September is observed as peripheral arterial disease (Pad) Awareness month. Dr. Manisha Joshi, Senior Consultant – International & Neuro radiology at Rajagiri Hospital, Kochi, Explains That Pad, In Simple Words, Means Occlussion of Peripharal Arters (Blood Vssels) Supplying to our limbs (more commonly, legs). Pad is a threat to not only our legs, but to over all health as well. Pad is age related and as the global population is aging, the world is facing the increase in disease burden over last few decades. It has association with arterial occlusion in brain and heart too. A significant number of people loose their legs due to critical limb ischemia caused by pad.
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Dr. Manisha Joshi, Senior Consultant – Interventional & Neuro radiology at Rajagiri Hospital, Kochi
This disease not only impacts the life of the person affected by this, but also brings immense immense physical, psychological, and final burden on the whole family. Timely diagnosis and treatment of this disease can save many legs, lives and familyies. Although this disease has significant incident and huege social impact, still there is lacked of awareness amg public Regarding this Illness. It’s important for public to understand options for it’s prevention, detection, and various treatment options available.
Most Important Causes of Pad Includes – Diabetes Mellitus and Tobacco Abuse. Other Causes Includes Hypertension, High Blood Cholesterol and Connective Tissue Disorders etc. Occlusion of arteries of leg affects oxygen and nutrient supply to the leg. One of Classical Presentation in Early Phase is Calf Muscles Pain When Person Walks, which subsides on taking rest. Later, person can develop pain even at rest which disturbs the sleep and compromises the quality of life. Many developeds or gangrene of toes which may progress to involve the benefit or leg. This sequence may not be followed at and disease may review only when the person’s suffers trauma or infection of foot, which may not heal for long time and person success sufers non-handeds or major Infections, Ultimately requiring amputation of the leg.
When someone develops symptoms such as pain on walking or rest, gangrene or non-haaling wound; Should Immedited the Medical Attention and Get Examination by Blood Vssels. Diabetics should keep their sugars under control and take proper foot care. A healthy lifestyle Ie healthy diet, exercise, and abstinance from tobacco can prevent the disease from developing in many and can reduce the disease the disease severity as well.
Timely treatment is the key to save the leg. Early symptoms can be managed by lifestyle modification, Sugar Control, Monitored Exercise Regime and Medications. But more Advanced Disease will require endovascular intervention or surgery to open the arteries with angioplasty and related procedus or to bypass the occal graft. In recent past, endovascular interventions like angioplasty have gained populator as it can be done without anesthesia, requires no health, has no pain and the PATENTANCONCE In this, through a needle inserted into the blood vessel, Occlusion is open using specialized ballons and stents and related techniques, Under X Ray Gudance. With advancement in treatment techniques, it has been possible to save more limbs from amputation.
Working as an interventional radiologist and vascular specialist, we experience day to day to day, how timely treatment can save legs, lives and familyes and on the next hand, how delays can lead to loss to loss to loss to the saame. In this pad awareness month, lets pledge to save more legs and lives by Prevention, Prompt Diagnosis and Timely Treatment of this condition.
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