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Peripheral Arterial Disease

What is Peripheral Arterial Disease and how is it caused?
Peripheral arterial disease (PAD) occurs when atherosclerosis, or hardening of the arteries, causes a buildup of plaque in the blood vessels that carry oxygen and nutrients to all the tissues of the body. As these plaques worsen, they reduce essential blood flow to the limbs and can even cause complete blockage of the arteries. PAD commonly occurs in the legs, particularly the upper (femoral) region, as well as the arms.

How serious is PAD?
Early on, PAD may only cause difficulty walking, but in its most severe forms it can cause painful foot ulcers, infections and even gangrene, which could require amputation. People with PAD are also three times more likely to die of heart attacks or strokes than those without PAD.

What are the symptoms of PAD?

  • Claudication, or pain in the muscles of the legs during walking or other exercise
  • Pain in the ball of the foot or toes
  • Nighttime foot pains that improve when hanging one’s foot over the bed
  • Ulcers or sores on the foot, ankle or toes that will not heal
  • Blue or black discoloration of the toes

What can be done to reduce the risk of serious complications associated with PAD?

  • Follow a healthier diet and a regular, vigorous exercise program.
  • Do not smoke or use tobacco products.
  • Keep your blood pressure and cholesterol under control.
  • If you’re diabetic, get good medical treatment and regular exams.


How is PAD diagnosed?
In most cases, a physical exam by your doctor can detect PAD. But it’s not always easy to tell how severe it is, particularly if you have diabetes. PAD can be accurately measured by simple, non-invasive tests using a Doppler flowmeter or ultrasound scan. This type of vascular testing can be performed in minutes without any risk or discomfort.

Note: For Patient Education handouts on PAD click here!




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