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Conditions We Treat

Peripheral Artery Disease (pad) — Symptoms, Causes & Treatment

Also known as Peripheral Vascular Disease (PVD). Causes, symptoms and how physiotherapy treats Peripheral Artery Disease (pad) — without surgery or medicines.

Understanding Peripheral Artery Disease (pad)

Peripheral Artery Disease (pad) (also called Peripheral Vascular Disease (PVD)) affects people differently, and the right care starts with understanding how it affects you. Its day-to-day impact — on movement, strength, energy and confidence — is where physiotherapy does its work.

Our role in Peripheral Artery Disease (pad) is practical: protect and rebuild movement and daily function with a plan set after a careful assessment, in coordination with your doctor wherever medical management is involved. No two plans look the same, because no two cases behave the same.

What it involves

Causes & risk factors of Peripheral Artery Disease (pad)

What commonly drives it — your assessment pins down which of these apply to you.

More than one possible driver

Peripheral Artery Disease (pad) can have several contributing factors — a careful history and physical assessment separate them rather than guessing.

Reduced movement and deconditioning

Whatever the trigger, less movement quickly adds weakness and stiffness of its own — usually the most reversible part.

Daily-life load and habits

Work posture, repeated tasks, sleep and stress all shape how a condition behaves day to day.

General health and history

Overall health, previous injuries and existing conditions influence both the picture and the plan — the assessment takes all of it in.

Is this for you?

When physiotherapy is the right call

If any of these sound like you, an assessment is the right first step.

  • A new diagnosis of Peripheral Artery Disease (pad) and you want a clear rehabilitation start point
  • Daily tasks, walking or stairs are getting harder than they used to be
  • Strength, stamina or balance has visibly dropped
  • You want a structured clinic + home program with measurable milestones
  • Family members need guidance to support you safely
What to expect

Your treatment journey

Step by step — from your first assessment to a tracked recovery plan.

01

A detailed first assessment

History, movement testing and strength checks — a focused session to find what is actually driving your Peripheral Artery Disease (pad).

02

A diagnosis you understand

Your physiotherapist explains the findings in plain language — what is affected, why it happened and what that means for you.

03

Active, tracked treatment

Hands-on therapy, the right modalities and graded exercise — progressed session by session and tracked on Fizo IQ™.

04

Prevention, built in

The final phase rebuilds strength and habits so the same problem does not come back — with a home plan you keep.

What recovery looks like

  • More independence in daily tasks
  • Better strength, balance and stamina
  • Fewer setbacks, with red flags monitored
  • A program your family understands and can support
  • Progress measured milestone by milestone on Fizo IQ™

When to see a doctor — red flags

Peripheral Artery Disease (pad) needs a confirmed medical diagnosis and ongoing care from your doctor — physiotherapy works alongside that care, never instead of it. Seek medical help immediately if anything changes suddenly: new or worsening weakness, chest pain or severe breathlessness, speech or vision changes, a severe unfamiliar headache, or a fall with injury. For everything else, bring your medical reports to your first assessment so your plan starts from the full picture.
The CB Physiotherapy way

How CB Physiotherapy treats Peripheral Artery Disease (pad)

At CB Physiotherapy, treatment for Peripheral Artery Disease (pad) starts with finding its cause: a structured, physiotherapist-led assessment before anything is prescribed. Your plan then combines hands-on therapy, targeted exercise and the right modalities — delivered at a clinic near you or at home, and coordinated with your doctor where medical care is involved.

Every case runs on Fizo IQ™, our recovery engine: diagnosis, root cause, plan, milestones and goals, tracked session by session. You always know where you are in your recovery — and what comes next.

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Get Peripheral Artery Disease (pad) treatment near you

Certified physiotherapists at a clinic near you or at home — same-day slots, assessment-led care.

Not in one of these cities? Book a callback — home visits and online sessions cover many more areas.

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Good to know

Peripheral Artery Disease (pad), answered

Peripheral Artery Disease (PAD) is where narrowed arteries reduce blood flow to the limbs, usually the legs. This happens due to atherosclerosis, where fatty deposits (plaques) build up in the arteries, restricting circulation.
There can be various symptoms of Peripheral Artery Disease (PAD), a few are mentioned here:
1. Leg pain or cramping during walking (claudication)
2. Numbness or weakness in the legs
3. Coldness in the lower leg or foot
4. Slow-healing sores on the feet or legs
5. Weak or absent pulse in the legs or feet

Risk Factors:
1. Smoking
2. Diabetes
3. High blood pressure
4. High cholesterol
5. Obesity
6. Sedentary lifestyle
There can be various causes of Peripheral Artery Disease (PAD), a few are mentioned here:
1. Atherosclerosis – The most common cause, where fatty deposits (plaques) build up in the arteries, narrowing them and reducing blood flow.
2. Smoking – Damages blood vessels and accelerates plaque buildup.
3. Diabetes – High blood sugar levels can damage blood vessels and nerves.
4. High Blood Pressure (Hypertension) – Puts extra strain on artery walls, leading to damage and narrowing.
5. High Cholesterol – Excess cholesterol can form plaques that restrict blood flow.
6. Obesity – Increases strain on the cardiovascular system, leading to arterial damage.
7. Sedentary Lifestyle – Lack of physical activity contributes to poor circulation and arterial stiffness.
8. Age (Over 50 Years Old) – The risk of PAD increases with age due to natural arterial wear and tear.
9. Family History of Vascular Disease – A genetic predisposition can increase the likelihood of developing PAD.
10. Inflammatory Conditions (e.g., Rheumatoid Arthritis, Lupus) – Chronic inflammation can damage arteries and promote atherosclerosis.


Pathology
PAD is primarily caused by atherosclerosis, where fatty deposits (plaques) accumulate in the arterial walls, leading to narrowing and hardening of the arteries. This reduces blood flow, particularly to the legs.
1. Ankle-Brachial Index (ABI) – Compares blood pressure in the ankle and arm to assess circulation.

2. Doppler Ultrasound – Uses sound waves to detect blood flow blockages in the arteries.

3. Treadmill Exercise Test – Evaluates walking ability and symptoms during physical activity.

4. Segmental Pressure Measurement - Measures blood pressure at different points in the legs to locate blockages.

5. Angiography (CT or MRI Angiography) – Uses contrast dye and imaging to visualize narrowed arteries.

6. Duplex Ultrasound – Combines traditional ultrasound with Doppler imaging to assess artery structure and blood flow.

7. Blood Tests – These check cholesterol, blood sugar, and inflammatory markers that contribute to PAD.
Medications: Antiplatelet, Cholesterol-lowering drugs, Blood Pressure Medications,

Blood Sugar Control Medications, Cilostazol (Pletal), Pentoxifylline, etc.
(Note: Medication should not be taken without the doctor's prescription.)
Thermotherapy (Heat Therapy):
Thermotherapy (Heat Therapy), improves circulation and reduces muscle spasms.

Transcutaneous Electrical Nerve Stimulation (TENS):
Transcutaneous Electrical Nerve Stimulation (TENS) helps in pain relief by stimulating nerve endings and improving circulation.

Low-Intensity Laser Therapy (LILT):
Low-Intensity Laser Therapy (LILT) promotes microcirculation and tissue healing.

Pneumatic Compression Therapy:
Pneumatic Compression Therapy enhances blood flow and reduces swelling by intermittently compressing the limb.

Neuromuscular Electrical Stimulation (NMES):
Neuromuscular Electrical Stimulation (NMES) activates muscles to enhance circulation and prevent muscle wasting.

Hydrotherapy (Contrast Bath Therapy):
Hydrotherapy (Contrast Bath Therapy), alternating hot and cold water immersion, stimulates blood flow and reduces ischemic pain.

Exercise Therapy:
Though not a modality, exercise therapy improves blood circulation and reduces ischemic pain over time.

Circulation-Enhancing Exercises:
Passive Range of Motion (PROM) –Helps maintain joint mobility without increasing pain.
Ankle Pumping Exercises – Stimulates blood flow to the lower limbs.
Isometric Exercises – Muscle contractions improve local circulation without excessive strain.

Supervised Walking Program
Short, frequent walks with rest intervals improve endurance and collateral circulation.
Supervised Exercise Therapy (SET): Helps increase pain-free walking distance
Strength & Endurance Training: Enhances muscle function
Balance & Gait Training: Reduces fall risk
The patient is asked to avoid prolonged leg elevation as it reduces blood flow. Also advised to do regular exercises and gentle leg movements to prevent stiffness. Tight clothing or compression stockings are to be avoided. Daily foot inspection for cuts, ulcers, or colour changes should be done, and proper footwear should be worn to prevent pressure sores.
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Don't let Peripheral Artery Disease (pad) decide your day.

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