Peripheral Artery Disease (PAD) is a condition where the arteries supplying blood to the limbs and organs become narrowed or blocked due to plaque buildup. Most commonly diagnosed in individuals over 50, PAD currently affects more than 6.5 million people in the United States alone.

If left untreated, PAD can lead to serious complications, including tissue death and even the need for limb amputation, as blood flow to vital areas is restricted. Despite ongoing research, many misconceptions still surround PAD. In this article, we’ll clear up six of the most common myths, helping you better understand this often misunderstood condition, with insights from Dr. Bilal Anwer, a leading expert in PAD treatment.

Myth #1 – PAD Symptoms are Always Clear and Consistent

Many people assume that the symptoms of Peripheral Artery Disease (PAD) are straightforward and easy to recognize, but that’s not always the case. In the early stages, PAD symptoms can be subtle and vary from person to person.

According to Dr. Bilal Anwer, “PAD symptoms are often overlooked because they can be so varied. Some patients may experience leg pain, while others might notice cold feet, slow-healing sores, or skin discoloration.” The most common symptoms include pain or cramping in the legs when walking (claudication) and changes in skin color in the lower legs. However, other symptoms such as coldness in the feet, slow-healing ulcers, and changes in hair growth can also signal the presence of PAD. Early diagnosis through screenings is critical to managing the disease effectively.

Myth #2 – PAD Only Affects the Legs and Feet

A common misconception is that PAD only impacts the legs and feet, but it can actually affect arteries throughout the body, including those that supply blood to the heart and brain.

Dr. Anwer explains, “While PAD typically affects the legs and feet, it can also impact arteries leading to vital organs like the heart, brain, kidneys, and pelvis.” As plaque builds up in the arteries, circulation to these vital organs can be compromised, leading to severe complications like heart attack, stroke, or kidney failure. So, while the legs are the most common area affected, PAD can occur throughout the peripheral vascular system.

Myth #3 – PAD is Not Life-Threatening

Many people think of PAD as a manageable, non-serious condition, but the truth is that it can be life-threatening if left untreated. Without proper treatment, the reduced blood flow in the limbs and organs can lead to tissue death, severe infections, and even limb amputation.

“PAD is not just a peripheral issue,” says Dr. Anwer. “It can lead to critical complications if blood flow to vital organs is restricted for long periods. Early intervention can prevent such outcomes and improve a patient’s quality of life significantly.” PAD is treatable, and with swift intervention, those suffering from it can continue living happy and healthy lives without lasting damage.

Myth #4 – PAD is a Disease That Only Affects Men

Contrary to popular belief, women are just as likely to develop Peripheral Artery Disease as men. In fact, research shows that women may even experience a faster functional decline than men after developing PAD.

A 2014 study highlighted by Dr. Anwer revealed that women with PAD often experience more severe symptoms and a quicker decline in mobility than their male counterparts. “This is an important finding, as it underscores the need for better awareness and early diagnosis in women. As the population ages, we expect PAD to increasingly affect women, making early detection and management even more crucial,” Dr. Anwer states.

Myth #5 – Only Overweight Individuals Get PAD

While obesity is a contributing factor to PAD, it is not the only risk factor. Smoking remains the number one cause, affecting up to 80% of PAD patients, while diabetes also plays a major role in increasing the risk and severity of the disease.

Dr. Anwer advises, “While weight management is important, smoking cessation is by far the most significant lifestyle change that can prevent or help manage PAD. Patients with diabetes are also at higher risk, so controlling blood sugar levels is critical.” Adopting a healthy lifestyle can help mitigate the risk of PAD, even in those who are not overweight.

Myth #6 – PAD Can Only Be Treated with Surgery

Many people believe that treatment for Peripheral Artery Disease always involves invasive surgery, but this is not the case. Dr. Anwer emphasizes that lifestyle changes, such as quitting smoking, eating a balanced diet, and maintaining a healthy weight, can be highly effective, especially when PAD is caught early.

For more advanced cases, there are several minimally invasive treatments available that can help restore blood flow without requiring major surgery. Some of the most common non-surgical treatments for PAD include:

• Balloon Angioplasty – A catheter with a balloon on its tip is inserted into the blocked artery and inflated to push plaque against the artery walls, improving blood flow.
• Atherectomy – This procedure uses specialized catheters to remove plaque buildup in the arteries through laser or mechanical grinding.
• Stenting – If angioplasty or atherectomy is unsuccessful, a stent (a small mesh tube) may be placed in the artery to keep it open and ensure proper blood flow.
  “PAD treatment is not one-size-fits-all,” Dr. Anwer adds. “There are several effective, minimally invasive options available that can avoid the need for surgery, depending on the severity of the condition.”

Final Thoughts: Understanding PAD

There are many myths surrounding Peripheral Artery Disease, but with a better understanding of the disease, its risk factors, and treatment options, you can take proactive steps to protect your health. By addressing PAD early and exploring available treatment options, you can prevent serious complications and improve your quality of life.
If you or a loved one are experiencing symptoms of PAD, speak to a healthcare professional like Dr. Bilal Anwer, who specializes in the treatment of PAD, to explore your treatment options and take the first step toward better vascular health.