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Understanding Peripheral Vascular Diseases

Peripheral vascular diseases (PVDs) are a range of disorders that affect the blood vessels outside the heart and brain. These conditions can significantly impact circulation, leading to discomfort, pain, and potential complications. Proper understanding, timely intervention, and expert care are vital in managing PVD effectively.

Peripheral Vascular Diseases

Peripheral vascular diseases (PVDs) encompass various disorders affecting the intricate network of blood vessels outside the heart and brain. This includes the arteries, veins, and lymphatic vessels supplying the arms, legs, stomach, pelvis, and organs.

PVDs arise due to vessel damage, blockages, or compression that disrupt normal blood circulation. This can cause tissues to be deprived of vital oxygen and nutrients, swelling, and/or pain. PVDs can manifest with various symptoms ranging from mild to debilitating.

Catching PVDs early provides the best opportunity to stop disease progression and prevent catastrophic complications. Lifestyle changes, medications, or minimally invasive treatments can significantly reduce the detrimental effects of PVDs. Promoting public awareness and prompt specialist evaluation for emerging symptoms are vital steps in mitigating the systemic impact of peripheral vascular disease.

The Rising Impact of Peripheral Vascular Diseases

Peripheral vascular conditions (PVDs) are a growing problem in the United States. According to the American Heart Association, more than 20 million adults in the United States have peripheral artery disease (PAD), and more than 30 million adults have chronic venous insufficiency (CVI). Several factors contribute to the rising impact of PVDs. These factors include:

  • The aging population
    The number of people in the United States aged 65 and older is expected to more than double by 2060. As people age, they are more likely to develop PVDs.
  • Increased rates of obesity
    Obesity is a significant risk factor for PVDs. The prevalence of obesity in the United States has more than doubled since 1980.
  • Increased rates of diabetes
    Diabetes is another significant risk factor for PVDs. The prevalence of diabetes in the United States has more than quadrupled since 1980.
  • Smoking
    Smoking is a significant risk factor for both PAD and CVI. The prevalence of smoking in the United States has declined in recent years, but it remains a significant public health problem.

When To See a Cardiovascular Specialist for Peripheral Vascular Diseases

When it comes to your vascular health, timely intervention is crucial to ensure the best possible outcomes. If you are experiencing any of the following symptoms or conditions related to peripheral vascular issues, it's essential to seek consultation with a cardiovascular specialist as soon as possible:

  • Persistent Leg Discomfort
    If you are consistently experiencing leg pain, cramping, numbness, or tingling, it could indicate an underlying vascular problem. Don't dismiss these symptoms as part of aging – they may require attention.
  • Visible Skin Changes
    Skin discoloration, ulcers, or persistent wounds on your legs could be signs of vascular insufficiency or venous ulcers. Prompt assessment and treatment are important for reducing the risk of complications.
  • Swelling in the Legs or Feet
    Unexplained swelling in your legs or feet may indicate poor circulation or other vascular issues. A cardiovascular specialist can diagnose the cause and recommend appropriate interventions.
  • Restless Legs or Leg Itching
    If you are constantly experiencing the urge to move your legs or are troubled by itching or burning sensations, it's worth consulting a specialist to identify the underlying cause.
  • Aesthetic Concerns
    If you have concerns about the appearance of your legs due to varicose veins, spider veins, or other vascular issues, a cardiovascular specialist can help address medical and cosmetic aspects.
  • Pelvic or Lower Back Discomfort
    Pelvic pressure, lower back pain, and discomfort may be related to vascular issues such as venous congestion. Seeking evaluation can help determine the cause and appropriate treatment.
  • Non-Healing Wounds
    If you have wounds on your legs that are not healing as expected, it could be due to compromised blood flow. Consulting a specialist can lead to effective wound management and improved vascular health.
  • Risk Factors
    If you have risk factors for peripheral vascular diseases, such as a family history of vascular problems, smoking, diabetes, high blood pressure, or obesity, it's wise to seek regular assessments to catch issues early.
  • Decreased Mobility
    If you notice a decrease in your ability to walk, exercise, or perform daily activities due to leg discomfort or pain, a specialist can help identify and manage the underlying cause.

Peripheral Vascular Diseases We Treat

Our experienced medical team is dedicated to providing comprehensive treatment for a wide range of peripheral vascular conditions. We specialize in diagnosing and managing various symptoms and disorders, including:

  • Peripheral Arterial Disease (PAD)
    PAD restricts blood flow to the legs, leading to symptoms like leg pain, cramping, and reduced mobility. Our interventions aim to improve circulation, alleviate discomfort, and prevent complications.
  • Deep Vein Thrombosis (DVT)
    DVT is characterized by blood clots forming in deep veins, often in the legs. Our approach includes anticoagulation therapy and preventive measures to reduce the risk of complications like pulmonary embolism.
  • Chronic Venous Insufficiency (CVI)
    CVI results from faulty leg veins, leading to swelling, pain, and skin changes. Our treatments aim to restore venous function, reduce discomfort, and enhance overall vascular health.
  • May-Thurner Syndrome
    This condition occurs when a vein in the pelvis becomes compressed by an artery, leading to DVT. Our strategies focus on addressing the underlying compression and managing clot formation.
  • Pelvic Congestive Syndrome
    Pelvic congestion causes chronic pelvic pain due to venous insufficiency. Our multidisciplinary approach targets the root cause, providing relief and improved quality of life.
  • Skin Changes / Discoloration
    Discoloration, ulcers, and skin changes are indicative of underlying vascular issues. Our specialized care aims to address the vascular cause and promote healing.
  • Tingling in the Legs
    Tingling sensations can arise from nerve compression or vascular issues. We conduct comprehensive evaluations to determine the source and deliver effective treatments.
  • Swelling in the Legs or Feet
    Swelling can indicate venous insufficiency or lymphatic disorders. Our treatments focus on alleviating swelling and improving circulation.
  • Venous Ulcers
    These open sores result from poor blood flow and can be painful. Our therapies promote healing, address underlying vascular issues, and prevent recurrence.
  • Wounds that Won't Heal
    Non-healing wounds may stem from impaired circulation. Our approach addresses the vascular factors to enhance wound healing.
  • Restless Legs Syndrome (RLS)
    RLS causes discomfort and an urge to move the legs, often due to circulatory issues. Our team addresses underlying causes and offers solutions to manage symptoms effectively.
  • Leg Itching / Burning / Numbness
    These sensations can result from nerve or vascular problems. Our assessments help identify the source and guide appropriate treatments.
  • Aesthetic Appearance of Legs
    We address cosmetic concerns stemming from vascular issues to help you achieve healthy and aesthetically pleasing legs.
  • Pelvic Pressure / Lower Back Pain
    These symptoms may indicate venous congestion. Our treatments aim to alleviate pressure and discomfort by addressing underlying vascular issues.


One of the best.

Dr. Kevin Hayes is very courteous, has excellent bedside manner. Takes the time to listen to the patient. He genuinely cares for his patients and wants to improve their overall health. He is probably one of the best cardiologists I have ever received medical care from.

Anonymous |

The best cardiologist you will ever have, know, or need.

Beyond capable, caring, professional, [and] thorough; the best cardiologist you will ever have, know, or need. Trust him. I would by far recommend Dr. V to anyone, anywhere, anytime. I’m so thankful he saved my life in the hospital, along with the other doctors and staff. And I’ve continued to trust in him; remarkable man. Thank you, Dr. V.
Anonymous |

Dr. Grech is professional and really cares for his patients and their health.

I am very pleased to have Dr. Grech as my cardiologist. I looked for a cardiologist to help with all my heart and vascular problems and not one other than Dr Grech and his staff has treated my condition and made me feel as a family. Dr. Grech is professional and really cares for his patients and their health. Thanks Dr. Grech for being a kind and caring physician.
Anonymous |

He was wonderful and made me feel great...

Dr. Jones did my most recent heart catheterization. Unexplained chest pain, rule out cardiac issue, 3 stents placed Dec . 6th 2018. He told me I am doing so well that I’ve literally reversed some of my blockage; with great doctors and medication, healthy eating [and] exercise. He was wonderful and made me feel great about my efforts to change to healthy living.
Anonymous |

Gail Martin is the best.

I love the staff here, and my doctor, Gail Martin, is the best. She pays attention to every little detail, and I have referred people to her and will continue to do so. My husband of 48 years is a patient [of] hers, too.
D.P. |

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