TIM eMagazine Volume 2 Issue 12 | Page 34

Health & Wellness Fit on Board Peripheral Arterial Disease (PAD) W hat is Peripheral Arterial Disease (PAD)? Peripheral arteries bring blood from the heart to the outer areas of the body. Peripheral arterial disease (PAD) is caused by a narrowing of the peripheral arteries to the brain, stomach, kidneys, legs, arms, and other body parts - most commonly in the arteries of the legs.  Normally blood flows easily through arteries to all parts of the body but sometimes fatty deposits (atherosclerosis) build up inside the walls of the arteries causing it to become narrow or blocked leading to a reduced flow of oxygen-rich blood to the limbs. When muscles of the limbs do not get enough blood, symptoms then occur.  How do I know if I have Peripheral Arterial Disease (PAD)? Most patients develop PAD with no obvious symptoms while others complain painful muscle cramping or aching in the hops, thigh or calves when walking, climbing stairs or exercising. Typically, the pain goes away with rest and returns when you resume walking (intermittent claudication). If PAD is severe, you may experience skin ulceration or non-healing wounds in the foot or toes, coldness or numbness in the arms, legs, thigh or toes, and erectile dysfunction in men. Those who smoke, have diabetes and high cholesterol are at high risk for PAD. Other risk factors include advanced age, family history of PAD, coronary artery disease (CAD) and stroke, obesity, physical inactivity, and high blood pressure. What happens when I have PAD? When the blockage remains in the peripheral arteries in the legs, you may experience the following: *Pain leading to difficulty in walking *Changes in the skin color *Thinning or loss of hair in your legs *Loss of sensation giving rise to non-healing wounds or ulcers. *A total loss of circulation to your legs and feet can cause gangrene and eventually loss of a limb.  If the blockage happens in the carotid artery, it can cause a stroke. Patients with PAD have an increased risk of coronary artery disease and stroke or brain attack. How is PAD diagnosed? Diagnosis of PAD is based on a history of typical symptoms desc