Why Your Leg Pain Might Be a Warning Sign: Understanding Intermittent Claudication and Peripheral Artery Disease (PAD)
- Tanvir Shagar, NP
- Jun 11
- 3 min read
Updated: 4 days ago
Do your legs hurt when you walk—but feel better after resting? That’s not just “getting older.” You could be experiencing intermittent claudication, one of the most common symptoms of Peripheral Artery Disease (PAD)—a serious but treatable circulatory condition.
What is Intermittent Claudication?
Intermittent claudication is leg pain caused by reduced blood flow to the muscles, most often during walking or physical activity. It’s a key symptom of Peripheral Vascular Disease (PVD), especially PAD, which occurs when arteries in your legs narrow due to plaque buildup.
Common symptoms include:
Cramping, aching, or burning pain in the calves, thighs, or buttocks
Pain that starts after walking a certain distance and improves with rest
Numbness, tingling, or coldness in one or both legs
Weak or absent pulses in the feet
Why Peripheral Artery Disease Shouldn’t Be Ignored
PAD isn’t just a leg problem—it’s a warning that your circulatory system is under strain. PAD is linked to a higher risk of heart attack, stroke, and critical limb ischemia. Early diagnosis is key to preventing serious complications, including amputation.
Who Is At Risk for PAD?
You're more likely to develop Peripheral Artery Disease if you have:
Diabetes
High blood pressure (hypertension)
High cholesterol (hyperlipidemia)
Smoking history (even if you’ve quit)
Obesity or sedentary lifestyle
Age 50 and older, especially with risk factors
Even if you don’t have symptoms, PAD can progress silently. Preventive vascular screening is important for high-risk patients.
🧪 How is PAD Diagnosed?
At Kura Health, we use a combination of non-invasive vascular tests to confirm whether you’re experiencing Peripheral Artery Disease (PAD).
Ankle-Brachial Index (ABI) Test
This is often the first-line screening tool:
Measures blood pressure in your ankle and arm
An ABI score below 0.90 suggests reduced blood flow consistent with PAD
Fast, painless, and done right in our clinic
Doppler Ultrasound
If your ABI is abnormal or you continue to have symptoms, a Doppler ultrasound of the lower extremity arteries helps:
Visualize blood flow through your arteries
Detect narrowed or blocked vessels
Localize the exact site of the obstruction
Segmental ABI Pressures
This more detailed test divides your leg into sections to pinpoint which arteries are affected and guide treatment planning.
Advanced Imaging (if needed)
CT Angiography (CTA) or Magnetic Resonance Angiography (MRA) may be ordered in more complex cases or prior to surgery
These tests together provide a clear picture of your vascular health, helping us tailor the most effective treatment plan.
Treatment Options for Peripheral Artery Disease
PAD is treatable, especially when caught early. At Kura Health, we focus on:
1. Lifestyle Modification
Quit smoking – the most critical step
Structured walking program – improves circulation and reduces leg pain
Heart-healthy diet – manage weight, cholesterol, and blood sugar
2. Medications
Statins to reduce cholesterol
Blood pressure medications
Antiplatelet agents like aspirin
Cilostazol or pentoxifylline to improve walking distance
3. Advanced Treatment
Supervised Exercise Therapy (SET) – Medicare-covered, clinic-based treadmill sessions
Angioplasty, stenting, or bypass surgery if symptoms are severe
Get Evaluated at Kura Health Today
If you’re experiencing:
Leg pain while walking
Tingling or numbness in your feet
Wounds that won’t heal on your legs or feet
Cold or discolored legs
You may be showing signs of Peripheral Artery Disease.
Our team at Kura Health offers vascular screening, ABI testing, and PAD management and perspective patients who may benefit from these services may be seen in as little as 24 hours.
👉 Don’t ignore your leg pain. It could be your body warning you.
Sources:
Campbell, J. S., & Stoner, C. Intermittent Claudication. StatPearls. NCBI
Hiatt, W. R., et al. Lower-extremity peripheral artery disease: diagnosis and treatment. American Family Physician. AAFP
Criqui, M. H., & Aboyans, V. Measurement and interpretation of the ankle-brachial index. Circulation. AHA Journals
Al-Qaisi, M., et al. Ankle–brachial pressure index (ABPI): An update for practitioners. Vascular Health and Risk Management. Dove Medical Press
Mayo Clinic. Claudication – Diagnosis & treatment. Mayo Clinic
Fowkes, F. G. R., et al. Edinburgh Artery Study: prevalence of asymptomatic and symptomatic peripheral arterial disease. International Journal of Epidemiology. Oxford Academic
Aboyans, V., et al. The ankle-brachial index for PAD screening and cardiovascular disease prediction. Annals of Internal Medicine. ACP Journals