What is peripheral arterial disease (PAD)?
Your arteries carry blood rich in oxygen and nutrients from your heart to the
rest of your body. When the arteries in your legs become blocked, your legs
do not receive enough blood or oxygen, and you may have a condition called
peripheral artery disease (PAD), sometimes called leg artery disease.
PAD can cause discomfort or pain when you walk. The pain can occur in your
hips, buttocks, thighs, knees, shins, or upper feet. Leg artery disease is
considered a type of peripheral arterial disease because it affects the
arteries, blood vessels that carry blood away from your heart to your limbs.
You are more likely to develop PAD as you age. One in 3 people age 70 or
older has PAD. Smoking or having diabetes increases your chances of
developing the disease sooner.
The aorta is the largest artery in your body, and it carries blood pumped out
of your heart to the rest of your body. Just beneath your belly button in
your abdomen, the aorta splits into the two iliac arteries, which carry blood
into each leg. When the iliac arteries reach your groin, they split again to
become the femoral arteries. Many smaller arteries branch from your femoral
arteries to take blood down to your toes.
Your arteries are normally smooth and unobstructed on the inside but, as you
age, they can become blocked through a process called atherosclerosis,
which means hardening of the arteries. As you age, a sticky substance called



plaque can build up in the walls of your arteries. Plaque is made up of cholesterol, calcium, and fibrous tissue. As
more plaque builds up, your arteries narrow and stiffen. Eventually, enough plaque builds up to reduce blood flow
to your leg arteries. When this happens, your leg does not receive the oxygen it needs. Physicians call this leg
artery disease. You may feel well and still have leg artery disease or sometimes similar blockages in other arteries,
such as those leading to the heart or brain. It is important to treat this disease not only because it may place you
at a greater risk for limb loss but also for having a heart attack or stroke.
Other factors that increase your chances of developing the disease
include:
* Smoking;
* Diabetes;
* High blood pressure;
* High cholesterol or triglycerides;
* High levels of homocysteine, an amino acid in your blood; and
* Weighing over 30 percent more than your ideal weight.
What causes peripheral artery disease (PAD)?
Atherosclerosis causes peripheral artery disease. As you get older, your risk of developing leg artery disease
increases. People older than age 50 have an increased risk of developing the disease, and men have a greater risk
than women.
What are the symptoms?
You may not feel any symptoms from peripheral artery disease at
first. The most common early symptom is intermittent claudication
(IC). IC is discomfort or pain in your legs that happens when you
walk and goes away when you rest. You may not always feel pain;
instead you may feel a tightness, heaviness, cramping, or
weakness in your leg with activity. IC often occurs more quickly if
you walk uphill or up a flight of stairs. Over time, you may begin to
feel IC at shorter walking distances. Only about 50 percent of the
people with leg artery disease have blockages severe enough to
experience IC.
Critical limb ischemia is a symptom that you may experience if you
have advanced peripheral artery disease. This occurs when your
legs do not get enough oxygen even when you are resting. With
critical limb ischemia, you may experience pain in your feet or in
your toes even when you are not walking.
In severe peripheral artery disease, you may develop painful sores
on your toes or feet. If the circulation in your leg does not
improve, these ulcers can start as dry, gray, or black sores, and
eventually become dead tissue (called gangrene).
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Arterial Disorders
Peripheral Arterial Disease (PAD) is a
chronic, obstructive disease that usually
affects the arteries of the lower
extremity. As the disease progresses,
blood flow to the legs can be restricted
and patients can experience pain,
nonhealing wounds, and tissue loss. There
is a large body of research that
demonstrates that intermittent pneumatic
compression applied to the foot and calf
can improve blood flow into the leg and
help minimize the symptoms caused by
PAD.