heal properly.
Several factors can increase your risk of developing PAD. Smoking is a major contributor, along with conditions like diabetes, high blood pressure, and high cholesterol. Not getting enough exercise and having a family history of vascular problems can also raise your risk. PAD is closely linked with atherosclerosis, where arteries are clogged with fatty deposits, which can also lead to heart attacks and strokes.
Diagnosing PAD usually involves a physical exam and a few key tests. One of the most common tests is the ankle-brachial index (ABI), which measures the blood pressure in your ankle and compares it to the blood pressure in your arm. This helps to see if there's a significant difference that could indicate PAD. Sometimes, doctors might use imaging techniques like ultrasound or angiography to get a clearer picture of the blood flow in your legs.
Treatment for PAD focuses on relieving symptoms, preventing the disease from worsening, and lowering the risk of other cardiovascular issues. Lifestyle changes are crucial—quitting smoking, getting more exercise, and eating a heart-healthy diet can make a big difference. Medications may be prescribed to manage blood pressure, cholesterol, and blood clotting. In severe cases, procedures such as angioplasty or even surgery might be needed to improve blood flow.
Living with PAD can be challenging, but with the right treatment and lifestyle adjustments, many people find ways to manage their symptoms and maintain a good quality of life. Early diagnosis and proactive management are essential in addressing this often hidden yet impactful condition.
