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Peripheral artery disease

Do your legs ever feel heavy, tired, or even painful when you walk, especially on inclines or stairs? Maybe you’ve dismissed it as just “getting older,” but it could be a sign of something more serious: Peripheral Artery Disease, or PAD.

Understanding Peripheral Artery Disease (PAD)

PAD is a common circulatory problem where narrowed arteries reduce blood flow to your limbs, most often your legs. It happens when plaque builds up in the arteries, a process called atherosclerosis. While it can sometimes be asymptomatic, PAD often manifests with pain or cramping in the legs during exercise that goes away with rest. This is called intermittent claudication.

Illustration of Peripheral Artery Disease affecting blood flow in the legsIgnoring PAD can have serious consequences. Because it reduces blood flow, untreated PAD can lead to complications like:

  • Non-healing sores or ulcers: Reduced blood supply impairs the body’s ability to heal wounds, especially on the feet and legs.
  • Infection: Poor blood flow compromises the immune system’s ability to fight off infections in the affected limbs.
  • Tissue death (gangrene): In severe cases, severely restricted blood flow can lead to tissue death and necessitate amputation.
  • Increased risk of heart attack and stroke: PAD is often a sign of more widespread atherosclerosis, increasing the risk of cardiovascular events.

The good news is that PAD is treatable, and early diagnosis is key. If you experience any of the symptoms mentioned earlier, talk to your doctor. They can perform simple tests, such as measuring the ankle-brachial index (ABI), to assess blood flow in your legs.

Here are some common risk factors for PAD:

  • Smoking: This is one of the biggest risk factors.
  • Diabetes: High blood sugar levels can damage blood vessels.
  • High blood pressure: Increases the stress on artery walls.
  • High cholesterol: Contributes to plaque buildup.
  • Age: Risk increases with age.
  • Family history of PAD, heart disease, or stroke.

Managing PAD involves a combination of lifestyle changes and medical treatments. Lifestyle changes may include:

  • Quitting smoking: Absolutely crucial for improving blood flow.
  • Regular exercise: Walking programs can help improve circulation.
  • Healthy diet: Focus on fruits, vegetables, and whole grains, and limit saturated and trans fats.
  • Weight management: Losing excess weight can reduce strain on your circulatory system.

Medical treatments for PAD may include:

  • Medications: To lower cholesterol, control blood pressure, prevent blood clots, and manage pain.
  • Angioplasty and stenting: A minimally invasive procedure to open blocked arteries.
  • Bypass surgery: A surgical procedure to reroute blood flow around a blocked artery.

Don’t let PAD slow you down. Take control of your health by understanding the risks, recognizing the symptoms, and seeking timely medical care. Early diagnosis and treatment can help you maintain your mobility and reduce your risk of serious complications. Talk to your doctor today if you have any concerns about Peripheral Artery Disease.

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