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When Leg Pain Could Mean Peripheral Arterial Disease

That cramping in your calves when you walk up stairs is another sign of getting older. However, sometimes leg pain tells a more significant story about what’s happening in your arteries.

Peripheral arterial disease affects more than 8 million Americans, yet many dismiss the early warning signs. The good news? PAD treatment has come a long way and catching it early makes a real difference.

Understanding PAD Symptoms

What Peripheral Arterial Disease Feels Like

PAD symptoms feel different from regular leg soreness. You’ll notice heaviness or discomfort in your calves, thighs or buttocks when walking or climbing stairs that goes away after resting.

This happens because narrowed arteries can’t deliver enough blood to your leg muscles during activity. About 50% of people with peripheral arterial disease don’t feel obvious symptoms early on.

Warning Signs You Shouldn’t Ignore

During Activity:

  • Cramping that stops you from walking your usual distance
  • Heaviness or fatigue that disappears when you rest
  • Pain at the same distance every time you walk

At Rest:

  • Coldness in one foot compared to the other
  • Any cuts or slow healing wounds on your feet
  • Shiny, smooth skin on your legs
  • Leg pain that wakes you up at night


Pain during rest signals PAD has progressed and often gets worse at night.

PAD Risk Factors and Causes

Who Gets Peripheral Arterial Disease

One in 20 Americans over age 50 has PAD. Your risk increases significantly if you:

  • Smoke or used to smoke (biggest risk factor)
  • Have diabetes or high blood pressure
  • Have high cholesterol
  • Are over 50


If you’ve had heart problems or
carotid artery disease, there’s a 20-30% chance PAD is affecting your legs too since these conditions share similar causes.

Choose the Best Peripheral Arterial Disease Treatment for Your Health

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Getting a PAD Diagnosis

How Vascular Specialists Detect PAD

The testing process is straightforward. A vascular specialist checks your symptoms and leg pulses.

The Ankle-Brachial Index (ABI) Test: This gold standard for PAD diagnosis compares blood pressure in your arms to your ankles. Takes 10-15 minutes and doesn’t hurt. Lower ankle pressure indicates blocked arteries.

An ultrasound may provide additional detail about blockage location and severity.

Leg Pain Treatment Options for PAD

Starting With Lifestyle and Medication

Lifestyle Changes That Work: Stop smoking, start a supervised walking program, eat heart-healthy foods and control blood sugar if you have diabetes.

Medications: Blood thinners prevent clots, cholesterol medications slow plaque buildup and some medications improve blood flow during activity.

When Minimally Invasive Procedures Help

For advanced PAD, procedures restore better blood flow. Angioplasty opens narrowed arteries with a balloon. Sometimes a stent keeps the artery open. Atherectomy removes plaque directly. Most patients go home the same day.

Why Early Treatment Matters

Peripheral arterial disease isn’t just a leg problem. It signals narrowed arteries elsewhere, including those supplying your heart and brain. People with PAD face 4-5 times higher risk of heart attack or stroke.

Treatment reduces your overall cardiovascular risk and prevents progression to critical limb ischemia.

When to Seek Immediate Care

Contact a vascular specialist immediately if you experience:

  • Suddenly, severe leg pain
  • Your leg feels cold and looks pale
  • You can’t feel a pulse in your leg
  • A wound showing signs of infection

Living Well After PAD Diagnosis

Many patients tell us they wish they’d come in sooner. After treatment, they get back to activities like walking without stopping every block, taking stairs and playing with grandkids without pain.

Get Expert PAD Care in Northern Virginia

Why Choose Prime Vascular Care

At Prime Vascular Care, our board-certified vascular surgeon Dr. Akinrinlola, specializes in limb salvage and peripheral interventions. We offer complete PAD diagnosis, advanced minimally invasive treatments, same-day outpatient procedures and personalized care plans.

Ready to feel better? Call us at 571-631-7488 or schedule your consultation today. Your legs shouldn’t dictate what you can and can’t do.

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