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Peripheral vascular disease (PVD) is a slow and progressive circulation disorder. Narrowing, blockage, or spasms in a blood vessel can cause PVD.

PVD may affect any blood vessel outside of the heart including the arteries, veins, or lymphatic vessels. Organs supplied by these vessels, such as the brain, and legs, may not get enough blood flow for proper function. However, the legs and feet are most commonly affected.

Peripheral vascular disease is also called peripheral arterial disease.


Identifying the cause of your pain using a combination of clinical examination and imaging technologies. Once the cause of pain is identified, we target our therapies using precision-based and minimally invasive injections on a daycare basis. Attention to detail and having all aspects of pain covered is our motto in providing pain control and long-term favorable patient outcomes.


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Multiple methods (medications, angioplasty and open surgical procedures) may be used by your vascular surgeon to re-establish the blood flow. This relieves the pain and more importantly saves the limb.

However in certain situations you may be referred to the pain clinic by your vascular surgeon to control pain while the root cause of the problem is being dealt with.


Pain management options in peripheral vascular disease.

As with any pain problem your pain physician will use a multimodal ( using more than one medication/strategy) to control the vascular pain. This not only minimises the adverse effects of the pain medications but also improves pain relief and thus patient satisfaction.

Multiple pain medications which can be used safely will be prescribed to you under the guidance and discretion of your pain physician. These will be regularly monitored and care will be taken to titrate them to the lowest possible dose to minimise side effects.


Interventional pain management ( minimally invasive injections) to interrupt the pain signals in the pain pathway can be used to achieve medium and long term pain relief too. Most commonly, a procedure called Lumbar sympathectomy is done in suitable patients.

These are small nerves that are present on either side of your spine and interrupting these nerves can provide pain relief. Multiple methods (local anesthetic alone, alcohol or radiofrequency current) can be used to provide pain relief.

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