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Why Your Leg Pain Might Be a Warning Sign: Understanding Intermittent Claudication and Peripheral Artery Disease (PAD)

  • Writer: Tanvir Shagar, NP
    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

 
 
 
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