Peripheral Artery Disease (PAD): Causes, Symptoms, and the Best Treatment Options in Delhi NCR

Introduction

Peripheral Artery Disease (PAD) is a common yet serious circulatory problem that affects millions worldwide. It occurs when the arteries that carry blood to the limbs — most commonly the legs — become narrowed due to plaque buildup. This restricts blood flow, leading to pain, numbness, and an increased risk of infection or even amputation in severe cases.

PAD is not just a problem of the legs; it is often a sign of widespread atherosclerosis that may also affect the heart and brain. This means patients with PAD have a higher chance of heart attack and stroke if left untreated. Recognizing and managing PAD early under the guidance of an expert cardiologist like Dr. Gautam Naik, one of the leading heart specialists at Apollo Hospital, Delhi, is crucial for long-term vascular and cardiac health.


What Is Peripheral Artery Disease?

Peripheral Artery Disease (PAD), sometimes called Peripheral Vascular Disease (PVD), is caused by the narrowing or blockage of arteries due to fatty deposits known as plaque. Over time, this buildup reduces blood flow to muscles and tissues, especially in the legs and feet.

When muscles don’t get enough oxygen-rich blood during activity, pain or cramping can occur — a classic symptom called claudication. As the disease progresses, even mild activity such as walking short distances can cause significant discomfort. In advanced cases, patients may experience pain even at rest, non-healing wounds, or gangrene.


Causes and Risk Factors

The main cause of PAD is atherosclerosis, a process where fatty deposits accumulate inside the artery walls. Several factors increase the risk of developing PAD, including:

  • Smoking – the single most significant risk factor
  • Diabetes mellitus – damages blood vessels and accelerates atherosclerosis
  • High blood pressure (Hypertension)
  • High cholesterol (Hyperlipidemia)
  • Obesity and sedentary lifestyle
  • Increasing age, especially over 50
  • Family history of heart disease or stroke

Individuals who smoke or have diabetes are at particularly high risk, and they should get screened for PAD even if symptoms are mild.


Common Symptoms of PAD

Peripheral Artery Disease often develops gradually, and symptoms may vary from person to person. The most frequent signs include:

  • Leg pain while walking (intermittent claudication) that eases with rest
  • Numbness, weakness, or heaviness in the legs
  • Coldness in one leg compared to the other
  • Sores or wounds on toes, feet, or legs that do not heal
  • Change in skin color or texture, shiny skin, or hair loss on legs
  • Weak or absent pulses in the legs or feet
  • Erectile dysfunction in men (especially with diabetes)

Ignoring these symptoms can lead to severe complications, such as tissue damage or critical limb ischemia.


How PAD Is Diagnosed

Accurate diagnosis of PAD requires a detailed clinical assessment by a vascular or cardiac specialist. Common diagnostic tests include:

  • Physical examination – checking pulses in the legs and feet
  • Ankle-Brachial Index (ABI) – compares blood pressure in the ankle and arm to assess blood flow
  • Doppler ultrasound – visualizes blocked or narrowed arteries
  • CT or MR angiography – advanced imaging to map arteries in detail
  • Blood tests – to check cholesterol, sugar levels, and overall cardiac risk

Consulting an experienced cardiologist like Dr. Gautam Naik ensures accurate evaluation and tailored treatment to prevent long-term complications.


Treatment Options for PAD

Treatment of Peripheral Artery Disease focuses on improving blood flow, relieving symptoms, and preventing cardiovascular complications.

1. Lifestyle Modifications

  • Quit smoking immediately. This is the most crucial step.
  • Exercise regularly. Walking programs under medical supervision help improve circulation.
  • Maintain a healthy diet. Eat more fruits, vegetables, whole grains, and lean proteins.
  • Manage diabetes, cholesterol, and blood pressure. Regular checkups are essential.

2. Medications

  • Antiplatelet drugs (like aspirin or clopidogrel) to prevent blood clots
  • Statins to control cholesterol and slow disease progression
  • Medications for blood pressure and diabetes management
  • Drugs to improve walking distance and reduce symptoms, such as cilostazol

3. Minimally Invasive Procedures

When lifestyle changes and medications are insufficient, advanced treatments may be needed:

  • Angioplasty and Stenting: A catheter with a small balloon is inserted into the blocked artery to open it up, often followed by placement of a stent to keep it open.
  • Atherectomy: Removal of plaque buildup from arteries using specialized tools.
  • Bypass Surgery: Creation of a detour around blocked arteries using a graft from another part of the body.

These modern, minimally invasive approaches are highly effective and restore blood flow with faster recovery times — especially when performed by experienced cardiologists and interventional specialists like Dr. Gautam Naik.


Complications of Untreated PAD

If not treated on time, PAD can lead to serious complications such as:

  • Critical limb ischemia – severe pain at rest and tissue death due to lack of blood supply
  • Non-healing ulcers or gangrene, sometimes requiring amputation
  • Increased risk of heart attack and stroke
  • Reduced quality of life due to chronic pain and mobility issues

Prevention Tips

While some risk factors like age or genetics cannot be changed, many aspects of PAD can be prevented through healthy lifestyle choices:

  1. Stop smoking completely.
  2. Exercise for at least 30 minutes most days.
  3. Eat a balanced, heart-healthy diet.
  4. Keep blood sugar and blood pressure under control.
  5. Have regular cardiac check-ups with an expert cardiologist.

Why Choose Dr. Gautam Naik for PAD Treatment

Dr. Gautam Naik is widely recognized as one of the best cardiologists in Apollo Hospital, Delhi, known for his excellence in managing complex heart and vascular disorders, including Peripheral Artery Disease.

With years of experience in interventional cardiology, Dr. Naik specializes in angioplasty, stenting, and endovascular procedures that restore blood flow safely and effectively. His approach combines cutting-edge technology with personalized patient care, ensuring the best possible outcomes for individuals suffering from PAD or other cardiovascular conditions.

Patients under his care benefit from:

  • Expert diagnosis using the latest imaging and testing techniques
  • Advanced, minimally invasive treatment options
  • Holistic management addressing lifestyle, diet, and long-term prevention
  • Compassionate follow-up and rehabilitation programs

Whether you have early symptoms or advanced PAD, consulting Dr. Gautam Naik at Apollo Hospital, Delhi, ensures comprehensive and world-class cardiac and vascular care.


Conclusion

Peripheral Artery Disease is a warning signal that your circulatory system needs attention. Timely diagnosis, lifestyle management, and professional care can make a life-changing difference.

Under the expert guidance of Dr. Gautam Naik, patients with PAD receive advanced, evidence-based treatment to improve blood flow, relieve pain, and protect heart health. For anyone experiencing leg pain, numbness, or fatigue during walking, it’s time to get evaluated — because early intervention saves limbs and lives.