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Peripheral Vascular Disease
  1. What is peripheral Vascular/Artery disease? 
  2. What are the symptoms of PVD? 
  3. Is there a test for PVD? 
  4. How can I help treat my PVD? 
  5. What other treatments might I have? 
  6. What should I know about the different procedures? 

 

1. What is peripheral Vascular/Artery disease?

 Peripheral vascular/artery disease (PAV/PAD) is a condition that can cause leg pain that gets worse with activity. Muscle pain that gets worse with activity and better with rest is called "claudication." PVD affects the blood vessels (called arteries) that bring blood to the legs. PVD can also cause wounds to heal more slowly than usual. This article is only about the leg pain related to PVD.

Normally, blood flows easily through arteries to all parts of the body. But sometimes, fatty clumps called "plaques" build up inside the walls of arteries. Plaques can cause arteries to become narrow or blocked. This prevents blood from flowing normally. When muscles do not get enough blood, symptoms can occur.

Some people have a greater chance of getting PVD, such as those who:

2. What are the symptoms of PVD?

 PVD often causes pain in the back of the lower leg. The pain usually gets worse with walking or other exercise, and gets better with rest. PVD can also cause pain in the buttocks, thighs, or sometimes in the feet. People who have leg pain can have other symptoms, too, such as:

Symptoms of claudication can be mild or severe, depending on:

3. Is there a test for PVD?

Yes. Your doctor or nurse can do different tests to find out if you have PVD, and to check how severe it is. He or she might:

4. How can I help treat my PVD?

To help treat your PVD and prevent it from getting worse, you can:

5. What other treatments might I have?

 Along with a walking program and getting medical conditions under control, some people are also treated with medicines. The medicines used to treat PVD can reduce symptoms, increase blood flow to the legs, and help people walk farther without pain.

If you still have severe symptoms after trying medicines, your doctor will talk with you about the possibility of having surgery or a procedure to increase blood flow to your legs and feet. Your treatment options might include:

6. What should I know about the different procedures?

 Angioplasty and stenting are used to treat 1 or 2 blocked areas that are short. Surgery works best to treat many or longer blocked areas. People who have the fewest long-term problems after bypass surgery include those who are younger than 70, do not have diabetes, and do not have PVD below the knee.

Your doctor might recommend a procedure for you, depending on your symptoms, age, and medical problems. But many people can choose which procedure to have. If your doctor offers you a choice, ask:







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Dr. Ashwini Joshi

MBBS DNB Medicine
Consultant Diabetologist

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