(PAD) define a narrowing of the peripheral arteries or hardening of the arteries, most usually ¡n the legs. The Buildup of a plaque restricts blood flow and causes leg pain, Usually during physical activity. The walls of the arteries become stiff and couldn’t dilate to allow greater blood flow when needed.
- Cramping or discomfort in Feet, calves and thighs
- Leg/hip muscle pain during physical activity (usually goes away with rest and returns when active)
- Burning sensation in legs
- Legs may feel numb when at rest
- Legs cool to the touch
- Skin may look pale or shiny or tight
- Loss of hair on legs
- Foot wounds that don’t heal
- Calf muscle atrophy
- thick toenails
Many people dismiss leg pain as a normal sign of aging. PAD may be mistaken for arthritis, sciatica or just stiffness from getting older, but PAD leg pain occurs in the muscles, not the joints. Diabetes sufferers may confuse PAD pain with a neuropathy. A common diabetic symptom that feels like burning or discomfort in the legs and feet.
You may be at risk-
Peripheral artery disease is a common disorder that usually affects men over age 50.People are at higher risk if they have a history of:
- High cholesterol
- Heart disease (coronary artery disease)
- High Blood pressure
- Kidney disease involving hemodialysis
- Stroke (cerebrovascular disease)
- Atherosclerotic coronary, carotid, or renal artery disease
- Abnormal lower extremity pulses examination
- All patients with a Framingham risk score of 1O%.20%
- weighing over 30 percent more than your ideal weight.
Checking for weak pulses in the legs (usually the first step)-
Ankle-Brachial Index(ABI): a painless exam that compares of blood pressure in your Idea to the blood pressure in your arms to determine how to well your blood is flowing. If an ABI reveals of abnormal ratio you may need more testing.
Doppler and Ultrasound (Duplex) imaging: a noninvasive method that is the visualizes artery with sound waves and measures the blood flow in an artery to indicate the presence a blockage.
Computing Tomographic Angiography (CT): a non-invasive test that can you show the arteries in the abdomen, pelvis and legs. This test is particularly useful in patients with pacemakers or stents.
Magnetic Resonance Angiography (MRA) a noninvasive test that gives information similar to that of a CT without using X-rays.
Angiography of the arteries n the legs uses K-rays and a special dye to see inside the arteries.
If detected early you can make lifestyle changes to help you manage your disease.
- Maintain healthy blood of sugar levels
- Lower high cholesterol of blood
- Lower high blood pressure
- Quit smoking
- Eat foods low in saturated calories and fats
- Maintain your ideal body weight
- Fo Exercise
Cholesterol-lowering drugs (statins) or blood pressure-lowering medications may be recommended by your physician.
In more severe cases. Lifestyle changes and medication may not be enough. Surgical or minimally invasive treatments may be your next option.
A long, Thin malleable tube called a catheter ¡s inserted into a small puncture over an artery in your arm or groin. Once a place, A special balloon attached the catheter is inflated and deflated. Pushing the plaque in your artery against your artery walls, widening the vessel.
A tiny metal tube called a stent, is placed into the narrowed area of your artery to keep it from closing. The stent remains permanently in your artery.
One of your veins or a tube made from man-made materials is attached area that is blocked, creating a new path for your blood to flow.
An incision is made in your leg and the plaque contained in the inner lining of the diseased artery of removed.