New Jersey Vein & Vascular Center
AMI's Specialists Serving All of New Jersey Providing Minimally Invasive Endovascular Treatment

New Jersey Peripheral Arterial Disease Treatment

Don’t Accept Pain as Your New Way of Life

Peripheral arterial disease (PAD) affects around 20 percent of Americans over the age of 65. As cholesterol and scar tissue accumulates over the years, plaque builds up and begins to clog the arteries. The clogged arteries cause decreased blood flow to the legs, which can result in pain when walking, and eventually gangrene and amputation.

Because atherosclerosis affects the body as a whole, individuals with PAD are likely to have blocked arteries in other areas of the body. Thus, those with PAD are at increased risk for:

  • Heart disease
  • Aortic aneurysms
  • Stroke
  • Diabetes
  • Hypertension

When faced with the symptoms of PAD many people simply assume the pain is part of the aging process and accept it as their new normal. However, there are many options available to you to combat the discomfort and better your overall health. If you are experiencing chronic pain in your legs, we urge you to contact our New Jersey vascular and endovascular surgical specialists at The Vascular Institute at AMI to learn how peripheral arterial disease treatment can help improve your daily quality of life.

We are available to meet with you at any of our three locations across New Jersey. Contact our Brick, Galloway, Cape May Court House or Vineland today at (877) 595-9512.

How to Recognize Symptoms of PAD

The most detectable symptom of PAD is cramping that typically occurs in the legs or hips and is often experienced when engaged in a physical activity such as exercising, or even simply walking. Additionally, you may feel numbness, tingling, or weakness in your legs or feet.

Other symptoms include:

  • Cold legs/feet
  • Burning or aching pain in feet/toes
  • Sore or wound on leg/foot that won’t heal
  • Color change in skin on legs/feet
  • Loss of hair on legs
  • Night pains in legs/feet that inhibits sleep

Many people simply live with their pain, assuming it is a normal part of aging, rather than reporting it to their doctor.

Risk Factors

Those who are at highest risk for PAD are:

  • Over age 50
  • Smokers
  • Diabetic
  • Overweight
  • Inactive (and do not exercise)
  • Have high blood pressure or high cholesterol or high lipid blood test
  • Have a family history of vascular disease, such as PAD, aneurysm, heart attack or stroke

Reach out to us at (877) 595-9512 today with any questions you may have. Our New Jersey endovascular experts look forward to hearing from you!


Lifestyle Changes

Often PAD can be treated with lifestyle changes. Smoking cessation and a structured exercise program are often all that is needed to alleviate symptoms and prevent further progression of the disease.


Medications that lower cholesterol or control high blood pressure may be prescribed. Medication also is available that been shown to significantly increase pain-free walking distance and total walking distance in individuals with intermittent claudication. Other medications that prevent blood clots or the buildup of plaque in the arteries are available as well.


Research has shown that supervised regimented exercise programs can improve symptoms of claudication. This should be attempted for at least three months for any occupational or vocational life limiting claudication prior to considering invasive therapies.

Angioplasty and stenting

Interventional radiologists pioneered angioplasty and stenting, which was first performed to treat peripheral arterial disease. Using imaging for guidance, the interventional radiologist threads a catheter through the femoral artery in the groin, to the blocked artery in the legs. Then the interventional radiologist inflates a balloon to open the blood vessel where it is narrowed or blocked. In some cases, this is then held open with a stent, a tiny metal cylinder. This is a minimally invasive treatment that does not require surgery, just a nick in the skin the size of a pencil tip.

Balloon angioplasty and stenting have generally replaced invasive surgery as the first-line treatment for PAD. Early randomized trials have shown interventional therapy to be as effective as surgery for many arterial occlusions, and in the past years, a very large clinical experience in centers throughout the world has shown that stenting and angioplasty are preferred as a first-line treatment for more and more processes throughout the body.


With this treatment, a tiny catheter is inserted into the artery at the site of blockage that is able to “shave” or “cut” the plaque from the inside of the artery and remove it from the patient.


Ankle Brachial Index

The ABI is a simple, painless test that compares the blood pressure reading in the arm and ankle. It is a direct measure of fatty plaque buildup in leg arteries and an indirect gauge of plaque accumulations throughout the entire cardiovascular system. This method is entirely non-invasive and completely painless.

The blood pressure in your arms and ankles is checked using a regular blood pressure cuff and a special ultrasound stethoscope called a Doppler. The pressure in your foot is compared to the pressure in your arm to determine how well your blood is flowing and whether further tests are needed.

Because atherosclerosis is a systemic disease, individuals developing plaque in their legs are likely to have plaque building up in the carotid arteries, which can lead to stroke, or the coronary arteries, which can lead to heart attack. Early detection of PAD is important because these individuals are at significantly increased risk, and preventive measures can be taken.

An individual with an ABI of 0.3 (high risk) has a two- to three-fold increased risk of five-year cardiovascular death compared to a patient with an ABI of 0.95 (normal or low risk).


Sound waves are used to measure blood flow in the arteries and determine whether there is a blockage.

Computed Tomography (CT) Angiography or Magnetic Resonance Angiography

Both tests produce images of arteries; the CT exam uses X-rays, while the MRA does not. For both exams, a patient may be injected with a dye or other contrast agent to make the arteries more visible.

Vascular Disease Testing And Screening

The Vascular Institute offers ABI screenings. We invite you to schedule your ABI test today so that we can start your peripheral vascular disease treatment tomorrow.

If you do not currently have symptoms that does not mean you are not at risk for vascular disease. If you have risk factors such as:

  • Age 65 or older
  • Age 50 or older with high cholesterol, diabetes, or smoking history
  • Strong family history of heart or vascular disease or aortic aneurysm

If you have symptoms you should consider getting an ABI test to see if they are related to peripheral vascular disease.

Symptoms include:

  • Pain in the thigh, calf or buttocks with walking certain distances
  • Non-healing wounds on your feet or lower extremities
  • Pain in the leg or foot while resting relieved by hanging over the bed

PAD Patient Forms

If you have a PAD appointment, please print and complete the following patient forms. Please bring the completed forms to your appointment.

Reach out to us at (877) 595-9512 today with any questions you may have. Our New Jersey endovascular experts look forward to hearing from you!

Providing the Highest Quality Vascular Care Possible

Why Trust AMI's Specialists?
  • Experts in
    Endovascular Care

    Our leading doctors have over 100 years of experience and expertise in minimally invasive vascular care.

  • State-of-the-Art

    Patients can receive state-of-the-art, progressive care at one of our four offices, conveniently located in New Jersey.

  • Peripheral Vascular (ABI) Screenings

    Early detection of a vascular condition affords us the ability to catch and treat the symptoms ahead of time.

  • Comprehensive Treatments & Procedures

    As AMI's Specialists, we perform a broad range of procedures to treat all types of vascular and vein disorders.