Ask the Doctor: Leg Pain & P.A.D.
With Ramesh Krishnamurthi, M.D.

Q. What is peripheral arterial disease?
A. Peripheral arterial disease, or P.A.D., is the hardening and/or narrowing of arteries caused by the gradual build-up of fatty deposits. Having P.A.D. significantly increases you risk of stroke and heart attack.

Q. Who is at risk?
A. P.A.D. affects 8-12 million people within the U.S., including nearly 20% of all people over 75. Risk factors include smoking, diabetes, high cholesterol, history of heart disease, and age over 70.

Q. What are the symptoms of P.A.D.?
A. Some common symptoms include leg cramping, fatigue, heaviness, or pain with activity. More severe symptoms include non-healing ulcers or gangrene and leg pain with rest.

Q. How is P.A.D. diagnosed?
A. Diagnosis begins by taking a detailed history and physical exam by a healthcare provider. A special, non-invasive blood pressure test, called an A.B.I. (ankle-brachial index), can help determine if one has P.A.D.

Q. How is the condition treated?
A. Early P.A.D. can be treated with lifestyle modification, such as quitting smoking, eating healthier, and exercising. More severe P.A.D. may require medication or possibly invasive procedures. For more information, please see your doctor.

Dr. Ramesh Krishnamurthi is an internist who takes special interest in preventive care and hospital medicine. To learn more, please call 330-433-1555.