Treatment FAQ

what treatment do i use for pad

by Bernhard Miller Published 2 years ago Updated 1 year ago
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If you have PAD, you'll probably be prescribed a blood-thinning medicine to reduce your risk of blood clots. This medicine works by thinning your blood so it's less likely to clot. Blood-thinning medicines you may be prescribed if you have PAD include: low-dose aspirin.

Medication

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Procedures

You may even be able to reverse the symptoms and avoid surgery if you:

  • Quit smoking.
  • Get more exercise.
  • Eat a healthy diet.
  • Take care of your feet.
  • Manage your other health problems, such as diabetes and high blood pressure.

Self-care

Top Natural Cures For Peripheral Artery Disease

  • Exercise. Start exercising as soon as possible if life has become difficult for you due to peripheral artery disease.
  • Gingko. The herb of the gingko is very beneficial in treating certain symptoms of the peripheral artery disease.
  • Healthy Diet. ...
  • Guggul. ...
  • Omega 3 Fatty Acids. ...

Nutrition

Prevention and Treatment of PAD

  • Smoking Cessation. Tobacco smoke is a major risk factor for PAD and increases your risk for heart attack and stroke . ...
  • Physical Activity. An effective treatment for PAD symptoms is regular physical activity. ...
  • Diet. Many people with PAD have elevated cholesterol levels. ...
  • Medication. ...
  • Managing Diabetes. ...
  • Procedures. ...

See more

What is the best treatment for pad?

What are the newest treatment options for pad?

What are natural remedies for pad?

How to help pad naturally?

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What is the best medication for peripheral artery disease?

What Medications Treat Peripheral Artery Disease?Antihypertensive medication like Diovan or Benicar to lower blood pressure.Statins to lower cholesterol.Antiplatelets like aspirin or clopidogrel to prevent blood clots.Medications like alpha-glucosidase inhibitors to control blood sugar.More items...•

How do you reverse peripheral artery disease PAD?

With early diagnosis, lifestyle changes and treatment, you can stop PAD from getting worse. In fact, some studies have shown that you can reverse peripheral vascular disease symptoms with exercise combined with careful control of cholesterol and blood pressure.

Can PAD be treated naturally?

Using Natural Remedies Due to the limited research, it's too soon to recommend any form of alternative medicine for peripheral artery disease. It's also important to note that self-treating a condition and avoiding or delaying standard care may have serious consequences.

How do you treat pads without surgery?

An effective treatment for PAD symptoms is regular physical activity. Your doctor may recommend supervised exercise training, also known as supervised exercise therapy (SET). You may have to begin slowly, but simple walking regimens, leg exercises and treadmill exercise programs can ease symptoms.

Is walking good for PAD?

One of the best exercises for PAD is walking. This low-impact activity elevates your heart rate and — once you get through the initial challenges — can help improve mobility over time. You'll likely have some discomfort when you start, but it will go away as you continue walking.

How do you clear your arteries in your legs?

Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to your legs. Fatty deposits can build up inside the arteries and block blood flow. A stent is a small, metal mesh tube that keeps the artery open. Angioplasty and stent placement are two ways to open blocked peripheral arteries.

Is Vitamin D good for PAD?

Published studies have shown that there is a significant association between vitamin D and PAD. Populations with lower vitamin D levels are more likely to develop PAD in a graded manner. Higher amputation rates are also observed among patients with PAD and lower vitamin D levels.

Is vitamin b12 good for PAD?

Folate and B vitamins have low risk as supplements, but there is little evidence of improvement in PAD or lowered cardiovascular risk with these agents. They also can be harmful in patients with kidney disease.

How to treat peripheral artery disease?

Treatment for peripheral artery disease focuses on reducing symptoms and preventing further progression of the condition. In most cases , lifestyle changes, exercise and claudication medications are enough to slow the progression or even reverse the symptoms of PAD.

How does glucose control help with PAD?

Achieving glucose control benefits all people with diabetes and can reduce limb-related complications in people with PAD . Work with your health care team to create a coordinated care plan including: Healthy diet to reduce your cholesterol and manage diabetes. Reaching and maintaining a healthy weight.

What is the procedure to remove plaque from a blocked artery?

An atherectomy is a minimally invasive procedure to remove plaque from the artery. Similar to angioplasty, a catheter is inserted into the blocked artery.

Can not taking meds increase your risk for PAD?

It’s important to take the medication that your health care professional prescribes. Not taking these medications can increase your risk for PAD, as well as heart attack and stroke. Medications that may be prescribed include:

How to reduce the risk of PAD?

Change Your Diet. Foods high in saturated fats can contribute to the development of plaque in the bloodstream and increase both the risk and the severity of PAD. Eating heart-healthy foods like fresh fruits and vegetables can dramatically reduce the effects of the disease.

What to do if your PAD is not working?

You’ll want to be sure to stay in close contact with your doctor though, in the event that the medication isn’t working as it should.

What to ask your doctor about non surgical treatment?

If lifestyle changes and prescription medication treatments aren’t doing enough to ease your symptoms, it may be time to ask your doctor about some of the non-surgical treatment options that are available to you. If your doctor hasn’t discussed some of the following minimally invasive procedures, you should bring them up. Surgery isn’t always the best option, and depending on the severity of your case, you may be better off with one of these treatments and have a substantially quicker recovery time than you would typically have with surgery.

What is statins for?

Statins for High Cholesterol . Statins are prescription drugs designed specifically to lower cholesterol. These medications are often prescribed for patients with PAD. High cholesterol can contribute to the build-up of plaque in blood vessels, causing poor circulation that can directly lead to PAD in vulnerable individuals.

What are the best ways to treat peripheral artery disease?

4 of the Most Common PAD Treatment Options. 1. Lifestyle Changes. Often, simple lifestyle changes can be the most effective peripheral artery disease treatment option. Here are a few changes you can make to reduce the symptoms from PAD.

How to reduce the risk of developing PAD?

Be sure to work out regularly. Cardio workouts can help lower cholesterol and blood pressure, and can reduce the risk for plaque build-up in blood vessels and help you maintain a healthy weight. This can significantly lessen your chances for developing PAD.

What tests are used to diagnose PAD?

The first step in treating PAD is to consult with your physician, who will perform a few diagnostic tests that may include ultrasound imaging, an Ankle-Brachial Index (ABI) test, Pulse Volume Recording (PVR) exam, ...

What is the best treatment for PAD?

Medication. The goal of treatment for PAD is to improve blood flow and reduce blood clots in the blood vessels . Treatment also aims to lower blood pressure and cholesterol to prevent further PAD. Since plaque accumulation causes this disease, your doctor will prescribe a statin.

How to get rid of PAD?

Increasing your activity level can improve your symptoms of PAD and help you feel better. Regular physical activity helps stabilize blood pressure and cholesterol levels. This reduces the amount of plaque in your arteries. Exercise also improves blood circulation and blood flow.

What are the symptoms of PAD?

Risk factors for PAD include smoking, high blood pressure, and a history of diabetes or heart disease. Symptoms can include: 1 pain or numbness in the legs or arms, especially with walking or exercise 2 weakness 3 poor nail growth 4 lower body temperature in your legs or arms (cool feet) 5 lack of hair and shiny skin on the legs 6 slow healing wounds

Why does PAD cause lower body temperature?

lower body temperature in your legs or arms (cool feet) lack of hair and shiny skin on the legs. slow healing wounds. PAD can raise the risk of a stroke or heart attack because people who have atherosclerosis in these arteries can also have it in other arteries.

What to do if you have a blocked artery?

In severe cases of PAD, medication and lifestyle changes may not improve your condition. If so, your doctor may recommend surgery to help restore proper blood flow to a blocked artery. Procedures can include angioplasty with a balloon or a stent to open up an artery and keep it open.

What are the risk factors for PAD?

Risk factors for PAD include smoking, high blood pressure, and a history of diabetes or heart disease. Symptoms can include: pain or numbness in the legs or arms, especially with walking or exercise. weakness. poor nail growth.

Does diet help with PAD?

Diet also plays a big role in slowing the progression of PAD. Eating high-fat food and high-sodium foods can increase your cholesterol levels and drive high blood pressure. These changes lead to increases in plaque production in your arteries.

What are non surgical treatments for PAD?

Non-Surgical Treatments for PAD. All patients with peripheral artery disease are treated using risk factor management, which depending on symptoms and blockage could include: Aspirin regimen. Improved diet. Smoking cessation.

Can you have amputation with PAD?

Surgery is reserved for patients who have the most severe symptoms and complications. In the most extreme cases, when a leg has gangrene (when body tissue dies) and cannot be saved, amputation may be recommended.

What is the best medication for PAD?

Statins. The third class of medications used in the treatment of PAD are statins. These help lower cholesterol levels, which are a component of the fatty plaque that builds up in the legs. Statin drugs have several benefits for those with PAD.

What is anti-platelet therapy?

As such, “the cornerstone of therapy is anti-platelet therapy.”. Platelets are cells in the bloodstream that promote clotting in diseased arteries, which is why anti-platelet therapy is often recommended for those with PAD , coronary artery disease (CAD) and carotid artery disease.

Is it important to walk with PAD?

If individuals have diabetes or high blood pressure, it’s also vital to control those risk factors as much as possible. “Exercise and walking are also essential and can be effective in improving the leg pain symptoms in those with PAD,” Chacko explained.

Lifestyle Modifications

The lifestyle modifications are typically prescribed to all patients with Peripheral Artery Disease. In some cases, making these modifications are all a patient needs to see improvements to their condition. However, some patients may still require a procedure.

Angiogram & Endovascular Intervention

If your symptoms cannot be managed with these lifestyle changes alone, the next step is to get an angiogram with endovascular interventions. An angiogram is performed by inserting a thin tube, called a catheter, into an artery in your leg. A contrast dye is then added through the catheter to take x-rays of the blood vessels.

Peripheral Artery Bypass

Occasionally, the minimally-invasive endovascular options described above must be repeated to keep the artery open for strong circulation. If for any reason these options are not providing long-lasting relief, an open surgery called “ peripheral bypass surgery ” may be performed.

Which Treatment Option is Best?

It’s best to leave that decision to the experts. Speak with your doctor to discuss your options. It is most beneficial to get peripheral artery disease diagnosed early to increase the likelihood that the treatment is less invasive.

Why is PAD important?

Because PAD is associated with a number of serious health complications (including coronary artery disease and blood clots), it's important to seek medical attention if you have any symptoms of the disease.

Does vitamin D increase your risk of PAD?

Vitamin D. Running low on vitamin D may increase your risk for PAD, according to a study published in 2008. 4  Analyzing data on 4,839 adults, researchers found that PAD was 64 percent more common in study members with the lowest vitamin D levels compared with those with the highest levels of vitamin D.

Is it too soon to prescribe alternative medicine for peripheral artery disease?

Due to the limited research, it's too soon to recommend any form of alternative medicine for peripheral artery disease. It's also important to note that self-treating a condition and avoiding or delaying standard care may have serious consequences.

Can you get PAD if you are over 70?

Treatment. Since PAD does not have symptoms in many cases, you should talk to your doctor about getting checked for the disease if you are over age 70, have a history of smoking and/or diabetes, or have diabetes and one or more risk factors for atherosclerosis (plaque buildup in the arteries).

Can a person with PAD die from a heart attack?

In severe cases, the lack of blood flow can induce gangrene (tissue death). People with PAD are known to have an increased risk of death from heart attack and stroke . PORNCHAI SODA / Getty Images.

Is Ginkgo biloba good for PAD?

Ginkgo biloba (an herb said to stimulate circulation) appears to be more effective than placebo for PAD patients with intermittent claudication (discomfort in the legs that typically occurs with movement and subsides with rest), according to a systematic review published in 2005.

How to get rid of PAD symptoms?

They may suggest exercise plans that have been shown to curb PAD symptoms. Try to get 30 minutes of activity several times a week after your appointment. Choose exercises you enjoy, so you’ll stick with them.

How to reverse PAD?

Start with these tips for exercise, foot care, eating well, and more. 1. Walk and Rest. Because of your pain, you may be cutting back on activity. But you need to exercise when you have PAD.

What is the best medicine for blood thinners?

Get more blood flow to your legs and feet, such as with cilostazol ( Pletal) or pentoxifylline ( Pentoxil, Trental ). These drugs help keep your blood thin and widen blood vessels. Lower your blood pressure, such as with ramipril (Altace) Lower your cholesterol with statins ( Crestor, Lipitor, Zocor).

How to keep your feet in good shape?

When you see things on your feet that don’t look right, talk to your doctor. When you keep your feet in good shape, you’ll be more likely to stick with your exercises and less likely to get an infection that could cause a serious problem. Wash your feet every day and dry them. Use warm water, not hot.

How to stop leg pain from walking?

There are ways to do your workouts and control the pain. First of all, listen to your body and learn when to pause. If your legs bother you on a stroll, take a break. Wait for the pain to fade and begin again. By resting then starting again, you’ll build up your body. Start slowly but don’t give up.

Can compression socks cause PAD?

It’s best to skip compression socks. They don’t help with PAD and can actually cause more harm. If you wear them to prevent swelling or blood clots, check with your doctor to see whether they’re still a good idea. Check your feet and toes every day for sores, cracks, or anything that doesn’t look right.

Can you walk with PAD?

Your doctor may also be able to help you ease into a routine and work up to the amount of activity you need. They know it isn’t easy to move around with PAD.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment aims at managing the symptoms and preventing progression of atherosclerosis. Lifestyle changes are the primary treatment options, followed by medications and surgical procedures.
Medication

Statins: Drugs to reduce blood cholesterol levels.

Atorvastatin . Fluvastatin


Antihypertensives: To manage high blood pressure.

Chlorothiazide . Chlorthalidone


Antidiabetics: Help control blood sugar levels.

Glimepiride/Pioglitazone


Blood thinners: To prevent blood clots.

Apixaban . Dabigatran


Symptom-relief medications: To improve blood flow to the limbs.

Cilostazol


Thrombolytics: Clot dissolving drugs are injected into the artery at the site of the block.

Streptokinase

Procedures

Angioplasty: A balloon tipped catheter is used to open the blocked artery walls to improve blood flow.

Bypass surgery: Blood vessel from another part of the body is used to bypass a blocked artery.

Self-care

Always talk to your provider before starting anything.

  • Quit smoking
  • Exercise regularly
  • Keep a check on sugar levels and blood pressure

Nutrition

Foods to eat:

  • Fresh fruits and vegetables
  • Foods rich in soluble fiber: e.g. oatmeal and beans
  • Complex carbohydrate Foods: e.g. whole -wheat bread, broccoli, legumes, brown rice

Foods to avoid:

  • High fat Foods: e.g. red meat, doughnut, cookies
  • Foods rich in simple carbohydrates such as potato, candies
  • Alcohol
  • High salt and sodium Foods: e.g. chips, sausage

Specialist to consult

Vascular medicine specialist
Specializes in diagnosis and management of disorders that affect the arteries, veins and lymphatic systems.
Cardiologist
Specializes in the diagnosis and management heart related disorders.
Podologist
Specializes in the diagnosis and treatment of foot diseases.

Preparing For Your Appointment

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Some of the tests your doctor may rely on to diagnose peripheral artery disease are: 1. Physical exam. Your doctor may find signs of PADduring a physical exam, such as a weak or absent pulse below a narrowed area of your artery, whooshing sounds over your arteries that can be heard with a stethoscope, evidence of poor …
See more on mayoclinic.org

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