Peripheral vascular disease leads to reduced circulation to the feet and legs due to narrowed or blocked blood vessels.
Like the rest of our body, our feet and legs rely on a good blood flow to deliver oxygen and nutrients to our cells, so all our muscles, joints and tissues keep functioning well and supporting our health and well-being. In peripheral vascular disease, the narrowing or blockage of our blood vessels results in reduced blood flow to both the feet and legs. This can produce a range of consequences for the feet as the cells and tissues suffer, hence those diagnosed with peripheral vascular disease must take special precautions to look after their feet, maintain their foot health, and prevent serious problems like foot ulcers. Peripheral vascular disease is also referred to as peripheral arterial disease.
Without an adequate blood supply to the feet and legs, you may experience:
Signs and symptoms that you may have peripheral vascular disease include:
Peripheral vascular disease tends to develop gradually, as a result of plaque building up on the inner walls of a person’s arteries. This narrows the space available in the vessels for blood to pass through, obstructing regular, sufficient and healthy volumes of blood from getting to the tissues of the feet at an optimum rate.
The plaque is composed primarily of cholesterol and calcium. Those with high cholesterol levels, smokers, and those with diabetes have the highest risk of developing peripheral vascular disease. As many people do not have many distinguishable symptoms in the early stages of the disease, it tends to be diagnosed when routine blood cholesterol checks are completed, and then confirmed with explorative arterial studies or imaging. Aside from the consequences on the feet, peripheral vascular disease significantly increases your risk of suffering a heart attack and stroke. While it is uncommon in young adults, approximately 20% of the UK population aged 55 to 75 years have evidence for peripheral vascular disease (source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7513392/ )
The best way to manage your peripheral vascular disease at home is to prioritise a healthy diet and lifestyle while limiting the things known to promote plaque to develop in your vessels. This includes:
To promote your foot and leg health specifically, make sure that you’re monitoring any cuts or wounds and their healing time. If a wound has not closed and is still open or bleeding after three days, notify your podiatrist. At the same time, look out for any signs of infections such as redness, swelling, increasing pain, a yellow-green-pink discharge, and fevers. Finally, it’s important to keep your feet protected with the right shoes that won’t cause any damage to your feet.
At Matt Raden Podiatry, our goal is to help you maintain your foot and leg (and overall) health while you’re managing your peripheral vascular disease. There is a lot that we can do to minimise your risk of complications, and we’ll discuss this with you after a comprehensive assessment where we understand your medical history, current circumstances, and all your risks. We may recommend:
If you’re concerned about peripheral arterial disease, our team is here to help - and to ensure you have the best experience doing so. We’re proud to go above and beyond for our patients, focusing not only on managing your current concerns and symptoms, but also setting you up for optimal foot health for the years to come.