Symptoms of Peripheral Artery Disease in the Legs and Feet

Peripheral artery disease (PAD) is a common circulatory condition that develops when the arteries carrying blood to your legs and feet become narrowed or blocked. This restriction in blood flow can result in a range of symptoms that can affect your mobility and overall quality of life. Since leg and foot problems can stem from numerous conditions, comprehending the distinct characteristics of PAD can help you seek appropriate medical care.

Symptoms of Peripheral Artery Disease in the Legs and Feet

What causes Peripheral Artery Disease?

The leading cause of PAD is atherosclerosis. This gradual process involves the accumulation of fatty deposits, or plaque, along the inner walls of your arteries. As plaque builds up, the arteries harden and narrow, hindering blood flow.

Various risk factors contribute to the development of atherosclerosis and PAD, including:

Early Warning Signs of PAD

In its early stages, PAD may not produce noticeable symptoms. However, as the condition progresses, you may experience the following:

  • Intermittent Claudication: This classic symptom of PAD is characterized by pain, cramping, aching, or fatigue in the legs or buttocks during physical activity. The discomfort typically arises in the calves but can also affect the thighs or hips. Intermittent claudication tends to disappear after a few minutes of rest, indicating your muscles aren’t receiving enough blood during exertion.
  • Numbness or Weakness: Reduced blood flow in your legs can cause sensations of numbness or weakness.
  • Coldness in the Lower Leg or Foot: One leg or foot may feel noticeably colder to the touch than the other.
  • Changes in Skin Appearance: Your skin may appear pale or bluish, particularly in the affected leg or foot. You might also notice the skin becoming shiny.
  • Hair Loss or Slow Hair Growth: Diminished circulation can lead to hair loss or decreased hair growth on your legs and feet.
  • Slow-Healing Wounds: Sores or ulcers on your toes, feet, or legs that heal slowly or fail to heal may signify poor blood flow due to PAD.

Advanced Stages of PAD

If PAD goes untreated, the following symptoms may manifest:

  • Rest Pain: Pain in your legs or feet can occur even while you’re resting, often disrupting sleep.
  • Atrophy of Calf Muscles: Muscle wasting in the calves due to lack of oxygen and nutrients.
  • Non-Healing Foot and Toe Ulcers: This can potentially lead to infection and even gangrene, a serious condition requiring tissue removal or potentially amputation.

Understanding Critical Limb Ischemia (CLI)

CLI refers to the most severe form of PAD. It arises when blood flow is substantially diminished for an extended period. Symptoms of CLI include:

  • Intense burning pain in your legs and feet, even at rest
  • Skin changes: pale, shiny, smooth, dry appearance
  • Ulcers on feet and legs that refuse to heal
  • Muscle loss in your legs
  • Coldness, numbness, redness turning to blackness, swelling, and foul odor in the affected toes or limb (this may signal gangrene)


1. Can PAD be mistaken for other conditions? Yes, symptoms like leg pain and cramping can also be caused by arthritis, spinal stenosis, or other musculoskeletal problems. Your doctor will conduct a thorough assessment to confirm or rule out PAD.

2. When should I consult a doctor? Consult a healthcare professional if you experience any of the symptoms mentioned above, particularly if you have known risk factors for PAD.

3. What can I expect during a PAD diagnosis? Your doctor will initially take a detailed medical history and perform a physical exam. Diagnostic tests like the ankle-brachial index (ABI), ultrasound, or angiography may be used to confirm the presence of PAD and assess its severity.

Conclusion: Importance of Early Diagnosis and Treatment

Early diagnosis and effective treatment of PAD are crucial to prevent serious complications like heart attack, stroke, and the potential for amputation. Treatment plans generally combine lifestyle changes, medication, and possible vascular interventions. Recognizing the signs of PAD empowers you to take active steps toward preserving your cardiovascular health and well-being.


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