Peripheral Vascular Disease (PVD) and lymphoedema are both conditions that can significantly impact one's quality of life, and they often go hand-in-hand in the realm of vascular health. At SG Vascular Centre, we specialize in providing a range of treatments to manage these conditions. Our team of expert vascular surgeons is committed to offering holistic care, incorporating both endovascular and surgical solutions, to ensure that patients receive the best possible outcomes.

In this article, we will delve into the causes, symptoms, and treatments for peripheral vascular disease and lymphoedema, helping you better understand these vascular conditions and the vital role timely intervention plays in managing them.

What is Peripheral Vascular Disease (PVD)?

Peripheral Vascular Disease, often referred to as Peripheral Arterial Disease (PAD), is a condition where the blood vessels outside the heart and brain become narrowed or blocked. This impedes blood flow to various parts of the body, especially the limbs, and can lead to serious complications if left untreated.

Causes of PVD: The primary cause of PVD is atherosclerosis, where plaque builds up inside the arteries, narrowing them and reducing blood flow. Risk factors include smoking, high blood pressure, high cholesterol, diabetes, and a sedentary lifestyle. As the arteries become more blocked, the affected limbs may not receive enough oxygen and nutrients, leading to tissue damage.

Symptoms of PVD:

• Pain, cramping, or fatigue in the legs, especially during walking or exercise
• Numbness or weakness in the limbs
• Coldness in the lower extremities
• Wounds or ulcers that are slow to heal
• Pale or blue-colored skin on the legs or feet

If you experience any of these symptoms, it’s important to consult a vascular specialist. Early diagnosis and intervention can prevent the progression of PVD and reduce the risk of more severe complications, such as stroke or heart attack.

What is Lymphoedema?

Lymphoedema is the swelling that occurs when the lymphatic system is unable to drain lymph fluid properly. This can lead to the accumulation of fluid, causing swelling, particularly in the arms and legs. Unlike other forms of swelling, lymphoedema is a long-term condition that can worsen over time without proper management.

Causes of Lymphoedema: Lymphoedema can occur due to a variety of factors, including:

• Primary lymphoedema: A congenital condition where the lymphatic system doesn’t develop properly.
• Secondary lymphoedema: Often the result of damage to the lymphatic system, which can occur after surgery, radiation therapy, or infections.

In some cases, PVD can contribute to or exacerbate lymphoedema, as poor circulation due to blocked arteries can hinder the flow of lymph fluid.

Symptoms of Lymphoedema:

• Persistent swelling, often starting in the feet or legs
• Heaviness or tightness in the affected area
• Limited range of motion in the swollen limb
• Skin changes, such as thickening or hardening of the skin
• Increased risk of infections in the swollen area

The Link Between PVD and Lymphoedema

PVD and lymphoedema may seem like separate conditions, but they share a critical connection. Poor blood circulation in PVD can hinder the proper functioning of the lymphatic system, which may lead to or worsen lymphoedema. The lack of oxygen and nutrients in the tissues can also affect the ability of the lymphatic system to drain excess fluid, exacerbating the symptoms of lymphoedema.

Treatment Options for PVD and Lymphoedema

At SG Vascular Centre, we offer a range of treatments tailored to manage both peripheral vascular disease and lymphoedema:

1. Endovascular Treatments for PVD:

• Angioplasty: A minimally invasive procedure to open up blocked arteries using a balloon catheter.
• Stent Placement: In some cases, a stent may be inserted to keep the artery open.
• Medications: To manage underlying risk factors such as high cholesterol, high blood pressure, or diabetes.

1. Surgical Treatments for PVD:

• Bypass Surgery: For more severe cases, bypass surgery may be required to create an alternative route for blood flow.
• Arterial Endarterectomy: A surgical procedure to remove plaque from the affected artery.

1. Lymphoedema Management:

• Compression Garments: Specially designed garments to help reduce swelling and improve lymphatic drainage.
• Manual Lymphatic Drainage (MLD): A gentle massage technique that stimulates the flow of lymph fluid.
• Exercise and Elevation: Regular movement and elevating the affected limb can aid in reducing swelling and improving circulation.

1. Integrated Care: Our holistic approach includes collaboration between vascular surgeons, lymphoedema therapists, and other healthcare professionals to ensure comprehensive care for both conditions.

Conclusion: A Path Toward Better Vascular Health

While Peripheral Vascular Disease and lymphoedema can present significant challenges, they are manageable with early diagnosis, proper treatment, and a proactive approach to vascular health. At SG Vascular Centre, we are committed to providing patients with effective treatment options and personalized care to address the full spectrum of vascular issues.

If you are experiencing symptoms related to PVD or lymphoedema, it is essential to seek expert guidance. By taking action early, you can reduce the impact these conditions have on your life and enjoy a better quality of health. Take the first step today by consulting our specialists and exploring the range of advanced treatments available for you.