For those with severe circulation disease, we offer a diagnostic system to determine the level of blockage of arteries in the legs. Peripheral arterial disease (PAD) is a silent condition that only develops symptoms in its later stages. Risk factors include obesity, high blood pressure, high cholesterol, diabetes, and smoking. Poor circulation will lead to a painful leg condition called ischemic claudication and eventually will lead to painful gangrene of the foot and leg. If allowed to progress too far, even surgically bypassing the diseased vessels won't be effective and amputation will be required. Early detection and treatment are vital, and many treatments are available to delay and even reverse this condition. A simple diagnostic test done painlessly in our office can be of great value in detecting PAD in those who have one or more risk factors, and is generally covered by insurance.

This test consists of several cuffs similar to blood pressure cuffs placed over the legs at various spots, as well as a cuff over the great toe. These will measure blood flow waveforms at each of these spots and any general blockage of the arteries can be estimated using the waveforms. Additionally, the blood pressure at the ankle is compared with pressure in the arm, and this also gives a good general overview of leg circulation. Any abnormalities are addressed with either watchful monitoring and periodic retesting if mild, or with a vascular specialist referral if moderate to severe. Early intervention is key, and the PADnet test provides a reliable way to detect disease in a noninvasive manner.