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6 P’s Of Peripheral Arterial Disease

6 p's of peripheral arterial disease

Your Guide To The 6 P’s Of Peripheral Artery Disease

While diagnosing vascular health, the 6 P’s of Peripheral Artery Disease cannot be ignored when diagnosing vascular health. Doctors and patients can recognize the possibility of Acute Limb Ischemia through these six critical signs. PAD can affect or block the blood flow in your limbs, which requires treatment immediately before it gets worse.

Observe the crucial 6 P’s of PAD to diagnose obstructed blood circulation in the legs and begin with the correct treatment. Ignoring these signs can cause severe complications like permanent artery damage, unbearable pain, and numbness.

By taking action after noticing these emergency indicators, vascular health can be managed to some extent with medications, surgeries, and other therapies. This blog provides a detailed explanation of the six P’s of peripheral arterial disease to act quickly when you observe them.

6 Crucial P’s Of Peripheral Artery Disease

1. Pain

Sudden and sharp pain in your limbs is an alarming sign that you should never ignore. Consult a vascular expert and explain the severe cramping pain in your limbs while walking. The pain can be intolerable and unexpected. Even while resting, you can experience the pain, which may worsen if ignored for some time.

It may happen due to a lack of oxygen supply to tissues and muscles. It is an early sign of restricted blood flow, which needs to be addressed immediately. Rush towards the hospital if you experience sudden, unbearable pain and a burning sensation in your feet or toes. Get PAD treatment immediately if you feel the pain even while resting.

2. Pallor

Healthy limbs appear pinkish due to continuous blood circulation. But when it gets interrupted, it looks pale. Another symptom you can observe is your limb appearing pale, dull, or bluish. It means that the circulation is impaired severely and the arteries are blocked. It is a warning symptom of PAD, where the arteries circulate oxygenated blood to your legs with difficulty.

When you raise your leg, this symptom is more noticeable. If you lower your leg, it may regain its standard color due to a delayed capillary refill. The skin appears bluish because of the absence of RBCs. The color change is quite visible, so you can hardly ignore it. You might need urgent medical attention. If Pallor remains persistent, it becomes easy to identify PAD in a patient.

3. Pulselessness

Another quick way of diagnosing blood circulation is to check the pulse rate. Generally, the pulse rate is faint or absent below the area of arterial obstruction. Doctors can easily determine the absence or low blood circulation by checking the pulse rate via Doppler ultrasound.

Weak pulse in limbs may happen due to partial or complete blockage of arteries, which may obstruct the flow of blood to the affected area. Apart from leg pain, notice this sign to detect the chances of ischemia. Along with other crucial signs, check for pulselessness to confirm PAD-causing acute ischemia.

six p's of peripheral arterial disease

4. Paresthesia

When ischemia progresses to later stages, patients may experience the sensation of tingling and numbness in their limbs. It is a sign that nerves are deprived of oxygen and, hence, blood circulation is severely affected. Sometimes, the sensation is too intense and painful. In severe cases, limbs can get numb completely, including the feet and toes.

Nerve fibers are highly sensitive, and even a slight drop in oxygen can badly affect the blood flow. If sensations are ignored or untreated, it can lead to complete sensory loss. Patients may find it hard to notice infections or injuries in their limbs. It is vital to manage this sign to prevent further PAD complications.

5. Paralysis

At the advanced PAD stage, the affected limb can even lose its strength, which leads to movement loss. If PAD is not treated, the patient cannot move their legs. They may feel heaviness or weakness while attempting to move their limbs. There can be severe dysfunction in muscles and nerves if any patient is suffering from prolonged ischemia.

The affected limb gets paralyzed if there is a shortage of oxygen supply and nutrients. It can be the late P’s of PAD, which leads to permanent damage or gangrene. If such a thing happens, urgent revascularization or surgery is required. It happens only when you are at the irreversible stage, and medications will not work anymore. It is necessary to be in touch with your vascular expert for critical care.

6. Poikilothermia

Due to poor blood flow in the arteries, the affected limb cannot regulate body temperature. It feels colder than other body parts. By touching both limbs, you can easily compare and find the cold and affected limb. Even if you try to keep it warm, it stays the same. You may experience this symptom in the later stages of PAD.

The cold leg feels uncomfortable because of reduced oxygen and blood supply. If ignored, the leg tissue may not survive longer. Therefore, it is crucial to address this sign immediately. When PAD gets unmanaged, it gets tough to regain circulation of blood in the affected leg. When you observe this sign, it means that your condition is irreversible and no specific treatment is left for further improvement.

p's of peripheral arterial disease

Recognize The 6 P’s Of Peripheral Arterial Disease To Get Timely Treatment

To save yourself from progressive PAD, it is essential to observe your health and manage the disease. Understand and recognize the 6 P’s of PAD before it gets worse, and start getting the right treatment on time. Connect with the Advanced Medical Group to diagnose your symptoms and know more about your health. Explain your symptoms to the doctor and initiate the proper treatment.

Manage your condition by maintaining your BP, blood sugar, cholesterol, etc. Save yourself from severe complications of PAD by understanding your symptoms and taking action immediately. If you delay your treatment, the blood flow in the limbs will get worse with time. Consider this life-saving guide to keep your arteries working efficiently and prevent getting these symptoms for better health.

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Fathima

Fatima Shaik MD

Cardiologist

Fatima Shaik is a board certified internist and cardiologist. She specializes in general cardiology and heart rhythm disorders. She cares for patients at Advanced Medical Group in Jersey City and North Bergen. She also performs procedures at Jersey City Medical Center.

She completed her undergraduate education at NYU and received her MD degree for SUNY Downstate Medical Center. She completed her residency training at Mount Sinai Beth Israel Medical Center and her cardiology fellowship at New York Presbyterian Queens. She went on for advanced training in electrophysiology at Cooper Hospital in Camden, NJ.
She is trained in device implantation, SVT and atrial fibrillation ablations as well as watchman implantations.
She is fluent in English and Hindi.
She is currently accepting new patients.

Reema Parikh, DPT

Physical Therapist

Reema Parikh received two bachelor’s degrees from Long Island University and Touro College, and graduated as a Doctor of Physical Therapy from Touro College in 2013. In her early years as a DPT, she received an award for excellence in research and taught a course for the national physical therapy licensing board exam. Dr. Parikh has a passion for helping patients on their health journey; she is experienced in all ages and care of patients, ranging from pediatric care to geriatric care. She has hosted live and virtual workouts for varying levels of physical activity, incorporating mobility and strength segments. Dr. Parikh has furthered her education by receiving certifications in many aspects of physical therapy and holistic care including Nutritional PT, Restorative Yoga, Pilates, and Reiki.

Maria-Avila

Maria Avila, NP

Nurse Practitioner

Coming Soon

Location

Jersey City

Union City

West New York

North Bergen

Jersey City

North Bergen

Dr. Parab

Aishwarya Parab, PT

Physical Therapist

Aishwarya Parab received her Bachelors in Physiotherapy in India in 2015 and furthered her studies at Long Island University where she graduated with her Masters in Exercise Science, Sports, and Nutrition in 2019. She has experience working with various conditions, including herniated disks, spondylolysis, and post-operative mobility issues. Aishwarya has taken courses to expand her knowledge in the physical therapy world, including spinal mobility courses, neuromuscular reeducation courses, and getting a certificate with Revolution in Motion. Aishwarya finds it exceedingly rewarding to build a long-term relationship with her patients and shows commitment towards providing structured and effective healthcare.

Dr. Prajakta Avhad

Prajakta Avhad, MD

Pain Management located in Franklin Township, Somerset, NJ & East Brunswick, NJ

About Dr. Avhad
Dr. Prajakta Avhad is double board-certified in Pain Management and Anesthesiology. Dr. Avhad received her M.B.B.S. from MIMER, India, and completed her Surgical internship and Anesthesia residency at Brookdale University Hospital in Brooklyn, New York during which she interned at Memorial Sloan Kettering, St. Luke’s Roosevelt, and Staten Island Hospital.

She then completed her Pain Management Fellowship from Cleveland Clinic Foundation.

Dr. Avhad is a diplomate of the American Board of Anesthesiology and a member of the American Academy of Pain Medicine.

Dr. Avhad has been in practice in Central and South Jersey for more than 12years. She is a caring physician with expertise and experience in treating a spectrum of Pain conditions like chronic back and neck pain, herniated discs/sciatica with minimally invasive interventional procedures.

Dr. Avhad and her family reside in New Jersey. She is an avid gardener active with her kids, dog, and garden if not tending to her broad and exotic orchid collection.

Radhika Patel PA-C

Radhika Patel, PA-C

Physician Assistant located in Jersey City, NJ

About Patel
Graduating summa cum laude from Rutgers University with a BA in Biological Sciences and minor in Spanish, Radhika Patel obtained experiences in outpatient medicine as well as in emergency medical services prior to pursuing a career as a physician assistant. She graduated from the Rutgers University Physician Assistant program with a Master of Science after training in cardiology, internal medicine, and urgent care, among many other fields at various hospitals and private practices throughout the state of New Jersey. She is a proud member of the team at Advanced Garden State Cardiology and looks forward to meeting with patients each day in our Jersey City office.

Enrique D Chappilliquen Lucio, PA-C

Enrique Chappilliquen, PA-C

Physician Assistant located in Union City, NJ & Jersey City, NJ

About Dr. Chappilliquen
Graduated from Mercy College Physician Assistant Program with a Masters of Science in Physician Assistant Studies, Enrique has extensive experience in the medical field for more than 6 years.

He has clinical experience and training in internal medicine, cardiology, general and vascular surgery, hematology, oncology, and emergency medicine. He joined Dr. Richard’s practice in October of 2016. Since then, he has been a dedicated medical provider working in the Union City office and the Hematology/Oncology office in Jersey City as well.

As a Hispanic, he proudly serves his community with passion and devotion. Being able to communicate fluently with his patients allows him the opportunity to provide excellent medical care to the Hispanic community in Union City and Jersey City. Also, sharing the same language, culture, and values as his patients allows him to connect at a personal level with his patients. Enrique continues to develop his knowledge and skills constantly to continue satisfying the needs of his patients.

Dr Christopher Samaniego, DPM

Christopher Samaniego, DPM

Podiatrist located in Jersey City, NJ, Union City, NJ, and West New York, NJ

Christopher Samaniego, DPM, is originally from Freehold, New Jersey. He attended college at Messiah College, where he graduated Magna Cum Laude with a degree in Biology. He earned his podiatric medical degree from Temple University School of Podiatric Medicine in Philadelphia, PA and completed his surgical residency training at Detroit Medical Center in Detroit, MI. 

Dr. Samaniego provides comprehensive foot and ankle care at Advanced Medical Group in Jersey City, Union City, and West New York. His specialized surgical training includes

  • Bunion
  • Hammertoe correction
  • Diabetic foot care
  • Fungal nail care
  • Plantar fasciitis, tendinitis, orthotics
  • Gout, warts, neuroma care
  • Flat feet and high arched feet
  • Foot and ankle trauma
  • Adult and paediatric foot conditions
  • Arthritis of the foot and ankle
  • Arthroscopy, joint replacement, minimally invasive techniques

Samaniego is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. He keeps up to date on the latest surgical techniques and available technology in foot and ankle care.

Prior to joining Advanced Medical Group, Samaniego studied public healthcare in Zambia and assisted in providing care to the local community. He has also presented research at the annual meeting of the American College of Foot and Ankle Surgeons. Samaniego achieved the highest rank of Eagle Scout through the Boy Scouts of America and volunteered with Troop 454 for scouts with special needs and the Freehold Public Library. In his free time, Samaniego volunteers with his local church community service and youth programs.

Samaniego resides in Jersey City, NJ and maintains his health by cycling and interval training several times a week. He explains, “Healthy doctors inspire healthy patients. I follow the same advice I give my patients, and I read constantly to become a better physician every day. I encourage my patients to ask questions and learn about the cause of their symptoms. An ounce of prevention is worth a pound of cure.”

Dr. Merwin Richard, MD. A cardiologist

Merwin Richard, MD

Cardiologist located in Jersey City, NJ & Union City, NJ

As an established board-certified internist and cardiologist, Merwin Richard, MD, has a reputation for helping patients with the most complex of health conditions. He cares for patients at Advanced Medical Group in West New York, Jersey City, and Union City, New Jersey.

Richard began his undergraduate education in medicine at Stanley Medical College in India. He earned his doctor of medicine degree from Tamil Nadu Dr. M.G.R. Medical University before relocating to New York City.

After completing both his internship and internal medicine residency through the Albert Einstein College of Medicine, Dr. Richard went through advanced fellowship training. He completed a cardiovascular fellowship at Columbia University College of Physicians and Surgeons, then went on to finish a second fellowship in interventional cardiology through Mount Sinai School of Medicine (now Icahn).

 

Throughout his career, Richard has stayed involved in numerous research projects and previously served as a professor at the University of Medicine and Dentistry of New Jersey (now Rutgers University). Richard went on to become the director of the first cardiac catheterization and interventional laboratory in Jersey City and has extensive training in vein treatments.

To ensure he continues staying up to date with the latest research and techniques, Richard maintains his board memberships. He’s board certified through the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Being fluent in English,  Spanish, and Tamil gives Richard the opportunity to communicate with patients from diverse cultural backgrounds. Richard is currently accepting new patients.

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