A patient with peripheral arterial disease (PAD) often benefits from regular exercise. A number of factors may prevent the patient from engaging in exercise. It is important to evaluate the patient prior to starting an exercise program so that barriers can be identified and addressed.


Barriers to exercise in a patient with PAD:

(1) not believing that exercise will eventually improve walking ability

(2) severe deconditioning

(3) severe claudication pain

(4) severe COPD

(5) foot lesions (diabetic ulcers, etc)

(6) other causes of poor mobility (stroke, arthritis, morbid obesity, etc)


Benefits of exercise for the patient with PAD:

(1) improved cardiorespiratory status

(2) better blood rheology

(3) more efficient muscle metabolism

(4) reduced exercise-induced inflammation


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