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Peripheral Vascular Disease

AMBULATORY CARE:

Peripheral vascular disease (PVD)

is a condition that causes decreased blood flow to your limbs because of blocked blood vessels. The blockage is usually caused by atherosclerosis. This is when material, such as cholesterol, sticks to the inside of your blood vessels and makes them narrow.

Common symptoms include the following:

  • Painful cramps in your hip, thigh, or calf muscles, especially after you walk or climb stairs
  • Burning pain in your hands, fingers, feet, or toes
  • Shiny, tight, cold skin, and uneven hair growth on your skin
  • A change in your skin color
  • Sores on your skin that do not heal
  • Weakness or numbness of your hands or feet

Call 911 for any of the following:

  • You have any of the following signs of a heart attack:
    • Squeezing, pressure, or pain in your chest
    • and any of the following:
      • Discomfort or pain in your back, neck, jaw, stomach, or arm
      • Shortness of breath
      • Nausea or vomiting
      • Lightheadedness or a sudden cold sweat
  • You have any of the following signs of a stroke:
    • Numbness or drooping on one side of your face
    • Weakness in an arm or leg
    • Confusion or difficulty speaking
    • Dizziness, a severe headache, or vision loss

Seek care immediately if:

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.
  • You have pain in your legs that does not go away with rest.
  • You have dark areas on the skin of your legs.
  • You cannot see out of one or both of your eyes.

Contact your healthcare provider if:

  • Your signs and symptoms get worse or do not get better, even after treatment.
  • You have a sore or ulcer that is not healing or gets worse.
  • You have questions or concerns about your condition or care.

Treatment for PVD

may include any of the following:

  • Medicines may be given to help decrease your cholesterol level, open blood vessels, or prevent blood clots.
  • Procedures may be used to open blocked blood vessels. Metal or plastic stents (tubes) may be put in where the artery was blocked to keep it open. Surgery may be used to place a new blood vessel near the one that is blocked, or replace the area of the blood vessel.

Manage PVD:

  • Do not smoke. Nicotine and other chemicals in cigarettes and cigars can damage your blood vessels. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.
  • Get regular exercise. Ask about the best exercise plan for you. Walking is a low-impact way to exercise and increase your blood flow. Stop and rest if you have pain in your legs.
  • Care for your feet. Look closely at your feet every day. Check for cracks or sores. Wash your feet daily with mild soap and dry them well. Do not walk barefoot in case you step on a hard or sharp object.
  • Change your sleep position. You may have pain in your legs or feet when you sleep. Raise the head of your bed 4 inches, or use pillows to prop your upper body higher than your legs. This may help more blood go to your feet, decreasing pain.
  • Protect and cushion your feet and hands. If you have ulcers on your feet, you may need to wear bandages with heel pads. You may also wear foam rubber booties. Hand or foot warmers may decrease pain in your hands or feet.

Prevent PVD:

  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Ask if you need to be on a special diet.
  • Maintain a healthy weight. Ask your healthcare provider how much you should weigh. Ask him to help you create a weight loss plan if you are overweight.
  • Manage diabetes. Keep your blood sugar level in the correct range. Check your blood sugar level often. Ask your healthcare provider if you should make changes to your diet, exercise, or medications.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

© Copyright IBM Corporation 2018 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Peripheral Vascular Disease (Ambulatory Care)

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Micromedex® Care Notes

Symptoms and treatments

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