Our approach to PAD care
We understand that peripheral artery disease (PAD) is more than just a source of pain or difficulty walking. It's a risk factor for more serious complications, such as heart attack and stroke.
This common condition occurs when blocked or narrowed arteries reduce blood flow to your legs or arms, and it affects millions of people worldwide.
Our team of vascular surgeons, cardiologists and other specialists is here to help you manage your symptoms and reduce your cardiac risk. With access to high-level care, specialized experts and leading-edge facilities and technology, trust that we can get you back to living your life to the fullest.
Signs and symptoms of PAD
With PAD, you may experience a range of signs and symptoms, including:
- leg pain when walking or other activity, including muscle pain or cramping, that ends with rest
- numbness or weakness in the legs
- coldness in the lower leg or foot, especially compared with the other side
- painful cramping in one or both hips, thighs or calf muscles after activities such as walking or climbing stairs
- sores on the toes, feet or legs that won't heal
- pain when using the arms, such as aching and cramping when writing or doing other manual tasks
- erectile dysfunction
- slower growth of toenails
- hair loss or slower hair growth on the legs
Not everyone with PAD will experience all of these symptoms. In fact, some people with PAD may not have any symptoms.
When to seek care for PAD
If you are experiencing any of these symptoms, it's important to talk to your doctor about an evaluation. PAD can be a serious condition if left untreated.
Our steps to a diagnosis
We use a variety of tools to diagnose PAD and determine its severity. Some common steps in the process are:
- Physical exam: Your doctor will check your blood pressure, heart rate and pulses in your legs and feet. They will also look for any signs of skin discoloration or sores on your legs or feet.
- Medical history: Your doctor will ask about your personal and family medical history, including any risk factors for PAD such as smoking, high blood pressure, high cholesterol or diabetes.
- Noninvasive tests: These tests may include an ankle-brachial index (ABI), pulse volume recording (PVR) or a vascular ultrasound.
- Angiogram: In some cases, your doctor may recommend an angiogram to get a detailed look at your leg arteries. This test involves injecting a contrast dye into your arteries and taking X-rays.
Our treatment options
PAD affects people differently. That's why we take a personalized approach to your care, which will depend on your symptoms and risks. With early diagnosis, lifestyle changes and treatment, you can stop PAD from getting worse.
Treatment options may include:
- lifestyle changes such as quitting smoking, eating a healthy diet and exercising regularly
- management of other health conditions, such as high blood pressure and diabetes
- good foot and skin care
- medications such as blood thinners or treatments for high blood pressure or high cholesterol
- supervised exercise programs and regular walking to improve leg pain
- minimally invasive procedures and surgeries, including angioplasty, stents, peripheral artery bypass surgery and atherectomy
Benefits
With treatment for PAD, your symptoms should improve so that you’re more comfortable, can participate in more activities and have a lower risk of heart attack or stroke.