Recognizing PAD

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At Pasco-Hernando Foot & Ankle, we want to discuss the condition of peripheral arterial disease or PAD with our Nature Coast patients. PAD refers to the obstruction of the arteries to the legs due to the buildup of plaque. PAD can lead to poor circulation, which means wounds and ulcers are difficult to heal because the necessary supply of oxygen-rich blood does not reach the wound. In fact, PAD is one of the primary causes of amputation.

Many patients with PAD will experience discomfort when they walk. This discomfort usually includes cramping in the leg in the calf or other locations, depending on which arteries have narrowed. Since resting muscles don’t require as much blood, the pain will subside when at rest. Other symptoms include:

  • Feelings of weakness in the legs

  • Decreased hair growth on lower legs and toes

  • Changes in skin color to a pale or bluish color

  • The sensation that one leg feels cooler than the other

At the first sign of any of these symptoms, it’s important you make an appointment at our Hudson office by calling 727-868-2128 or 352-683-5799, so our podiatrist, Dr. Lawrence J. Kales, can examine your legs and feet and determine if PAD is present.

Left undiagnosed, the pain can progress to the point that it is present all the time. If PAD is in the legs, it may also be a sign that atherosclerosis is present in the heart, brain, and other parts of the body where it could have more dangerous consequences such as stroke or heart attack.

Diagnosis and Treatment

The podiatrist will perform vascular and other diagnostic tests to confirm the presence of PAD. The foot doctor will also want to get a complete medical history. If either or both of your parents had PAD or other conditions such as hypertension or high cholesterol, there is an elevated risk.

To manage PAD and stop its progression, the podiatrist will recommend lifestyle changes such as stopping smoking, eating a healthy diet, and exercising regularly. Other treatment possibilities include blood-thinning medications, vascular surgery, and controlling diabetes and high blood pressure if they are present.

If you have questions about PAD, contact us today.