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Symptoms
By Mayo Clinic staff
While many people with peripheral artery disease have mild or no symptoms, some people have leg pain when walking (intermittent claudication).
Intermittent claudication symptoms include muscle pain or cramping in your legs or arms that's triggered by activity, such as walking, but disappears after a few minutes of rest. The location of the pain depends on the location of the clogged or narrowed artery. Calf pain is most common.
The severity of intermittent claudication varies widely, from mild discomfort to debilitating pain. Severe intermittent claudication can make it hard for you to walk or do other types of physical activity.
Peripheral artery disease symptoms include:
- Painful cramping in your hip, thigh or calf muscles after activity, such as walking or climbing stairs (intermittent claudication)
- Leg numbness or weakness
- Coldness in your lower leg or foot, especially when compared with the other leg
- Sores on your toes, feet or legs that won't heal
- A change in the color of your legs
- Hair loss or slower hair growth on your feet and legs
- Slower growth of your toenails
- Shiny skin on your legs
- No pulse or a weak pulse in your legs or feet
- Erectile dysfunction in men
If peripheral artery disease progresses, pain may even occur when you're at rest or when you're lying down (ischemic rest pain). It may be intense enough to disrupt sleep. Hanging your legs over the edge of your bed or walking around your room may temporarily relieve the pain.
When to see a doctor
If you have leg pain, numbness or other symptoms, don't dismiss them as a normal part of aging. Call your doctor and make an appointment.
Even if you don't have symptoms of peripheral artery disease, you may need to be screened if you are:
- Over age 70
- Over age 50 and have a history of diabetes or smoking
- Under age 50 but have diabetes and other peripheral artery disease risk factors, such as obesity or high blood pressure
- Peripheral artery disease. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec07/ch080/ch080f.html. Accessed Feb. 8, 2010.
- Peripheral artery disease. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/pad/pad_all.html. Accessed Feb. 6, 2010.
- Mohler III ER. Clinical features, diagnosis, and natural history of lower extremity peripheral arterial disease. http://www.uptodate.com/home/index.html. Accessed Jan. 29, 2010.
- Peripheral artery disease (PAD). Society for Vascular Surgery. http://www.vascularweb.org/patients/NorthPoint/Leg_Artery_Disease.html. Accessed Feb. 6, 2010.
- Hankey GJ. Medical treatment of peripheral artery disease. Journal of the American Medical Association. 2006;295:547.
- Peripheral vascular disease. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4692. Accessed Feb. 6, 2010.
- Hirsch AT, et al. ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease. Journal of the American College of Cardiology. 2006;47:e1.
- Langlois M, et al. Serum vitamin C concentration is low in peripheral arterial disease and is associated with inflammation and severity of atherosclerosis. Circulation. 2001;103:1863.
- Lane JS, et al. Nutrition impacts the prevalence of peripheral arterial disease in the United States. Journal of Vascular Surgery. 2008;48:897.
- Kuller LH. Does gingko biloba reduce the risk of cardiovascular events? Circulation: Cardiovascular Quality and Outcomes. 2010;3:41.
- Anderson CF (expert opinion). Mayo Clinic. Rochester, Minn. Feb. 9, 2010.
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