Peripheral Artery Disease

Common Condition

Narrowing of arteries in the legs and arms due to plaque buildup, causing reduced blood flow that leads to pain, cramping, and increased risk of heart attack and stroke.

Related specialists:CardiologistSurgeon

Symptoms

Leg pain when walking (claudication)
Cramping in hips, thighs, or calves
Pain that goes away with rest
Numbness or weakness in legs
Coldness in lower leg or foot
Sores or wounds that won't heal
Change in leg color (pale or bluish)
Slower growth of toenails
Weak pulse in legs or feet
Erectile dysfunction in men

Causes

1
Atherosclerosis (plaque buildup)
2
Smoking (strongest risk factor)
3
Diabetes
4
High blood pressure
5
High cholesterol
6
Obesity
7
Physical inactivity
8
Age (over 50)
9
Family history of PAD or heart disease
10
Chronic kidney disease

Treatments

Smoking cessation (most important)
Supervised exercise program
Medications for cholesterol (statins)
Blood pressure medications
Blood thinners (aspirin, clopidogrel)
Cilostazol to improve walking distance
Diabetes management
Angioplasty and stenting
Bypass surgery
Wound care for ulcers
When to See a Doctor

See your doctor if you have leg pain when walking that improves with rest, sores that won't heal, or changes in leg color or temperature. Seek emergency care for sudden severe leg pain with coldness or numbness.

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About Peripheral Artery Disease

Peripheral Artery Disease: When Blood Can't Reach Your Legs

Peripheral artery disease (PAD) is a common circulatory condition where narrowed arteries reduce blood flow to your limbs, primarily the legs. It's a warning sign for potential heart attack and stroke.

The PAD Warning

PAD indicates atherosclerosis throughout your body:

  • People with PAD have 4-5 times higher risk of heart attack
  • It significantly increases stroke risk
  • What's happening in your legs is happening elsewhere

Recognizing PAD Symptoms

Classic Symptom - Intermittent Claudication:

  • Pain, cramping, or tiredness in legs when walking
  • Pain goes away after a few minutes of rest
  • Returns when you start walking again

As PAD Progresses:

  • Pain occurs with less activity
  • Eventually, pain may occur at rest
  • Wounds or sores that don't heal

Treatment

Quit Smoking: The single most important step.

Exercise: Supervised walking programs can improve walking distance by 50-200%.

Foot Care: Inspect feet daily, wear comfortable shoes, treat injuries promptly.

Medications: Antiplatelet drugs, statins, blood pressure medications.

Procedures: Angioplasty and stenting or bypass surgery for severe cases.

"Ang mga paa mo ay daan patungo sa malayo—alagaan sila." (Your feet are your path to far places—take care of them.)