September is PAD Awareness month.
PAD is often overlooked or mistaken for other conditions, leading to delayed diagnosis and treatment.
Take the PAD Symptom Quiz
What Our Patients Have to Say
Untreated PAD can result in severe complications, including limb amputation, heart attack, and stroke.
PAD is often preventable and treatable, especially when detected early.
The circulatory system is the transportation highway of the body. Blood vessels carry and deliver oxygen, nutrients, and healing cells to all parts of the body. Poor circulation can result in poor wound healing, heart disease, stroke, and a myriad of other conditions. Symptoms of poor circulation may include muscle pain, swelling, and fatigue. Fortunately, there are many simple and manageable steps one can take to improve circulation.
We Work With the Following Insurance companies
What Is Peripheral Artery Disease?
Peripheral artery disease (PAD) is a circulatory problem characterized by reduced blood flow. It can cause pain in the legs and swelling in the feet, most often when walking. This condition can also be an indicator of a more widespread accumulation of fatty deposits in your arteries called atherosclerosis, which can further decrease blood flow to the heart and
Identifying PAD symptoms is the first step in managing this condition. Some people with PAD may not have any symptoms, but others experience mild to severe effects. The most common symptoms are pain and swelling in the legs, leading to discomfort while walking. In many cases, the pain goes away but returns with continued activity. Other symptoms may include:
-
Numbness in the legs
- Leg weakness
- Non-healing sores on the legs, feet, or toes
- Changes in leg or foot color
- Coldness in the feet and toes
What Causes PAD?
Peripheral artery disease is commonly caused by atherosclerosis. In atherosclerosis, fatty deposits build up on the artery walls and reduce the blood flow. Other factors can contribute to PAD as well, including blood vessel inflammation, limb injury, and irregular muscle or ligament anatomy. Dr. Ryan Jean-Baptiste, MD has spent his career treating patients with PAD. He studied at Yale College and Yale Medical School and honed his skills at the Mayo Clinic before starting Precision Vascular Kentucky. You can rely on his 20 years of expertise for the most advanced treatments available in Kentucky and Southern Indiana. Talk to our experienced team today to start pinpointing the cause of your specific condition.
Early detection is crucial for managing PAD and preventing complications. Once your doctor takes stock of your medical history and symptoms and performs a physical exam, they will refer you for diagnostic testing. These tests provide critical details and allow us to formulate the best treatment plan. Specific tests might include:
The Ankle-Brachial Index (ABI): Compares blood pressure in your ankles to that in your arms.
Doppler Ultrasound and Angiogram: Visualizes blood flow in the arteries.
Explore Your PAD Treatment Options: You don’t have to deal with pain in your feet and legs forever. We offer several treatments for PAD to restore your ability to move comfortably. Treatment typically focuses on reducing symptoms and preventing disease progression. The three main avenues for treatment include:
Lifestyle Changes: We recommend getting plenty of exercise and eating a healthy diet to improve your overall condition. Our team also stresses the importance of quitting smoking to alleviate PAD symptoms.
Medication: In some scenarios, we prescribe medication to manage symptoms and underlying conditions, such as high blood pressure, high cholesterol, and blood clots.
Surgery: Occasionally, surgery is necessary to relieve PAD symptoms. We may recommend a minimally invasive procedure called an atherectomy to remove the plaque buildup from the artery walls. During this procedure, a catheter is inserted through a small groin incision. Real-time imaging allows the doctor to target and remove the plaque without damaging the artery. An atherectomy can significantly improve blood flow and relieve PAD symptoms but is generally part of a more comprehensive treatment plan.
Protect Yourself Against PAD
Exercise Regularly
Regular exercise is a sustainable way to improve circulation. Exercise increases the heart’s pumping rate, which increases the flow and pressure of blood throughout the body. The controlled increased pressure of blood helps stretch blood vessels, making them more flexible with time. This stress is essentially like stretching for blood vessels because it helps retain flexibility. To start an exercise routine, it is recommended that one start slowly and build steadily to avoid overstressing the heart. Simple stretching, walking, and yoga and great exercises for beginners.
Drink More Water
Drinking adequate water is another simple way to improve vascular health. Because blood is composed of 50% water, maintaining healthy hydration, in turn, maintains healthy blood viscosity and pressure. Water aids in digestion by increasing bowel regularity and flushing bacteria and waste from the bladder. This positive effect on digestion allows the body to break down nutrients effectively and also allows the circulatory system to efficiently deliver those nutrients throughout the body.
Eat a Healthy Diet
Small changes to diet can make a big difference for the circulatory system. Limit saturated fats in the diet and include more omega-3 fatty acids. Replacing red meat with fish can improve heart health. Some foods have a direct effect on the blood vessels. Capsaicin is a chemical that makes food spicy and stimulates the release of vasodilators, which are chemicals that can help expand the blood vessels. Cayenne pepper has been shown to increase circulation and reduce the amount of plaque that gets stuck on the artery walls. Other vasodilators, such as leafy green vegetables and turmeric, release nitric oxide to elicit their effect. Antioxidants, such as anthocyanin found in berries, prevent arteriosclerosis, or hardening of the vessel walls.
Reduce Stress
Taking steps to manage your stress can improve circulation and reduce the potential for vascular disease. Chronic anxiety can cause hyperventilation which can increase the amount of carbon dioxide in the bloodstream. Increased carbon dioxide levels lead to vasoconstriction, increasing damaging blood pressure while decreasing blood flow efficiency. To reduce stress, prioritize restorative sleep. Sleep improves concentration, regulates mood, improves decision-making abilities, and restores the body.
Identify triggers and work to eliminate them. Plan things ahead more often to eliminate surprises that can cause stress. Exercise, meditation, and massage can all increase stress-relieving hormones. Finally, a trained psychologist is the best resource for providing mental health care, including managing stress.
Quit Smoking
One more important step to take for circulatory health is smoking cessation. Smoking is known to contribute to hypertension (unhealthy high blood pressure) and cardiovascular disease. The nicotine in cigarettes and smokeless tobacco products cause vasoconstriction. As discussed earlier, this vasoconstriction decreases healthy blood flow throughout the body and increases blood pressure to a point that the internal vessel walls are damaged. Smoking increases carbon monoxide levels in the blood. Carbon monoxide binds the oxygen-carrying molecule, hemoglobin, thereby decreasing oxygen transport throughout the body.
Frequently Asked Questions
What is peripheral arterial disease?
Peripheral arterial disease is decreased blood flow to the legs which is due to arterial narrowing or blockage.
What are risk factors?
High blood pressure, smoking, diabetes, high cholesterol or triglycerides, family history of vascular disease, obesity, inactivity
How common are they?
Peripheral arterial disease is actually very common. In the USA, it is estimated to affect 7% of the adult population, approximately 9 million people, and this number is likely to rise.
What are the symptoms?
Leg pain or cramping with exertion or exercise, foot wounds or ulcers, cool skin, loss or thinning of leg hair, no or weak pulse.
When do they require treatment?
They require endovascular treatment when lifestyle modification and medications alone do not address symptoms and/or cause patients to limit their normal activity and become more sedentary. If left untreated, it can lead to severe symptoms such non-healing wounds and loss of limb.
What is the procedure and recovery like?
This is usually an outpatient procedure in our surgical center performed under sedation. The procedure is performed via the arteries, through a tiny incision at the wrist, thigh, or ankle, and the blood supply to the blocked artery is restored. Patient’s are discharged the same day with follow-up instructions.
Does my insurance cover treatment?
Most insurances will cover evaluation and treatment of peripheral arterial disease. Please contact us for additional details and to set up a consultation.
What are the common symptoms of Peripheral Arterial Disease (PAD)?
Common symptoms of PAD include leg pain or cramping while walking, numbness or weakness in the legs, non-healing wounds or ulcers on your feet or legs, and a noticeable decrease in the temperature of your lower leg or foot compared to the other leg. If you experience any of these symptoms, it’s important to schedule a consultation for a thorough evaluation.
How is Peripheral Arterial Disease diagnosed?
PAD is typically diagnosed through a combination of a physical examination, review of your medical history, and diagnostic tests such as the Ankle-Brachial Index (ABI), ultrasound, angiography, or magnetic resonance angiography (MRA). These tests help assess the blood flow in your arteries and identify any blockages or narrowing.
What lifestyle changes can help manage PAD alongside medical treatments?
In addition to medical treatments, lifestyle changes can play a significant role in managing PAD. These include quitting smoking, engaging in regular physical activity, adopting a heart-healthy diet, managing blood sugar levels if you have diabetes, and maintaining a healthy weight. Our team will work with you to develop a comprehensive plan to improve your vascular health and overall well-being.
Areas Served:
We offer PAD treatment to patients in the following cities in Kentucky and Southern Indiana.
Cities:
Louisville, Saint Matthews, Bardstown, Elizabethtown, Shepherdsville, Mount Washington, Lyndon, Okolona, Shively, Jeffersonville, Clarksville, New Albany.
Contact Us
Telehealth & In-Person Appointments Available.
Contact Details
Phone: 502-365-4151
Fax: (877) 837-3834
Practice Addresses
512 Executive Park, Louisville, KY 40207
Working Hours
Monday - Friday: 8 AM – 5 PM