Peripheral Artery Disease (PAD) is more than just leg pain – it’s a serious condition that podiatrists can help detect early, preventing life-threatening complications. Learn how timely intervention can make all the difference in patient outcomes. 

#Podiatry #PADAwareness #Healthcare #FFLC  

Patrick Bartholomew, DPM
Kevin Lam, DPM, FACFAS 

OVERVIEW: 

• What is Peripheral Artery Disease? 

• Jane’s Story 

• Podiatrist’s Role 

• Early Detection 

• Treatment  

• Path Forward 

Peripheral Artery Disease (PAD) is a common yet often overlooked circulatory condition in which narrowed arteries reduce blood flow to the limbs, particularly the legs and feet. This reduced blood flow to the limbs, particularly the legs and feet. This reduced blood flow can lead to pain, ulcers, and even gangrene, which, in severe cases, may necessitate amputation. Understanding the signs and symptoms of PAD, and seeking early intervention from a healthcare provider – especially a podiatrist – can significantly improve outcomes and quality of life. 

Jane’s Story: A Cautionary Tale 

Jane was a vibrant 65-year-old woman who loved gardening. She spent hours tending to her flowers, enjoying the feel of the earth beneath her hands. However, over time, Jane began to notice a troubling pain in her calves whenever she walked, especially uphill or for long distances. The pain was sharp and intense, forcing her to stop and rest until it subsided. Initially, she brushed it off as a sign of aging or an need for more supportive shoes.  

Months passed, and the pain persisted. Jane also noticed that her feet were often cold, even in warm weather, and that she had developed small sores on her toes that seemed to take an unusually long time to heal. Concerned, she visited her general practitioner, who, after a brief examination, referred her to a podiatrist. 

The Podiatrist’s Role in PAD Detection 

Upon her first visit to the podiatrist, Jane underwent a thorough examination. The podiatrist checked the pulses in her feet and ankles and noted their weakness. He also performed an Ankle-Brachial Index (ABI) test, a simple, non-invasive procedure that measures the blood pressure in the ankle compared to the arms. The results indicated that Jane had Peripheral Artery Disease. 

The podiatrist explained to Jane that PAD is often a sign of a more widespread accumulation of fatty deposits in the arteries, a condition known as atherosclerosis. If left untreated, PAD could lead to serious complications, including heart attack, stroke, and the potential loss of a limb. Jane was shocked by the diagnosis, having assumed that her discomfort was a normal part of aging. 

The Importance of Early Detection 

Jane’s story underscores the critical role that podiatrists play in the early detection and management of PAD. Many patients, like Jane, may not initially associate foot and leg discomfort with potentially serious cardiovascular issue. Podiatrists are often the first to recognize the signs of PAD due to their specialized training in foot and ankle health. 

 Early detection of PAD by a podiatrist can lead to timely intervention, which is crucial in preventing the progression of the disease. In Jane’s case, the podiatrist’s prompt diagnosis allowed her to start treatment before the condition became more severe. 

Treatment and Management  

Once diagnosed with PAD, Jane’s podiatrist developed a comprehensive treatment plan tailored to her needs/ This plan included lifestyle changes, such as quitting smoking, adopting a heart-healthy diet and incorporating regular exercise to improve circulation. Jane was also prescribed medications to manage her cholesterol and blood pressure, which are key factors in controlling PAD. 

The podiatrist also monitored Jane’s foot health closely, regularly checking for any signs of sores or ulcers that could lead to infection. He emphasized the importance of daily foot infections proper footwear, and good hygiene practices to prevent complications. 

Collaboration with Other Healthcare Providers 

Podiatrists often work closely with other healthcare providers to manage PAD effectively. In Jane’s case, her podiatrist coordinated with her primary care physician and a vascular specialist to ensure a holistic approach to her treatment. This collaboration helped to address not only her PAD but also the underlying cardiovascular issues contributing to her condition. 

For patients with more advanced PAD, the podiatrist may recommend procedures to restore blood flow, such as angioplasty or bypass surgery, in collaboration with a vascular surgeon. The podiatrist’s ongoing involvement in post-operative care is also crucial to ensure proper healing and prevent recurrence. 

The Path Forward 

Today, Jane continues to enjoy her gardening, but with a new awareness of her health. She follows her podiatrist’s advice diligently, knowing that her foot health is a window in her overall cardiovascular well-being. Her story is a powerful reminder of the importance of not ignoring the early signs of PAD and the vital role that podiatrists play in keeping patients like her active and healthy. 

Peripheral Artery Disease is a serious condition that requires prompt attention and ongoing management. Podiatrists are on the front lines of detecting PAD, providing critical care that can prevent the severe consequences of this disease. For those at risk, regular visits to a podiatrist can make all the difference in maintaining mobility and quality of life. If you experience symptoms like Jane did, don’t wait — seek the expertise of a podiatrist and take the first step toward better health. 

If you are experiencing symptoms which may be from PAD, don’t delay. Contact Dr. Bartholomew’s office at (239) 430-3668 (FOOT) or visit www.NaplesPodiatrist.com to schedule an examination. 

Dr. Patrick Bartholomew is a podiatric physician and surgeon practicing in Southwest Florida. Board Certified: American Board of Foot and Ankle Surgery. 

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