$Unique_ID{BRK00427} $Pretitle{} $Title{A Run Down of Peripheral Vascular Disease} $Subject{peripheral vascular disease Circulatory Diseases arteries arms legs PVD arteriosclerosis brain heart calves cold extremities gangrene circulation artery arm leg} $Volume{G-4} $Log{ Atherosclerosis of Arteries*0009301.scf Risk Factors of Atherosclerosis*0009302.scf Complications of Atherosclerosis*0009401.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. A Run Down of Peripheral Vascular Disease ------------------------------------------------------------------------------ QUESTION: It is just another case of simply not understanding what my doctor tried so hard to describe while I was in his office, but I felt good that I could turn to you for more answers and explanations. Therefore, would you please give me a run down of a condition called Peripheral Vascular Disease. All I am sure of is that it effects my arteries. ------------------------------------------------------------------------------ ANSWER: Here is a case where the name of the condition does a fair job of describing its nature. The word "peripheral" applies to the "outer" portions of our bodies, thus the arms and legs. Peripheral Vascular Disease (PVD) encompasses a number of long term or chronic diseases of the arms or legs that arise from the fact that the arteries which bring blood to these areas have become narrowed, due to disease, and fail to provide sufficient blood supply. The most common cause of this narrowing is arteriosclerosis, which accounts for almost 95% of all cases. Older people are the most common victims, as PVD usually strikes after the age of 50, and men are the sufferers 6 to 7 times more frequently than women. A high number of PVD patients are smokers (almost 90%) and about 25% of all patients have diabetes. But our old enemies, high blood pressure, high cholesterol, and high weight, do their share of the damage as well, causing arteriosclerosis, not only in the peripheral arteries, but the vessels in the brain and heart as well. The most common symptom of PVD is pain on effort that grabs at the calves of the legs after a short stroll, but that eases up when the effort is stopped. Arms and legs feel cold, wounds take longer to heal, and gangrene may develop in the final stages of the disease. While the physician may prescribe medications to help the blood circulate and reduce cholesterol, there is much you must do for yourself. Smoking must go, absolutely, and a regular walking program should be developed and carried out regularly. Good foot hygiene is a must; clean socks, comfortable shoes, and attention to toe nails, corns and calluses. Surgical procedures do exist to widen the arteries, or replace those that are totally blocked, but you have a 75% chance of bringing the condition under control by following the advice offered by good medical care. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.