Peripheral Artery Disease (PAD): A Silent Threat to Foot and Vascular Health

by | Nov 15, 2025

Peripheral Artery Disease (PAD) is a common yet often overlooked circulatory condition that affects millions of Americans, particularly those over 50 and individuals with diabetes or high cholesterol. PAD occurs when narrowed arteries reduce blood flow to the limbs—most commonly the legs and feet. While it might begin with mild leg discomfort, PAD can develop into a serious health issue, increasing the risk of ulcers, infections, delayed wound healing, and in severe cases, amputation.

At Capital Foot Care, we take PAD seriously. Our team of experienced podiatrists—Dr. Muhammad A. Khalid, DPM, Dr. Fritz-Andre Duterlein, and Dr. Herman Zarate—offer expert, multidisciplinary care for patients struggling with symptoms of PAD. With offices conveniently located throughout Maryland and Washington DC, we are committed to helping our patients maintain strong circulation, healthy feet, and an active lifestyle.

The Connection Between PAD and Foot Health

PAD primarily affects the arteries that supply blood to the lower limbs. As these arteries become clogged or narrowed due to plaque buildup (a condition called atherosclerosis), circulation becomes restricted. The lack of adequate blood flow can starve the muscles and tissues in the feet and legs of oxygen and nutrients, impairing their ability to heal and function properly.

Common symptoms of PAD include:

  • Cramping or pain in the legs during walking (claudication)
  • Numbness or weakness in the legs
  • Coldness in the lower leg or foot
  • Slow-healing wounds or ulcers on the feet or toes
  • Skin discoloration or shiny skin on the legs

These symptoms may progress gradually, which is why PAD is sometimes called a “silent disease.” Without timely intervention, PAD can worsen and lead to severe complications.

Early Detection Can Save Lives

One of the most important factors in managing PAD is early diagnosis. At Capital Foot Care, our providers conduct thorough vascular assessments during routine foot exams. These may include:

  • Ankle-Brachial Index (ABI) tests to compare blood pressure in the ankle and arm
  • Doppler ultrasound imaging to check blood flow in the arteries
  • Visual and tactile foot inspections to detect changes in skin color, temperature, or wound healing

Because PAD shares risk factors with diabetes, high blood pressure, and high cholesterol, we often work in collaboration with primary care physicians and cardiologists to create a unified treatment plan.

Expert Treatment Options at Capital Foot Care

If PAD is diagnosed, our experienced podiatrists offer comprehensive and personalized care plans designed to slow disease progression, reduce symptoms, and prevent complications. Treatment options include:

  • Lifestyle changes such as smoking cessation, diet modification, and weight management
  • Supervised exercise therapy to improve circulation and reduce leg pain
  • Foot wound care for ulcers and infections caused by reduced blood flow
  • Prescription medications to control blood pressure, cholesterol, and prevent blood clots

In advanced cases, we refer patients for interventional procedures like angioplasty or vascular surgery in coordination with vascular specialists.

Meet Our Trusted Doctors

Our providers at Capital Foot Care bring years of expertise and compassion to every patient encounter.

  • Dr. Muhammad A. Khalid, DPM is a board-certified foot and ankle surgeon with a strong focus on diabetic foot care, PAD management, and preventive vascular screening.
  • Dr. Fritz-Andre Duterlein brings a comprehensive approach to conservative and surgical care, treating complex lower extremity conditions.
  • Dr. Herman Zarate specializes in wound care and chronic foot conditions, particularly those related to diabetes and poor circulation.

Together, our team delivers high-quality, patient-centered foot and vascular care you can trust.

Convenient Locations and Comprehensive Services

We proudly serve patients throughout Maryland and Washington DC with offices located in Riverdale, Takoma Park, Largo, and two Washington DC locations. Our services include:

  • Peripheral Artery Disease (PAD) evaluations
  • Diabetic foot care
  • Advanced wound care
  • Routine foot care
  • In-office foot surgery
  • Sports medicine

Don’t wait until foot pain or slow-healing wounds become a major issue. Let Capital Foot Care help you take control of your vascular and foot health.

Schedule your appointment today by calling 301-927-3668 or emailing [email protected].

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