Peripheral Vascular Disease

Overview

This condition usually presents with symptoms of not being able to walk for long distances, not being able to climb up stairs, cold feelings in the legs and arms, poor hair and nail growth, and discoloration in the hands and feet. A serious consequence is cuts and open wounds failing to heal properly or the development of small ulcers. Both Buerger's disease and arteriosclerosis of the peripheral vessels may present similar symptoms. In severe cases, pain on rest may occur as well.

A second peripheral vascular disorder that shares many symptoms and characteristics with the above is Raynaud's Phenomenon (and full blown Raynaud's Syndrome). Most commonly there is spasm of the arteries to the fingers and toes. Initially, they turn white and then progress to patchy red or blue.

Conventional therapies are rather ineffective. Management is essential so as to prevent gangrene that, on occasion, complicates this condition. Rarely, the vessels of the lung may be involved so that breathing in of cold air results in coughing spells. The condition may remain dormant for years and then suddenly resurface. Since this condition may be caused on occasions by exposure to cold, or from repetitive movements, or vibratory movements such as drilling, chopping, or typing - these precipitating actions should be avoided. Other associated conditions should be managed and/or avoided:

  • Conditions giving rise to peripheral vascular disease
  • Auto-immune diseases with which Raynaud's may be associated, most commonly Scleroderma, S.L.E and Rheumatoid Arthritis
  • Rule out Hypothyroidism
  • Raynaud's may rarely be associated with Pulmonary Hypertension
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Symptoms

  • Not being able to walk long distances
  • Inability to climb stairs
  • Cold sensation in legs/arms
  • Poor hair and nail growth
  • Discoloration of hands/feet
  • Cuts/open wounds failing to heal
  • Development of small ulcers
  • Symptoms worsen at night/make it hard to fall asleep

*This is not a complete list and if you are experiencing these symptoms it is not guaranteed you have Peripheral Vascular Disease.

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Management Plan

We approach these conditions aggressively employing Intravenous Chelation Therapy. IV Chelation benefits almost all sufferers, and has the added advantage of removing any heavy metals, which may be contributing to the disease. Intravenous Chelation has other benefits as well: it eliminates 50% of any associated arrhythmias, improves memory, vision, and concentration, protects against iron overload and improves kidney function.

Our belief is that inflammation plays a major role in this cardiovascular condition therefore we employ nutritional therapy against inflammation, in addition to Chelation Therapy. The best candidates are those who do not have 100 % occlusion.

The management protocol includes:

  • Normalizing blood pressure
  • Administering a blood "thinner" such as Nattokinase or Ginko Biloba
  • Supplements that promote vascular relaxation
  • Reduce underlying Oxidative Stress
  • Natural anti-inflammatories
  • Adoption of a nutritional diet, and elimination of foods that increase inflammation or oxidative stress
  • Nutritional supplementation with vitamins, minerals and essential fatty acids

Managements we employ include:

  • Behavioral strategies of avoidance of offending occupations or situations
  • Reduce underlying stress levels
  • Calcium channel blockers such as Nifedipine
  • Natural vasodilators
  • Detailed nutritional supplementation
  • HBOT and Peripheral Vascular Disease

    HBOT raises the oxygen tension in poorly, or marginally perfused peripheral tissues. The cellular metabolism is improved when it is compromised due to the lack of oxygen. HBOT can play a very useful role in patients suffering from ischemic peripheral vascular disease (ischemic leg pain). At the Houston Wellness Clinic, we combine HBOT with intravenous chelation, oral chelation, and intravenous extraction of cholesterol with phospholipid exchange. We have noted marked improvement in patients' symptomatology, which often prevents the necessity for expensive, painful vascular surgery. This non-invasive therapy is of great utility especially in older patients who are poor surgical risks.

    HBOT is probably the management of choice in poorly-healing peripheral ulcers due to compromised blood flow( not infrequently seen in diabetics) . Following vascular surgery, backflow issues compromise healing and a positive surgical outcome. HBOT helps in the salvage of limbs when this occurs.

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    If we fill our hours with regrets of yesterday and with worries of tomorrow, we have no today in which to enjoy our existence. Seize the day, and take control of your health and life. How you are going to live those tomorrows will depend on how you act and choose today. - George Allibone M.D.