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When Is PAD An Emergency?

When does Peripheral Artery Disease become emergency

When Is Peripheral Artery Disease(PAD) An Emergency?

If you’ve been diagnosed with peripheral artery disease, you might have wondered, when is PAD an emergency? It’s crucial to know the answer to this question.

The first thing you need to know is that PAD often develops slowly. But in some situations, it may require immediate medical attention.

In people with PAD, fat builds up inside the arteries. Over time, the arteries become narrow or blocked. Because of this, blood cannot flow naturally to the limbs, especially the legs.

In the early stages, you may notice symptoms only during physical activity. Your legs may also cramp or ache when walking. And the symptoms may go away when you rest.

However, the effects of PAD don’t always stay mild. As the disease progresses, circulation problems can worsen. If the blood flow becomes severely restricted, PAD can become an emergency.

When Is PAD An Emergency? An Overview

Peripheral artery disease becomes an emergency when blood flow to the leg drops to a dangerously low level. At that point, tissues may not receive the oxygen they need to survive.

The body usually gives several warning signs before the condition reaches that stage. Recognizing these emergency PAD symptoms early can help you seek urgent care

Sudden Severe Leg Pain:

A sudden spike in leg pain is often one of the first warning signs that circulation has become critically reduced. This pain usually feels very different from the discomfort people with PAD Disease generally experience.

Unlike the typical PAD pain, this intense spike doesn’t go away with rest. It starts suddenly and continues when you’re sitting or lying down.

If leg pain appears abruptly or becomes much worse than usual, it may be a sign of an emergency. This type of pain should never be ignored.

Pale, Cold, or Bluish skin:

When blood flow is seriously disrupted, even the color and temperature of the skin on the affected limb may change. It may turn pale, grayish, or slightly bluish. It may also feel noticeably cooler than the other limbs.

It happens because oxygen-rich blood is no longer reaching the tissues properly. Without that steady supply of oxygen, the skin loses its normal warmth and color.

If your leg or foot shows these symptoms, it’s time to consider this an emergency.

Weak or Absent Pulse In The Affected Limb:

Another warning sign that PAD has become an emergency is a weak pulse in the ankle. In the most severe cases, you may not feel a pulse at all.

Under normal conditions, you should be able to detect pulses in these areas fairly easily. That’s because blood is flowing steadily through the arteries.

But when a blockage severely limits blood flow, the pulse may become faint. Most people cannot check this themselves. But if your foot suddenly feels “lifeless,” it may be an indication.

When Is Peripheral Artery Disease an Emergency

Numbness or Tingling Sensations:

Reduced blood flow doesn’t just affect the skin and muscles. It can also affect the nerves in the limb. When nerves stop receiving enough oxygen, they may begin to malfunction.

When this happens, you may feel numbness or tingling in the lower leg. You may also notice that your leg feels less sensitive than usual.

These changes can appear gradually or suddenly. But you should always take them seriously. If you notice any of these symptoms, it’s time to see a doctor.

Difficulty Moving The Foot or Leg:

If circulation drops further, muscles in the affected leg may start to weaken. Without enough oxygen, muscle tissue cannot function properly.

At first, movement may feel more difficult than usual. You may struggle to flex your foot, move your toes, or bear weight on the leg. In more serious situations, the leg may feel extremely weak.

Losing normal movement is a serious warning sign. It should be taken as an emergency.

Signs Of Tissue Damage:

When blood flow is limited, even small cuts or blisters may take a long time to heal.

Over time, these wounds can develop into open sores or ulcers. The surrounding skin may appear dark, dry, or damaged.

In advanced cases, tissues on the affected leg may start to die. This condition is called gangrene.

So, when does PAD become emergency? When any or all of these symptoms begin appearing, it’s time to consider this an emergency.

What Happens During Emergency PAD Treatment

When blood flow to the legs becomes critically low, doctors act quickly to restore it. The goal of emergency PAD treatment is to reopen the blocked artery as soon as possible and prevent permanent tissue damage.

The exact treatment approach depends on:

  • where the blockage is located
  • how severe it is
  • how long the blood flow has been obstructed

To make that decision, doctors first need to confirm the problem and identify the affected artery.

Rapid Diagnostic Testing:

The first step is usually imaging tests. These allow doctors to evaluate how severe the blockage is.

One of the most common tests is a Doppler ultrasound. This test uses sound waves to measure how well blood is moving through the arteries.

In some cases, doctors may also order CT angiography or traditional angiography. These imaging tests provide detailed pictures of the blood vessels. So, the doctors can tell where the blockage is.

By identifying the exact area of the blockage, doctors can determine the most effective way to restore blood flow.

Emergency Procedures To Restore Circulation:

The next step is reopening the artery and improving circulation. In many cases, doctors use minimally invasive procedures performed through small catheters inserted into the blood vessels.

One common option is angioplasty. During this procedure, a small balloon is inflated inside the artery to widen the narrowed area. A stent may also be placed to help keep the artery open.

If a blood clot is responsible for the blockage, doctors may use medications or specialized tools to dissolve it. In more serious cases, surgery such as an arterial bypass may be necessary.

When does PAD become emergency

Getting The Right PAD Treatment At The Right Time

If you have started noticing the warning signs of PAD, it’s time to consult a specialist immediately.

At Advanced Medical Group, we focus on providing the best treatment for PAD. Our team uses advanced imaging to identify blocked arteries. We also use minimally invasive procedures to restore healthy blood flow.

We combine accurate diagnosis with modern treatment techniques. That’s how we help patients regain their 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.

Advanced Medical Group
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