Peripheral Vascular Disease (PVD) often goes unnoticed until serious complications develop. In this episode, host Anisha Nayar Dhawan speaks with Dr. Rajiv Parakh, Chairman of Peripheral Vascular and Endovascular Science at Medanta – The Medicity, Gurgaon and Delhi, to uncover the warning signs, risk factors, diagnosis, and treatment options for PVD. Learn why symptoms such as leg pain while walking, fatigue, cold feet, and non-healing wounds should never be ignored—especially in people living with diabetes or those who smoke. Dr. Parakh explains how PVD affects blood flow to the limbs, its connection with heart attacks and strokes, and why early diagnosis can help prevent severe complications, including limb loss.
Understanding Peripheral Vascular Disease
Peripheral Vascular Disease is a circulatory condition that narrows blood vessels, reducing blood flow to the limbs. It is often caused by atherosclerosis, where plaque builds up in arteries. Many people mistake early symptoms like leg cramps for aging or lack of fitness, delaying diagnosis.
Key Symptoms to Watch
- Leg pain while walking (claudication) that eases with rest
- Fatigue or heaviness in legs after activity
- Cold feet or numbness
- Non-healing wounds or sores on toes, feet, or legs
- Shiny, pale, or bluish skin on legs
Risk Factors
Diabetes, smoking, high blood pressure, high cholesterol, obesity, and age over 50 increase PVD risk. Smokers and diabetics face the highest risk of severe complications.
Diagnosis and Treatment
Doctors use ankle-brachial index (ABI), ultrasound, or angiography to diagnose PVD. Treatment includes lifestyle changes (exercise, diet, smoking cessation), medications to manage cholesterol and blood pressure, and procedures like angioplasty or bypass surgery for advanced cases.
Prevention Tips
- Quit smoking
- Control diabetes and blood pressure
- Exercise regularly, especially walking
- Eat a heart-healthy diet low in saturated fats
- Manage cholesterol levels
Why Early Detection Matters
PVD is a marker for systemic atherosclerosis, meaning it increases risk for heart attack and stroke. Early diagnosis can prevent limb amputation and save lives. Dr. Parakh emphasizes that anyone with risk factors or symptoms should seek medical evaluation promptly.
In summary, Peripheral Vascular Disease is a serious but manageable condition. Recognizing symptoms early and adopting preventive measures can significantly improve outcomes. For more information, consult a vascular specialist.
