"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
Arterial Disease (PAD)
Image-guided treatment that restores blood flow to the legs. No surgery, no hospital stay, same-day recovery.
Treatable without surgery
Understanding your condition
Arterial Disease (PAD) explained
Peripheral arterial disease affects millions of adults in Houston, causing leg cramping, pain when walking, and poor circulation that limits daily activity. PAD occurs when arteries supplying blood to the legs become narrowed by plaque, reducing flow to the muscles and tissue. Dr. Anwer, a Stanford Fellowship trained interventional radiologist, uses image-guided angioplasty to open the narrowed artery and restore healthy circulation without surgery. Left untreated, PAD progresses and can lead to non-healing wounds, tissue damage, and in severe cases limb loss. Early treatment improves mobility and protects long-term limb health.
Most patients return to normal activity in one to two days with improved walking and less leg pain.
Dr. Anwer's approach
Dr. Anwer performs angioplasty using X-ray guidance. A thin catheter is inserted through a pinhole in the wrist or groin and guided to the blocked artery. A small balloon opens the artery to restore blood flow, with a stent placed if needed. Takes 60 to 90 minutes, same-day discharge.
Treatable without surgery
Key facts
Angioplasty restores blood flow through a pinhole incision in the wrist or groin
Performed under X-ray guidance, no open surgery required
No general anaesthesia required for most PAD procedures
Stent placement performed in the same session if needed
Most patients notice improved walking ability within days
Covered by Medicare and most major insurance plans
Stanford Fellowship trained physician performing your procedure
Treatment overview
Is this the right treatment for you?
Every patient is different. These four areas will help you understand whether Arterial Disease (PAD) treatment at LPVI is the right fit.
Who qualifies
Am I a good candidate?
PAD treatment at LPVI is suited to patients with confirmed arterial narrowing causing symptoms such as leg pain or cramping when walking, cold or numb feet, slow-healing leg wounds, or discomfort at rest in more advanced cases. Candidates typically have PAD confirmed on ankle-brachial index testing or imaging. Dr. Anwer reviews your imaging personally at your first consultation and will assess whether angioplasty is the most appropriate treatment for your specific arterial anatomy and symptom level.
Common symptoms
Symptoms we treat
Peripheral arterial disease presents gradually and worsens over time. The most common early sign is cramping or aching in the calves, thighs, or buttocks during walking that eases with rest, called intermittent claudication. As the condition progresses, patients may experience cold or numb feet, pale discolouration of the lower legs, and wounds on the feet or legs that are slow to heal. In more advanced PAD, pain can occur at rest, particularly at night. If you are experiencing any of these symptoms in Houston, an assessment with Dr. Anwer is strongly recommended.
What to expect
The procedure
Dr. Anwer performs peripheral angioplasty entirely as an outpatient procedure using real-time X-ray fluoroscopy. A thin catheter is inserted through a pinhole incision in the wrist or groin and guided through the arterial system to the site of narrowing in the leg. A small balloon catheter is then inflated to open the artery and restore blood flow. If the artery requires additional support, a stent can be placed during the same session. The procedure takes 60 to 90 minutes. There are no surgical incisions, no general anaesthesia, and no overnight hospital stay required.
After treatment
Recovery and results
Recovery from peripheral angioplasty at LPVI is far faster than bypass surgery. Most patients are discharged the same day or the morning after and return to light daily activity within one to two days. Walking is encouraged early to support circulation. Some patients notice mild bruising at the catheter entry site for a few days. Significant improvement in walking distance and leg pain is typically noticed within the first week. Dr. Anwer will arrange follow-up imaging to confirm blood flow has been restored and the artery remains open.
Your treatment starts here
What's holding
What's holding
you back?
You may have more options than you've been told. Answer four quick questions and our engine matches you to the right minimally invasive treatment and connects you directly with Dr. Anwer.
This information is not a medical diagnosis. A consultation with Dr. Anwer will confirm your treatment options. Individual results may vary.
Do any of these sound familiar?
Common symptoms
You do not need all of these. Even two or three are worth discussing with Dr. Anwer at your first consultation.
Leg cramping or pain during walking that eases with rest
Cold, numb, or pale feet and lower legs
Leg or foot wounds that are slow or refusing to heal
Weak or absent pulse in the feet or ankles
Pain in the legs or feet at rest, often worse at night
Shiny skin or hair loss on the lower legs and feet
Our approach
How Dr. Anwer treats arterial disease (pad)
Dr. Anwer performs angioplasty using X-ray guidance. A thin catheter is inserted through a pinhole in the wrist or groin and guided to the blocked artery. A small balloon opens the artery to restore blood flow, with a stent placed if needed. Takes 60 to 90 minutes, same-day discharge.
Consultation with Dr. Anwer, arterial imaging review
Personalised angioplasty plan, procedure date confirmed
Outpatient angioplasty, 60 to 90 minutes, local anaesthesia
Same-day or next-day discharge, follow-up imaging arranged
Why choose this approach
Minimally invasive vs conventional treatment
Conventional approach
Severe PAD has traditionally been treated with bypass surgery, which involves grafting a new vessel around the blockage under general anaesthesia, with a hospital stay of several days and a recovery of four to eight weeks.
- Major surgery or invasive procedure
- General anaesthesia required
- Hospital stay of 1 to 5 days
- Recovery of 4 to 12 weeks
Dr. Anwer's approach at LPVI
Dr. Anwer opens the narrowed artery directly using angioplasty through a pinhole in the wrist or groin. No general anaesthesia, no bypass surgery, no prolonged recovery. Most patients go home the same day with improved blood flow and reduced leg pain.
- Outpatient, no hospital admission
- Light sedation or local anaesthesia
- Pinhole incision, no stitches
- Same-day or next-day recovery
PAD is under-diagnosed and under-treated. Many patients accept their leg pain as part of ageing when effective minimally invasive treatment is available. Restoring blood flow early protects the limb and significantly improves quality of life.
Patient stories
What our patients are saying
5.0
Based on Google reviews
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
FAQ
Common questions about Arterial Disease (PAD)
Yes. Peripheral angioplasty for PAD is covered by Medicare and most major insurance plans in Houston when arterial narrowing has been confirmed and is causing symptoms. Our team at LPVI will verify your specific coverage and confirm prior authorisation requirements before your consultation so there are no unexpected costs. Call us on 713-242-1139 and we will check your benefits and answer any questions about PAD treatment costs in Houston.
Recovery from peripheral angioplasty at LPVI is significantly faster than bypass surgery. Most patients are discharged the same day or the morning after and return to light activity within one to two days. Walking is encouraged immediately after treatment. Many patients notice improved walking distance and reduced leg cramping within the first week. Dr. Anwer will arrange follow-up imaging to confirm the treated artery remains open and blood flow has been fully restored.
Angioplasty is most appropriate for patients with confirmed arterial narrowing causing symptoms such as leg cramping when walking, cold or numb feet, or slow-healing leg wounds. Candidates typically have PAD confirmed on ankle-brachial index testing or arterial imaging. Dr. Anwer reviews your imaging personally at your first consultation and will give you a clear assessment of whether angioplasty or stenting is the right approach for your specific anatomy and the severity of your disease.
PAD is a progressive condition. Without treatment, the arterial narrowing worsens over time, walking distance decreases, and symptoms become more severe. Advanced PAD can lead to non-healing wounds on the feet or legs, tissue damage from chronic poor circulation, and in the most severe cases critical limb ischaemia requiring amputation. PAD also increases the risk of heart attack and stroke. Early minimally invasive treatment at LPVI can slow this progression and protect long-term limb and cardiovascular health.
Bypass surgery involves grafting a new blood vessel around the blockage under general anaesthesia, with a hospital stay of several days and a recovery of four to eight weeks. Angioplasty opens the existing narrowed artery from the inside using a balloon catheter through a pinhole in the wrist or groin. There is no general anaesthesia, no surgical incisions, no hospital stay, and most patients go home the same day. For suitable arterial anatomy, angioplasty achieves comparable results with far less risk and downtime.
Most patients notice an improvement in leg pain and walking ability within the first few days after angioplasty. The cramping and heaviness during walking typically reduces as blood flow is restored to the affected muscles. Wound healing in patients with leg ulcers also begins to improve as circulation recovers. Dr. Anwer will monitor your progress with follow-up imaging to confirm the artery remains open. The majority of patients at LPVI in Houston report meaningful improvement in mobility within the first two weeks.
Coverage
We accept most major insurance plans
Dr. Anwer treats peripheral arterial disease at LPVI clinics in Houston and Webster, serving patients from Pasadena, Baytown, League City, Missouri City, and Stafford. Angioplasty for PAD is an outpatient procedure covered by Medicare and most major insurance plans. Patients across Greater Houston choose LPVI because Dr. Anwer is Stanford Fellowship trained, reads every patient's arterial imaging personally, and offers a minimally invasive alternative to bypass surgery.
Take the next step
Ready to restore blood flow without bypass surgery?
Speak with Dr. Anwer about your arterial disease (pad). Same-day appointments available. Most insurance accepted.
This information is not a medical diagnosis. A consultation with Dr. Anwer will confirm your treatment options. Individual results may vary.