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Doctor insights on: Peripheral Arterial Disease

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Dr. Bradley Thomas
380 Doctors shared insights

Peripheral Arterial Disease (Overview)

PEripheral arterial disease refers generally to the arterial supply to the extremities and can involve vessels of any size. Diseases like diabetes tend to affect the small arterial vessels while atherosclerosis from high cholesterol, hypertension, or smoking to name a few can affect vessels if any size. The concern is inadequate blood and oxygen to peripheral tissues and organs


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Is there a difference between peripheral arterial disease and peripheral venous disease?

Is there a difference between peripheral arterial disease and peripheral venous disease?

Yes: They are completely different. Venous disease is somewhat genetic, but if people lived long enough almost everyone would probably get venous disease at some point in their life. In fact 15% of the adult population has venous disease. Arterial disease, in contrast, is not as common in the general population. It occurs in smokers, diabetics, and in people with high blood pressure and cholesterol. ...Read more

Dr. Bradley Thomas
380 Doctors shared insights

Peripheral Arterial Disease (Overview)

PEripheral arterial disease refers generally to the arterial supply to the extremities and can involve vessels of any size. Diseases like diabetes tend to affect the small arterial vessels while atherosclerosis from high cholesterol, hypertension, or smoking to name a few can affect vessels if any size. The concern is inadequate blood and oxygen to peripheral tissues and organs


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How does peripheral arterial disease affect someone?

How does peripheral arterial disease affect someone?

Calfs hurt when walk: Peripheral artery disease causes blockages in the leg arteries that supply blood to the muscles used in walking. This causes the calfs to get tight and heavy and to hurt when walking. In more advanced cases as arteries become totally blocked in more than one level the disease may lead to complete loss of circulation and gangrene or amputation. Early diagnosis and treatment can avoid this. ...Read more

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Managing Peripheral Vascular Disease (Checklist)

Try to continue walking
Once
Make sure that your risk factors, such as blood pressure and cholesterol, are addressed
Once
Inspect your feet daily, and call your medical doctor if you experience any wounds
Daily
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Can claudication be a possible symptom of peripheral arterial disease?

Can claudication be a possible symptom of peripheral arterial disease?

A principal symptom: Claudication, or the tensing up of the calf muscles during walking, is the main symptom of peripheral arterial disease. It is caused by blockages in the arteries that give blood supply to the calf muscles. Claudication may be called "intermittent" because it goes away when one stops walking and may recur on resuming walking -unlike spinal stenosis which causes rest pain down the legs. ...Read more

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What are the symptoms of peripheral arterial disease?

What are the symptoms of peripheral arterial disease?

Symptoms: Some of the common symptoms are:
Pain when walking (claudication).
Rest pain.
Cold feet.
Numbness and tingling in the legs and feet.
Skin discoloration in the feet and toes.
Slowly or non-healing sores on the feet. ...Read more

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Living with Coronary Artery Disease (Checklist)

Take medications as prescribed
Once
Exercise daily as recommended by your doctor or trainer
daily
Limit meat, dairy, and fats as much as possible
Once
Eat whole grains only - not white bread
Once
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How could a young person get diagnosed with peripheral arterial disease?

How could a young person get diagnosed with peripheral arterial disease?

Youthful PAD: The simplest test is to use a doppler and check blood pressures in the arms and ankles and compare. Pad will make them different. Signs and symptoms can include cold feet, bluish toes, pain in the calves with walking, ulcers of the feet and toes and gangrenous changes of the feet. Many diseases can mimic these symptoms so a vascular or wound specialist is needed. ...Read more

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Which tests are usually carried out to confirm peripheral arterial disease?

Leg pressures: Non-invasive studies that measure your blood pressure in different locations of the leg are a great way to confirm peripheral artery disease. The blood pressures in the thigh, calf, ankle, and toes are measured along with special waveform tracing gives the best functional information about your disease. No other test (including angio or ultrasound) gives more functional information than this test. ...Read more

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Treating Pelvic Inflammatory Disease (Checklist)

Ask your doctor for further STD testing
Once
Ask your partner to get tested for STDs
Once
Take all of your medication exactly as prescribed
Once
Use condoms when having intercourse to prevent STD transmission
Once
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What are the tests for peripheral arterial disease?

What are the tests for peripheral arterial disease?

Tests: Typically a screening test is an ABI (ankle brachial index). Follow up tests are typically a duplex ultrasound of your leg. Depending on these results you may require further evaluation with a CTA, MRA or angiography ...Read more

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Please let me know if there is a cure for peripheral arterial disease?

Please let me know if there is a cure for peripheral arterial disease?

No cure: There is no cure but it is treatable with balloons, surgery, and medications. ...Read more

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Living with Addison's Disease (Checklist)

Wear a medic alert
Once
Take additional hydrocortisone/prednisone for fever or injury
Once
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How do cigarettes cause peripheral arterial disease?

How do cigarettes cause peripheral arterial disease?

Bad stuff: The key ingredient in cigarettes is nicotine. Our arteries have a muscular lining that can relax to increase flow and "squeeze" to reduce flow. Nicotine causes the lining to squeeze down and also causes damage to the lining which causes inflammation. Hard calcium is deposited which further narrows the vessels permanently reducing blood flow. This occurs in every artery when you smoke! ...Read more

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Are there treatment options for peripheral arterial disease?

Are there treatment options for peripheral arterial disease?

Treat symptoms: The mere presence of narrowing or compromise of blood flow in arteries is not a reason for treatment unless there are symptoms. Ulcers, pain, gangrene are symptoms that in the presence of pad need to be treated. Just because there is narrowing of the arteries without symptoms, does not warrant any treatment. Prevention by not smoking, blood sugar and cholesterol control and excercise will help. ...Read more

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What are some treatments for peripheral arterial disease?

Lots of Choices: Usually, initial treatments are conservative, exercise, cessation of smoking, medicines to make the blood flow better and to reduce cholesterol. More aggressive is to open blockages with balloons or stents. Finally, surgery to bypass around the blockages or directly clean out the blocked artery is sometimes needed. ...Read more

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Are prior stress fractures in your shins a risk factor for peripheral arterial disease?

Are prior stress fractures in your shins a risk factor for peripheral arterial disease?

No: I'm not aware of any association between the two. Generally speaking, tibia stress fractures are seen in endurance athletes, while peripheral vascular disease is often seen in older, less healthy individuals, particularly smokers. ...Read more

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Do you have to amputate your legs if you have untreated peripheral arterial disease?

Do you have to amputate your legs if you have untreated peripheral arterial disease?

Possibility: If tissue dies or severely infected, amputation can be life-saving. In completely uncontrolled pad, it is very, very common, especially if uncontrolled diabetes and tobacco use. To treat, stop smoking, control diabetes. May be given blood thinners or blood vessel dilators. Artery bypass may be also recommended. See a vascular surgeon for treatment options. ...Read more

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Living with Polycystic Kidney Disease (Checklist)

Reduce stress in your life: Stress causes cysts to grow faster
daily
Adequate daily fluid intake is a requirement for all patients with PKD
daily
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What tests confirm peripheral arterial disease?

What tests confirm peripheral arterial disease?

ABI/PRESSURES: Ankle brachial index (abi) measures the difference in blood pressures between the arms and legs and arterial ultrasound which is a type of imaging test can be used in conjunction with this to establish this diagnosis along with an appropriate history. ...Read more

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What are the tests for peripheral arterial disease?

Tests: Typically a screening test is an ABI (ankle brachial index). Follow up tests are typically a duplex ultrasound of your leg. Depending on these results you may require further evaluation with a CTA, MRA or angiography ...Read more

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Coping with Disease Outbreaks (Checklist)

Wash hands
6x day
Cover nose and mouth
daily
Avoid unnecessary contact
daily
Alert providers of contagion
daily
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How does peripheral arterial disease affect someone?

Calfs hurt when walk: Peripheral artery disease causes blockages in the leg arteries that supply blood to the muscles used in walking. This causes the calfs to get tight and heavy and to hurt when walking. In more advanced cases as arteries become totally blocked in more than one level the disease may lead to complete loss of circulation and gangrene or amputation. Early diagnosis and treatment can avoid this. ...Read more

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What are the symptoms of peripheral arterial disease?

Symptoms: Some of the common symptoms are:
Pain when walking (claudication).
Rest pain.
Cold feet.
Numbness and tingling in the legs and feet.
Skin discoloration in the feet and toes.
Slowly or non-healing sores on the feet. ...Read more

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Living with Sickle Cell Disease (Checklist)

Don't miss appointments with your doctor
Once
Go to lab appointments as necessary
Once
Keep your oxygen levels up by maintaining a healthy weight
Once
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Can you get pad (peripheral arterial disease) at age 20?

Can you get pad (peripheral arterial disease) at age 20?

Symptoms are rare: As dr. Wyffels said, autopsies on soldiers in viet nam showed early evidence of pad in young men as early as their 20's but having symptoms from pad when you are 20 would be exceedingly rare. ...Read more

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Please explain va rating for peripheral arterial disease.?

Please explain va rating for peripheral arterial disease.?

No well known ones..: The va does not have a published criteria that the community of vascular surgeons uses to rate or quantify pad. There are two systems that are used traditionally. They are the fontaine and rutherford classifications. They are based on patient symptoms and the presence of arterial ulcers on the feet. Blockages themselves are scored with a system called tasc that is designed for doctors to compare. ...Read more

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Living with Celiac Disease (Checklist)

Schedule a visit with a dietitian
Once
When eating out, inform your waitstaff you are intolerant of gluten
Once
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At what age are you more likely to get peripheral arterial disease?

At what age are you more likely to get peripheral arterial disease?

50's: There is different causes of pad and onset of symptoms are different. Most common is atherosclerosis and this start early in life but usually start to manifest with symptoms around the 50's, although some patient can have that even in early 30's. ...Read more

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Please help! What is the va rating for peripheral arterial disease?

Please help! What is the va rating for peripheral arterial disease?

CFR: You can look up the code of federal regulations (cfr) title 38 under schedule of rating disabilities to determine this. ...Read more

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Living with Crohn's Disease (Checklist)

Find a gastroenterologist and follow their treatment regiment
Once
Stop smoking
Once
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What is the definition or description of: Peripheral arterial disease?

What is the definition or description of: Peripheral arterial disease?

Multiple: PEripheral arterial disease refers generally to the arterial supply to the extremities and can involve vessels of any size. Diseases like diabetes tend to affect the small arterial vessels while atherosclerosis from high cholesterol, hypertension, or smoking to name a few can affect vessels if any size. The concern is inadequate blood and oxygen to peripheral tissues and organs ...Read more

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How could a young person get diagnosed with peripheral arterial disease?

Youthful PAD: The simplest test is to use a doppler and check blood pressures in the arms and ankles and compare. Pad will make them different. Signs and symptoms can include cold feet, bluish toes, pain in the calves with walking, ulcers of the feet and toes and gangrenous changes of the feet. Many diseases can mimic these symptoms so a vascular or wound specialist is needed. ...Read more

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Which tests are usually carried out to confirm peripheral arterial disease?

Leg pressures: Non-invasive studies that measure your blood pressure in different locations of the leg are a great way to confirm peripheral artery disease. The blood pressures in the thigh, calf, ankle, and toes are measured along with special waveform tracing gives the best functional information about your disease. No other test (including angio or ultrasound) gives more functional information than this test. ...Read more

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Which tests are usually carried out to confirm peripheral arterial disease?

Exam and ABI: Peripheral artery disease or pad is usually diagnosed by a combination physicial examination and and simple test called ankle brachial index or abi. ...Read more

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What is the youngest age a person can be diagnosed with peripheral arterial disease?

Yes: While uncommon people as young as 20 may have peripheral arterial disease, though this is usually the result of a number of vasculitidies such as takayasu's arteritis or berger's disease. More commonly pad is found in people over the age of 50, and quite prevalent in those over age 70. Smoking is the biggest risk factor in developing pad, conferring a 16x higher risk than a non-smoker. Don't smoke. ...Read more

Dr. John Landi
1 Doctor shared a insight

Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more