Peripheral Artery Disease

PAD occurs when arteries in your legs become narrowed or blocked by plaque buildup, reducing blood flow to muscles and tissues.

Without treatment, PAD can progress. What starts as leg pain can lead to wounds that won’t heal, infections, and in severe cases, amputation.

At Well&You, we provide structured, step-by-step evaluation and minimally invasive treatment options designed to restore blood flow and protect your mobility.

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What Is Peripheral Artery Disease (PAD)?

Peripheral Artery Disease develops when plaque accumulates inside arteries supplying blood to your legs and feet. Reduced blood flow can cause:

  • Leg cramping when walking (“claudication”)
  • Numbness or weakness
  • Coldness in one leg
  • Slow-healing wounds
  • Shiny or discolored skin

PAD is not just a leg condition—it is a marker of systemic vascular disease and increases your risk of heart attack and stroke.

Signs & Symptoms of

Peripheral Artery Disease

You may benefit from evaluation if you experience:

  • Pain or cramping in your legs when walking
  • Needing to stop frequently due to discomfort
  • Difficulty walking 100 feet without pain
  • Foot or leg wounds that won’t heal
  • Coldness in one foot
  • Skin discoloration
  • Weak pulses in your legs

Your symptoms help classify the severity of PAD.

How Diagnoses

Peripheral Artery Disease

We begin with an arterial ultrasound to evaluate blood flow and detect blockages. Severity is determined using the Rutherford classification:

  • Rutherford 1–3: Mild to moderate symptoms (able to walk 100 feet without pain)
  • Rutherford 4+: Severe symptoms (unable to walk 100 feet without pain)

Additional tests may include ABI (Ankle-Brachial Index), carotid ultrasound, and advanced imaging if needed. Most diagnostic visits take about an hour or less.

Your PAD Treatment Pathway

If You Have Severe Symptoms (Rutherford 4+)

Angiogram to evaluate and treat blockages, with follow-up ultrasound in 1–2 weeks. 

If You Have Mild to Moderate Symptoms (Rutherford 1–3)

Exercise therapy and medication

You’ll return for a reassessment in 3 months. An angiogram may be needed if symptoms persist.

Treatment Options

Angiogram with Laser Atherectomy

  • Identifies blockages using a catheter and dye
  • Removes plaque using laser technology
  • Restores blood flow
  • Recovery ranges from 20 minutes to 3 hours depending on complexity

Medications

  • Blood thinners to prevent clots
  • Statins to reduce plaque
  • Circulation-enhancing medications (e.g., cilostazol)
  • Blood pressure and diabetes management

Exercise Therapy

  • A structured walking program improves circulation and builds endurance over time.

Minimally Invasive Treatment vs. Delaying Care

Approach
Blood Flow Restored
Risk of Progression
Amputation Risk
Angiogram & Intervention  ReducedReduced
Medications & ExerciseSometimesSlowedReduced if consistent
Ignoring Symptoms HighRisk increases

Untreated PAD can lead to ulcers, gangrene, amputation, heart attack, and stroke.

Download More Information About Your Treatment Options

Insurance and Cost Guidance

PAD evaluations and interventions are typically covered by insurance when medically necessary. Well&You works with most major insurance plans, including Medicare.

Our Patient Navigators help you:

  • Verify coverage
  • Explain expected costs
  • Review self-pay options if needed
  • Avoid surprise billing

You can learn more by visiting our Insurance & Coverage page.

Who Should Consider Evaluation?

You may benefit from evaluation if you:

  • Cannot walk as far as you used to
  • Experience leg pain that improves with rest
  • Are a smoker or have a history of smoking
  • Have slow-healing foot wounds
  • Have been diagnosed with vascular disease

PAD rarely improves without structured care.

Why Treating Peripheral Artery Disease Matters

PAD is progressive. Without treatment, symptoms may:

  • Worsen over time
  • Limit mobility
  • Lead to chronic wounds
  • Result in amputation
  • Increase risk of heart attack or stroke

Improvement takes consistency. Healing takes time. But every follow-up, medication adjustment, and lifestyle change moves you closer to restored circulation .

Early intervention protects not just your legs—but your long-term health.

What Our Patients Experience

When treatment is successful, patients often notice:

  • Less pain when walking
  • Increased walking distance
  • Wounds healing normally
  • Improved skin color
  • Better sleep
  • Greater independence

Follow-up typically includes:

  • 3 months: ABI testing
  • 6 months: Arterial ultrasound
  • Annual vascular monitoring

PAD management is ongoing—but consistent care leads to lasting results.

Take The Next Step

If leg pain is limiting your movement—or if wounds aren’t healing—don’t wait for symptoms to worsen. Early evaluation can protect your mobility and prevent serious complications.