Peripheral Arterial Disease (PAD) Treatment in Prattville, Alabama

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Don’t Let Leg Pain Slow You Down

Peripheral arterial disease (PAD) affects millions of Americans, causing leg pain, cramping, and reduced mobility that can significantly impact your quality of life. At Advanced Vascular and Wound Care in Prattville, Alabama, our board-certified vascular surgeons specialize in diagnosing and treating PAD using advanced minimally invasive techniques and proven surgical approaches.


Don't let leg pain limit your activities or independence. Expert PAD treatment can restore blood flow, eliminate symptoms, and help you return to the active lifestyle you deserve.

What Is PAD?

PAD restricts blood flow to your legs and feet, often causing:


  • Claudication: Pain or cramping while walking that improves with rest
  • Cold feet, numbness, or weakness
  • Sores or wounds that won’t heal


Left untreated, PAD can progress to critical limb ischemia, requiring urgent care to avoid tissue loss or amputation.


Who’s at Risk?


PAD is more common in people who:


  • Smoke
  • Have diabetes, high cholesterol, or high blood pressure
  • Are over age 50
  • Have a history of heart disease or stroke


How We Diagnose PAD


We use advanced, non-invasive tools to assess circulation:


  • Ankle-brachial index (ABI) testing
  • Duplex ultrasound
  • CT or MR angiography


Screening is recommended if you have risk factors or symptoms like leg pain when walking.

Symptoms and Stages

Early Stage: Leg cramping, pain, or fatigue during walking that improves with rest (claudication). Pain typically occurs in calves but may affect thighs or buttocks depending on blockage location.


Moderate Stage: Shorter walking distances before pain onset, longer rest periods needed for pain relief, and potential numbness or weakness in legs.


Severe Stage: Pain at rest (especially at night), non-healing wounds on feet or legs, coldness in lower leg or foot, and potential tissue death (gangrene) requiring amputation.


Critical limb ischemia represents the most severe form, requiring urgent intervention to prevent limb loss.

Treatment Options for PAD

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Angioplasty & Stenting:

Minimally invasive options to reopen blocked arteries using small catheters and mesh stents.

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Atherectomy:

Removes hardened plaque from arteries for better blood flow.

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Surgical Bypass:

Creates a new route around blockages using a vein or graft—best for severe or complex disease.

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Medical Management:

Medications and lifestyle changes to manage PAD and prevent progression.

Benefits of Treatment

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Immediate Relief:

Most patients experience improved walking and reduced pain.

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Minimally Invasive Options:

Same-day procedures with quick recovery.

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Long-Term Results:

Modern techniques offer durable outcomes and help prevent limb loss.

Why Choose Advanced Vascular & Wound Care?

Dr. Justin Parden is board-certified in Vascular Surgery with extensive experience treating all stages of PAD. Our Prattville facility features advanced endovascular equipment and hybrid operating rooms, allowing for both minimally invasive and surgical treatments in one location.


We provide comprehensive care from initial diagnosis through complete recovery, including wound care services for PAD-related foot problems. Our multidisciplinary approach coordinates with podiatrists, endocrinologists, and primary care physicians for optimal outcomes.

Recovery and Prevention

Recovery Expectations

Endovascular procedures typically allow same-day discharge with return to normal activities within days. Surgical bypass requires 3-5 day hospitalization with 4-6 week recovery period. Most patients experience significant symptom improvement and increased walking distance after successful treatment.


PAD Prevention and Management

Prevention strategies include smoking cessation (most important), regular exercise within pain limits, diabetes control, blood pressure management, cholesterol reduction, and proper foot care. We provide comprehensive education and support for lifestyle modifications essential to long-term success.

Frequently Asked Questions

  • How common is peripheral arterial disease?

    PAD affects over 8 million Americans, with prevalence increasing with age. Up to 20% of people over 65 have some degree of PAD, though many don't experience symptoms initially.

  • Is leg pain always a sign of PAD?

    Not all leg pain indicates PAD. However, cramping pain during walking that improves with rest is highly suggestive of PAD and should be evaluated, especially in patients with risk factors.

  • Can PAD be cured?

    While PAD cannot be completely cured, it can be effectively treated and managed. Procedures can restore blood flow and eliminate symptoms, while medical management prevents progression.

  • What happens if PAD goes untreated?

    Untreated PAD typically worsens over time, leading to shorter walking distances, rest pain, non-healing wounds, and potential amputation in severe cases. Early treatment prevents these complications.

  • How successful are PAD treatments?

    Success rates are excellent, with over 90% of patients experiencing symptom improvement. Endovascular procedures have high technical success rates, while bypass surgery provides durable long-term results.

  • Will I need multiple procedures?

    Some patients require additional procedures over time as PAD can progress or treated areas may re-narrow. However, initial treatment often provides years of symptom relief.

  • Can I exercise with PAD?

    Yes, supervised exercise therapy is actually beneficial for PAD patients. Walking programs can improve symptoms and increase walking distance, even without procedures.

  • How long do stents last in leg arteries?

    Leg artery stents typically remain open for many years. Patency rates are generally 80-90% at one year and 70-80% at five years, depending on location and patient factors.

  • What's the difference between angioplasty and bypass surgery?

    Angioplasty is minimally invasive, using catheters to open blockages from inside arteries. Bypass surgery creates a new pathway around blockages using grafts. Choice depends on blockage characteristics and patient factors.

  • Will PAD treatment prevent heart attacks?

    While PAD treatment focuses on leg circulation, the medications and lifestyle changes recommended for PAD also reduce heart attack and stroke risk since these conditions share similar causes.

Schedule Your PAD Evaluation

Don't wait for symptoms to worsen. Call (334) 659-4717 to schedule your PAD consultation with Central Alabama’s trusted vascular experts at Advanced Vascular & Wound Care—helping patients in Prattville, Montgomery, and surrounding areas walk comfortably again.

Call (334) 659-4717