Symptoms to discuss
- Predictable leg pain with walking that settles after resting.
- Pain in the foot at night or when lying flat.
- Toe, foot, or leg wounds that are not healing as expected.
- Changes in foot colour, temperature, sensation, or pulses.
Leg circulation
Peripheral Arterial Disease
Peripheral arterial disease, often shortened to PAD, is reduced blood flow to the legs or feet. Some people notice calf, thigh, or buttock pain with walking. Others present with rest pain, ulcers, or wounds that are slow to heal.
Assessment
Assessment may include pulse examination, ankle pressure testing, duplex ultrasound, and vascular imaging. Medical care including diabetes control, smoking, cholesterol, blood pressure, kidney function, and medicines can strongly affect outcomes.
Treatment options
For stable walking symptoms, supervised or structured walking, smoking cessation, foot care, and medical therapy can be important. Procedures are considered when symptoms remain limiting or when there is limb-threatening disease. Oliver is able to offer a range of treatments including balloon angioplasty, stents, and open surgical bypass. Each treatment option has different risks and benefits, which will be discussed with you.
Urgent symptoms
Sudden severe leg or foot pain with coldness, numbness, weakness, or colour change is urgent. Call 111 or attend an emergency department.
Next step
Discuss a vascular enquiry
Share the clinical question, relevant history, and any previous imaging so the next step can be planned appropriately.