Conditions & Treatments

Peripheral Arterial Disease & Limb Salvage

Peripheral arterial disease (PAD) is a buildup of plaque in the arteries that carry blood to the legs. Early on it can cause cramping in the calves or thighs with walking that eases with rest. When it's advanced — a stage called chronic limb-threatening ischemia (CLTI) — it causes pain at rest, wounds that won't heal, or tissue loss, and it puts the leg itself at risk. My focus is restoring blood flow and keeping people on their feet.

Common signs

  • Cramping in the calf, thigh, or buttock with walking
  • Foot or toe pain at night or at rest
  • A foot or leg wound that isn't healing
  • A foot that's cold, pale, or discolored
  • Diabetes with any foot wound — arteries should be checked

How I treat it

  • Vascular workup — ultrasound and circulation testing in our office lab
  • Angiography & endovascular repair — minimally invasive, through a small puncture: balloon angioplasty, stenting, and atherectomy to reopen blocked arteries
  • Open & hybrid surgery — bypass and combined approaches when that's the more durable answer
  • Wound care & hyperbaric oxygen therapy — I work with wound care centers and use hyperbaric oxygen therapy where it helps hard-to-heal wounds close after flow is restored
Ready to be seen?
Request an appointment online, or call — new consultations are seen quickly.
Request an Appointment Call (408) 376-3626