Pentland Footcare

553A Lanark Rd, Juniper Green, EH14 5DE
Tel: 0789 468 7238
EMail: info@pentlandfootcare.co.uk or pentlandpodiatry@gmail.com

PAD Screening

Have you ever had to cut short a day of shopping or golfing because of severe leg pain? It could be a symptom of peripheral arterial disease (PAD). PAD is often caused by atherosclerosis (fatty deposits build up on your artery walls) which reduce blood flow to your limbs. Less commonly, it may be the cause of blood vessel inflammation, injury to your limbs, unusual anatomy of your ligaments or muscles, or radiation exposure.

Who gets PAD?

Factors that increase your risk of developing PAD include:

  • Smoking
  • Diabetes
  • Obesity (a body mass index over 30)
  • High blood pressure
  • High cholesterol
  • Increasing age, especially over 65
  • Over age 50 with risk factors for atherosclerosis
  • A family history of PAD, heart disease or stroke
When should I suspect PAD?

Most common noticeable symptom of PAD may be Intermittent Claudication — discomfort, pain or cramping in the feet, legs or buttock while walking or doing activity, that is relieved with rest. Other symptoms of advanced PAD may include:

  • unexplained foot or leg pain
  • Smooth, shiny skin on the lower legs and feet
  • Skin that is cool to the touch
  • Wounds on the feet and legs that don’t heal, or that heal very slowly
  • Constant leg pain, tingling, burning, or loss of all sensation
However, Up to 40% of people with PAD will not experience symptoms (National Clinical Guideline centre, 2012). If you don't have symptoms of PAD, you may benefit from a PAD screening if you are:
  • Over age 65
  • Over age 50 and have a history of diabetes or smoking
  • Under age 50 and have diabetes and other PAD risk factors, such as obesity or high blood pressure
How is PAD detected?

Ankle-Brachial Index and/or Toe pressure measurement are the tests widely used to diagnose PAD. Like most health conditions, PAD is more treatable when it is detected early.

What next?

Because the atherosclerosis (fat deposits) that causes the signs and symptoms of PAD isn't only limited to your legs, it also builds up in arteries supplying blood to your heart and brain. As a result, treating PAD also reduce the risk of developing stroke and heart attack. Lifestyle changes, medications, structured exercise program and interventional procedures are the treatments available for PAD.

We offer:
  • Podiatry claudication management
  • ABPI report to GP for a best medical therapy/periodic review
  • NHS referral when necessary