What Is Advanced Peripheral Artery Disease?

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Hi my legs burn so bad brings transform the top of feet now above my need ice cold I walk all night no sleep sometimes legs are ice cold I know my blood is not flowing right but I can't deal with it much longer I have a doctor muhammed amir k he got me taking GABAPENTIN 300 MG don't work someone help me thanks Joann Harmon.
I would agree with your doctor Muhammed, it's more like a nerve problem. GABAPENTIN seems a right prescription. Your doctor may consider using one more drug with Gabapentin.
See the NY Times yesterday-- article on Gabapentin being ineffective.
Gabapentin does help with some pain I have fibromyalgia bone degenerate disease  osteoporosis osteoarthritis  so I have lots of pain from head to toe oh yes I also have RLS restless legs and room for those who don’t know what that is and the only thing that seems to help me is my pain medication gabapentin only made me fat
do you still have pain?
I think that gabapentin does not relieve pain caused by peripheral artery disease. The treatments for pain caused by peripheral artery disease are:

Medications
Cholesterol-lowering medications. You may take a cholesterol-lowering drug called a statin to reduce your risk of heart attack and stroke. The goal is to reduce low-density lipoprotein (LDL) cholesterol, the "bad" cholesterol, to less than 100 milligrams per deciliter (mg/dL), or 2.6 millimoles per liter (mmol/L). The goal is even lower if you have additional major risk factors for heart attack and stroke, especially diabetes or continued smoking.

High blood pressure medications. If you also have high blood pressure, your doctor may prescribe medications to lower it. Your blood pressure treatment goal should be less than 130/80 mm Hg. This is the guideline for anyone with coronary artery disease, diabetes or chronic kidney disease. Achieving 130/80 mm Hg is also the goal for healthy adults age 65 and older and healthy adults younger than age 65 with a 10 percent or higher risk of developing cardiovascular disease in the next 10 years.

Medication to control blood sugar. If you also have diabetes, it becomes even more important to control your blood sugar (glucose) levels. Talk with your doctor about what your blood sugar goals are and what steps you need to take to achieve these goals.

Medications to prevent blood clots. Because peripheral artery disease is related to reduced blood flow to your limbs, it's important to improve that flow.

Your doctor may prescribe daily aspirin therapy or another medication, such as clopidogrel (Plavix).

Symptom-relief medications. The drug cilostazol increases blood flow to the limbs both by keeping the blood thin and by widening the blood vessels. It specifically helps treat symptoms of claudication, such as leg pain, for people who have peripheral artery disease. Common side effects of this medication include headache and diarrhea.

An alternative to cilostazol is pentoxifylline. Side effects are rare with this medication, but it’s generally less effective than cilostazol.

In some cases, angioplasty or surgery may be necessary to treat peripheral artery disease that's causing claudication:
Angioplasty. In this procedure, a small hollow tube (catheter) is threaded through a blood vessel to the affected artery. There, a small balloon on the tip of the catheter is inflated to reopen the artery and flatten the blockage into the artery wall, while at the same time stretching the artery open to increase blood flow.

Your doctor may also insert a mesh framework called a stent in the artery to help keep it open. This is the same procedure doctors use to open heart arteries.

Bypass surgery. Your doctor may create a graft bypass using a vessel from another part of your body or a blood vessel made of synthetic (man-made) fabric. This technique allows blood to flow around — or bypass — the blocked or narrowed artery.

Thrombolytic therapy. If you have a blood clot blocking an artery, your doctor may inject a clot-dissolving drug into your artery at the point of the clot to break it up.
I have PAD and my symptoms are very much like yours I am having surgery tomorrow to remove blockage in my arteri to return blood flow..
Freezing legs an feet are a blockage in your aorta mine came on fast an was rushed to the hospital you couldn’t touch my legs so cold  go get a Doppler test or dye mri
Did you have surgery and what did they do?
Hi my legs burn so bad brings transform the top of feet now above my need ice cold I walk all night no sleep sometimes legs are ice cold I know my blood is not flowing right but I can't deal with it much longer I have a doctor muhammed amir k he got me taking GABAPENTIN 300 MG don't work someone help me thanks Joann Harmon.
I would agree with your doctor Muhammed, it's more like a nerve problem. GABAPENTIN seems a right prescription. Your doctor may consider using one more drug with Gabapentin.
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