Hello and welcome to our blog. Let us dive right into a condition that affects many but is widely misunderstood- peripheral vascular disease (PVD). Let us lend you some insights from Dr. Rick Pumill, a renowned cardiologist from Cross County Cardiology, to help decode this medical condition.
Peripheral Vascular Disease is essentially blockage of arteries, primarily affecting the legs and in some cases, the neck. The main manifestation of this disease is a condition known as claudication. Claudication often presents as a tightening sensation in your calves while walking. This forces the individual to pause and rest, until the discomfort lessens enough to start moving again.
The real challenge arises in accurately diagnosing PVD. This is because the symptoms can be confused with the aftermath of a herniated disc or spinal stenosis. Although the presentation is similar, the cause behind the discomfort is different, resulting in varied treatment methods.
Risk factors associated with peripheral vascular disease are akin to those contributing to heart disease. This includes tobacco usage, a history of the disease in the family, high cholesterol levels and high blood pressure, diabetes etc. These factors increase the likelihood of arterial blockage.
But before jumping to conclusions about blockages, medical practitioners work to rule out the possibility of strong pulses. A strong pulse usually processes vital information in favor of ruling out PVD.
To establish an accurate diagnosis, patients are asked to walk on a treadmill at a slow pace of 2 miles per hour, and concurrent pressure measurements are taken from the calves and feet. The purpose of this exercise is to test when the discomfort arises. The pressure readings are also used to determine the degree of blockage helping in deciding the right path for treatment. This could range from medical therapy to interventional procedures like placing a balloon or a stent.
Alternatively, discerning Spinal stenosis from peripheral vascular disease generally involves observing changes in arterial dopplers with exercise. Usually, this is among a divergent patient demographic and the areas of concern are different.
Remember, understanding your body's signals is half the battle won. Always concern your healthcare provider if you experience any discomfort and let their expertise guide you.
Stay informed, stay fit!
