Understanding Peripheral Arterial Disease (PAD): A Growing Concern in Singapore

Peripheral vascular disease (PVD) is a broad term encompassing circulatory problems affecting the arteries, veins, and lymphatic vessels in the limbs. Within PVD, peripheral arterial disease (PAD) specifically refers to the narrowing or blockage of arteries that supply blood to the legs and feet. This condition is a growing concern in Singapore due to its prevalence and potential complications.

**PAD: A Silent Threat**

PAD often develops gradually, with symptoms manifesting only when the blood flow becomes significantly compromised. The most common symptom is intermittent claudication, a cramping pain in the legs that occurs with activity, typically walking, and subsides with rest. Other signs include:

* Leg weakness or numbness

* Skin discoloration or coolness in the affected limb

* Slow-healing wounds or ulcers

* Gangrene, tissue death due to lack of blood flow (in severe cases)

These symptoms can be mistaken for other conditions, leading to delayed diagnosis and potentially serious consequences. In Singapore, where diabetes – a major risk factor for PAD – is on the rise, Peripheral vascular disease early detection and management are crucial.

**Risk Factors and Prevention**

Several factors contribute to PAD development. The leading culprit is atherosclerosis, the buildup of plaque (fatty deposits) within artery walls. This buildup restricts blood flow, leading to the characteristic symptoms of PAD. Risk factors for atherosclerosis and PAD include:

* Diabetes

* High blood pressure

* High cholesterol

* Smoking

* Obesity

* Physical inactivity

* Family history of vascular disease

Fortunately, many of these risk factors are modifiable. By adopting a healthy lifestyle, individuals can significantly reduce their PAD risk. Here are some preventive measures:

* Maintain a healthy weight through balanced diet and peripheral artery disease exercise.

* Manage diabetes and high blood pressure effectively.

* Quit smoking – smoking cessation is one of the most impactful steps.

* Exercise regularly to improve circulation.

* Eat a heart-healthy diet low in saturated fats and cholesterol.

**Diagnosis and Treatment Options in Singapore**

Early diagnosis of PAD is vital for preventing complications like gangrene and amputation. Fortunately, several diagnostic tools are readily available in Singapore. These include:

* Ankle-brachial index (ABI): A non-invasive test comparing blood pressure in the arm and ankle to assess blood flow in the legs.

* Ultrasound: Creates images of blood vessels to identify blockages.

* Angiography: X-ray imaging with contrast dye to visualize arteries and blood flow.

Treatment options for PAD in Singapore depend on the severity of the condition. Lifestyle modifications are the cornerstone of management, followed by medications to improve blood flow and control cholesterol. In some cases, minimally invasive procedures like angioplasty (balloon opening of narrowed arteries) or stenting (placement of a small tube to keep the artery open) may be necessary. In severe cases, bypass surgery might be recommended to reroute blood flow around blocked arteries.

** Taking Charge of Your Leg Health**

PAD is a serious yet manageable condition. By understanding the risk factors, adopting preventive measures, and seeking early diagnosis if symptoms arise, individuals in Singapore can significantly reduce their risk of PAD and its complications. Working with a healthcare professional to develop a personalized management plan is essential for maintaining good leg health and overall well-being.