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Peripheral Artery Disease And Intermittent Claudication Explained

explain peripheral artery disease and intermittent claudication

Understanding Peripheral Artery Disease And Intermittent Claudication

Peripheral Artery Disease (PAD) is a prevalent circulatory disorder in which arterial constriction, often attributed to atherosclerosis, decreases blood flow to limbs, mostly to legs. Just imagine you find yourself on a walk, and suddenly you feel sharp and cramping pain in your legs, which makes you stop immediately. It helps a little when you rest, then it comes again when you take your next few steps. It is not necessarily fatigue, but it might be indicative of PAD. This happens when blood flow is reduced by narrowed arteries, which often causes a very painful symptom called intermittent claudication. When you know about the early warning signs, you can save your health and remain active in the future.

What Is Peripheral Artery Disease?

It is a serious but very common condition in which the blood vessels that send blood to the extremities, such as the legs, are narrowed or blocked. The primary trigger is atherosclerosis, or a blockage of fat deposits (plaque) within the inner walls of the artery, which decreases blood flow. Several symptoms and complications may follow if there is insufficient oxygen supply to the leg muscles during physical activity.

Although technically, PAD does not involve veins or lymphatics, it is sometimes known as Peripheral Vascular Disease. It mostly occurs in the legs; it is also possible to affect the arms, but less frequently. Individuals with PAD have an even higher chance of heart attack and stroke, since the vascular damage is frequently not localized to the limbs.

Peripheral Artery Disease causes include atherosclerosis (hardening or narrowing of arteries), diabetes, smoking, high blood pressure, cholesterol, and aging. PAD can happen to anyone, but chances are greater as we age, smoke, have diabetes, or have heart or arterial disease. The most important thing is early detection to avoid progression and complications.

What Is Intermittent Claudication? The Classic PAD Symptom

Pain, cramping, or an aching feeling in the legs during movement or walking that subsides with rest is medically termed as intermittent claudication. This is because constricted arteries cannot transport enough oxygenated blood to the active muscles. The pain may be mild to severe and may extend to both legs, with one limb sometimes more often than the other.

We can explain peripheral artery disease and intermittent claudication to be often classified and experienced as leg pain, cramps, or fatigue that are triggered by physical activity, such as walking. And it can subside when you rest your legs. This discomfort most commonly affects the calves, but it can also occur in the thighs or buttocks. However, intermittent claudication is the classic symptom of peripheral artery disease; not all patients with PAD experience it.

In fact, many individuals with PAD may not have any apparent symptoms, making the condition difficult to detect in its early stages. However, intermittent claudication remains a strong warning sign that should prompt further medical evaluation for underlying circulatory problems.

what is peripheral artery disease

Recognizing The Signs And Getting Diagnosed

PAD symptoms may be mild and progress over time. Although intermittent claudication is the most commonly known symptom, other symptoms can be identified:

  • Heaviness, weakness, or numbness of the legs
  • Skin that is shiny, pale, or bluish
  • Coldness in the lower leg or foot, one foot colder than the other
  • Loss of hair on legs and feet
  • Slow-growing, brittle toenails
  • Sores or open wounds that are slow to heal on the feet or legs
  • Muscle wasting in the lower legs
  • Erectile dysfunction in men

In severe cases, blood flow may be so limited that you have pain at rest, non-healing sores, or infections that can lead to tissue death (gangrene). Severe symptoms may represent a medical emergency that should be addressed immediately.

By learning the PAD symptoms early and being aware of what peripheral artery disease is, you can take the necessary steps before the onset of complications.

How Is PAD Diagnosed?

There are several methods that doctors can employ to verify a PAD diagnosis:

  • Medical and family history will assess risk factors and symptoms.
  • Testing pulses in the legs and feet
  • The Ankle-Brachial Index (ABI) is used to compare blood pressure in the ankle and arm to detect blockages.
  • Ultrasound, CT, or MR angiography is performed, helping in visualizing blood flow and artery structure.
  • Blood tests are carried out to examine high cholesterol, diabetes, or inflammation.

A correct diagnosis helps in planning an optimal action plan for peripheral artery treatment.

Managing PAD And Intermittent Claudication

The goals of the peripheral artery treatment are to alleviate the symptoms, enhance the quality of life, and avoid heart attack, stroke, or amputations as complications. PAD does not have a cure at present, but a multifaceted approach can help manage the condition.

Lifestyle Changes

  • To slow down the progress of the disease, smoking should be quit.
  • Regular exercise programs (walking with supervision) help in reducing symptoms.
  • A balanced diet has to be followed that lowers cholesterol and assists in controlling diabetes and blood pressure.
  • Regulation of weight and reduced alcohol consumption

Medications

Doctors can prescribe medicines to:

  • Lower cholesterol using statins.
  • Lower blood pressure
  • Prevent blood clots by prescribing antiplatelet agents like aspirin.
  • Improve walking symptoms by prescribing cilostazol or pentoxifylline.

The PAD treatment cost is highly variable and depends on the treatment method, geographic area, and complexity. Medications and prescribed exercise are less expensive options, but angioplasty, stents, and surgical bypass operations may prove even more costly.

what is intermittent claudication

Surgical And Interventional PAD Treatments

Unless lifestyle changes together with medications suffice, procedures might be required:

  • Angioplasty and stenting introduce a tiny balloon that opens the narrowed artery, sometimes followed by a stent to keep it open.
  • Using a blood vessel graft, bypass surgery creates a new path around a blocked artery.
  • Other endovascular treatments include atherectomy (plaque removal).

With the help of specialized centers such as Advanced Medical Group, you will be able to learn about individualized treatment plans and how much they can cost.

Don’t Let PAD Steal Your Steps—Take Action Today!

Peripheral artery disease represents more than mere leg pain. Still, it is an indication of a far-reaching circulatory illness that may cause the removal of a limb or even a heart attack. Equipped with swift diagnosis and holistic treatment provided by artery and vein specialists such as Advanced Medical Group, you can reinstate your quality of life.

Don’t ignore persistent leg pain or signs of poor circulation. If you suspect PAD, get evaluated and take positive steps toward wellness. Explain PAD to your loved ones, seek specialized peripheral artery treatment, and don’t let PAD stand in your way—your next procedure may be the most significant in your future well-being.

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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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