Walking and Peripheral Artery Disease | Dr. Anahita Dua

[@smileyuy5634]

I went for life line screening today.. I'm 65 loves walking 5k+ 10 k + steps, I don't feel any pain.. I feel young I don't take any meds, I don't need them, no vaccines, good lifestyle.. I feel great.. Praise the Lord Jesus.. ❤🙏

[@TheWayToMyHeart]

Good for you! Love Lifeline Screenings! And walking is the best medicine to grow your natural bypasses! Good for you!!!!! Taking 'steps' to good health!

[@dougfox9649]

Hooray for you and your high horse. Jesus was supposed to be humble.

[@TheWayToMyHeart]

@@dougfox9649everyone progresses at their own pace. Sometimes your progress is dependent upon when your doctor diagnoses pad, if they help you discover what’s lighting your arteries on fire, and provide you the right medication, supplement, diet, and exercise support. If you ever need support let us know! We are here to help!

[@robinsmith8846]

Wow this doc is fantastic! I mean doubled boarded and so enthusiastic about her work.

[@oldbiker9739]

this women loves what she does

[@PHIE2024]

One of the best video on the PAD. Dr. Dua is absolutely amazing. Thank you.

[@rogerrobbins7517]

Inspiration! Thank you. Great explanation of the importance of pain as a signal that your walking is about to generate more blood vessels to combat the lack of blood supply. Dr please spread your enthusiasm - you are great motivator.

[@TheWayToMyHeart]

She is an incredible doctor! Also a 2023 Presidential Scholar of the Year!

[@rogerrobbins7517]

@@TheWayToMyHeart Imagine what Dr Dua's talk could do for the whole nation's health and well-being. Pulling no punches gives people the stark choices they face. And then to state clearly the interventions and at least people have a glass half-full afterwards. Supreme evangelism.

[@TheWayToMyHeart]

@@rogerrobbins7517 I totally agree with you! Doctors need to do a better job truly talking to people and laying things out in a way that motivates.

[@salimkamal5029]

Fantastic Lecture

[@imeldapearce]

very inspiring, thank you dr. Dua

[@deweyrivers4433]

Thank you so much for taking the time to explain everything. Now I have more hope! Now all I have to do is find a vascular surgeon in east Texas with your brilliant mind-set and true desire to help without (unnecessary)””invasive interventions.

[@TheWayToMyHeart]

We can help if you'd like. Go to www.thewaytomyheart.org and click on the find a doctor page. You can also call the leg saver hotline for real-time help 415-320-7138.

[@DavesNotHome]

Thank you for this good information.

[@dorothymiller7519]

Amazing video! So glad my search led me to you. This makes allkinds of sense. You have allowed me to AVOID another stent procedure. I will walk now, because it is so clear what i need to do. Thank you with all my heart.

[@TheWayToMyHeart]

This is such incredible news! If you haven't joined our walking group, please join and feel the motivation with other folks with PAD walking to better health: facebook.com/groups/padwalkingsupport

[@warrenpitman]

Howitz 10:48😮😊

[@BlueJeans1952]

Wow you need to come to my country. Your compassion and passion for ppl is just GOD sent. I live trinidad. Am in the catergory of PAD.

[@TheWayToMyHeart]

Dr. Dua is a special lady. She motivates us all! The good news is that we've had so many success stories of people really pushing through and persevering with PAD through regimented walking!

[@bobbond3557]

I like you, you seem like a great Dr.. Thank you for all the information.

[@Berry_N]

That shopping cart hint is spot on.

[@tammysaur7891]

Thank you so much I've had a couple of drs say this to me but didn't say anything else All try toapeak upon answerrs I'm get I found you 😊

[@alankeating1607]

Excellent video you are giving me a lot of hope

[@TheWayToMyHeart]

Join our group with fellow PAD warriors taking steps to grow collaterals: facebook.com/groups/padwalkingsupport

[@SuperThunder911]

Thank you Doctor 💪❤️

[@cooterhead_jones]

Does bicycling an hour,each day have the same beneficial,effect?

[@tonydiano892]

So informative ! Thank you Doc.

[@anthonypritchett2865]

Excellent lecturer and lecture.

[@TheWayToMyHeart]

Many thanks! She is going to do another one of these this summer with some new analogies. We challenged her to find new ways to motivate and she is meeting the challenge!

[@mehdimajedi6681]

Well done!

[@benedettocracolici197]

She's 1000 percent right

[@thomasfraser9072]

Fantastic and extremely informative video! l am 76 years old and could just now stand walking around my house for 5 minutes and got SOB while doing so. At my VA Hospital I had the Bp test of the four extremities and it was normal. So did not speak to a vascular surgeon as of yet. Should I seek further evaluation and possibly a surgical intervention? I had a double bypass in 2018 due to The Widow Maker. My ascending Aorta is 4.5 I am 10 percent service connected Vietnam Vet who drank the toxic water at Camp Lejuene and was recently diagnosed with MGUS after I insisted on being tested. I was also exposed to Agent Orange in Vietnam. My VA doctor seems to only wish to monitor me for Multiple Myeloma and seems to not want to diagnose me with PAD or acknowledge neurological conditions related to MGUS such as left Carpal Tunnel Syndrome, cervical stenosis which I have been diagnosed with. I also believe my current MGUS shows I acquired a secondary immune deficiency disease as well Thanks for reading. Frustrated in NH

[@TheWayToMyHeart]

Hi Thomas, go ahead and reach out to us and we can help free. Email [e-mail] or call our leg saver hotline and we can help 415-320-7138

[@giibson888]

This is very helpful to me🎉

[@tinasouza9670]

i am starting with eclipse leg exerciser have pad

[@paulschafer4651]

I live in London and never knew any of this ,I thought I was suffering from plantar facitus but I already had two stents in the heart and suffer from ed so all this makes sense,I can walk about 1/4 mile but at the end my foot fills like I’m standing on stones and my calf is tight and painful ,I’m starting today with the walking and hope it works 🙏

[@TheWayToMyHeart]

Walking is truly the best medicine! And if you are committed, you will improve the walking distance and symptoms. It's important to also check with your doctor to see if any medicines will help. Certainly dietary changes can make a big difference as well. Here is a short version of Dr. Dua we just posted last night if you want to watch:kzbin.info/www/bejne/kHOTeIuljJWJr8U

[@georgecav]

Great doctor bur not sure about the shopping trolley lean and if it eases your pain it's at least partly back related. Bending forward depending how you do it can also increase pressure and increase or at least not mitigate discogenic pain

[@rogelioortega4225]

Thanks? Real good information.

[@TheWayToMyHeart]

Glad it's helpful! This may also be helpful for you, our fun walking newsletter: simplebooklet.com/industrypaddyspostwalkingspecial

[@samteng1299]

Iam 63 yrs old and have cramps pains on my fleet awhile driving my car. I have pains cramp on my fleet awhile sleep. I had to reach for my fleet and pull towards my body and after awhile the pains disappear. Is this PDA and I do alot jogging for 7km and frequency change new shoe when there is pain. Pls advice. TQ

[@frankmucci214]

Very informative thanks

[@rosedecaro]

@thewaytomyheart Thank you so much! I’m from Canada Toronto Vaughan, I have M.S. and I’ve been fine for 25 years no meds always exercised but now at 65 I’m having circulatory issues in my calves and my feet feel sleepy and cold feel like legs are going to give out - my family dr is referring me to a vascular Specalist called One Vascular they are located in Sunnybrook- I’m wondering if it’s bc I have fallen into a slump of not exercising since my very bad Covid case where I had a double pneumonia and I was hospitalized for 3 weeks, they gave me a needle daily in my tummy (trombone) to stop me from getting blood clots - I’m wondering if this is a combo of a lingering effect from my bad Covid case in 2021 and my M.S. now? Yu are an amazing Dr thank you for your KZbin. ❤

[@aliensoup2420]

My dr. told me that carbohydrates are the cause of arterial blockage, not fat. I have been healthy and active all my life, and used my legs A LOT. I thought I maintained a proper diet avoiding excessive fat and sugar. I ate carbs in the form of bread, cereal, grains, and fruit. Now I am told to go on a KETO diet of high fat and low carbs. What is the reality?

[@disinformationworld9378]

Reality is processed carbs (including bread and cereal) are the problem. Carbs are sugar.

[@jamesbattista1466]

Agree! She lost me when she said eating a big fat Cinnabon was Okay with her. Consumption of processed and ultra processed foods, such as high carb grains, starches, sugars, and even industrial seed oils are the main cause of the inflammation and metabolic dysfunction that might lead to claudication of the extremities. TREAT THE ROOT CAUSES, DR., not the symptoms. Prevent PAD in the first place, instead of encouraging collateral vessel growth as a treatment

[@zosildachytan1388]

Im taking now gabapentine 300 mg..is it safe.pls advice?

[@johnwallace91]

I am 88 years old. I can only walk about 100 metres before I get pain in my legs but if I use a walker I can walk 500 metres before I have to rest for a couple of minutes before walking another 500 metres. Is this typical of intermittent claudination?

[@benedettocracolici197]

Im 65 im going to get my second bypass on my right leg, it's clogged 90 percent, but the funny thing is that i have no pains on my leg when i walk, how do explain that? I think she's right, by walking alot and it hurts , I must grew new small vessels where I got decent blood flow . Sometimes they also called spider vains.

[@TheWayToMyHeart]

Why are they doing another bypass if there's no symptoms? Sounds like you have been doing a great job building collateral vessels! Also, have you checked to see, if it is 90% blocked, whether they might be able to suck the clots out in a minimally invasive way? Have you sought a second opinion? We've seen blocked bypasses never need to be opened up because the individual ended up persevering with pad and building their own collateral network of vessels. Happy to discuss if you contact our leg saver hotline for free support 415-320-7138

[@margaritaorlova6697]

What about the difference between the pain of the PAD vs the pain of arthrosis? I believe I have got both; first the PAD pain, then the the pain of arthritis? Thank you for your answer!

[@TheWayToMyHeart]

The pain from pad typically is more of a cramping sensation that comes on when you are walking and is relieved at rest.

[@drsamkim]

Can you explain why walking is the solution compared to others like running or swimming?

[@TheWayToMyHeart]

It's what researchers have studies. I haven't seen research on running or swimming. They say it's because of the way in which the muscles are used. I would suggest following Kevin Morgan, PAD patient, Ironman, and PhD athletewithstent.com/the-art-of-running-with-peripheral-arterial-disease-pad/

[@MichelleWatkins2]

I am in the very early intermittent claudication phase. I actually very rarely have pain. I do not smoke. Bp is great. Lipid panel is perfect. My dr ordered a baby asprin and statin. I was shocked. Is a statin necessary at this very early point? Im walking, im losing weight, my diet is great.

[@danniemcculloch9292]

No woman, no matter what, should take a statin. The side effects are terrible

[@iconindia1139]

My LAD having chronic total occlusion and doctors said nothing can be done on it but i can able to do my daily activities including driving etc without any issues.But I can't climb steps or walk continuously for more than 15 minutes.If i walk continuously for more than 15 minutes pain occurs on the back side of my body. Now i am on medication.Any advice for me to develop collateral arteries? Whether walking walking help me?

[@TheWayToMyHeart]

Does your hospital have a cardio rehab program? It's best for you to be doing supervised exercise to ensure you are safely and effectively building those collateral vessels. If you want to discuss further, go to padhelp.org and submit a form on our website so we can ask you some additional questions and see if we can get a coronary CTO specialist to offer some critical questions to discuss with your cardiac team.

[@Gary69878]

Are you saying smoke weed instead of cigarettes?

[@chixbleau7321]

Yes yes yes

[@zosildachytan1388]

Thank you doc for your advice..how about if i have some spasm on my leg but not painful..like i feel its muscle or nerve like that

[@TheWayToMyHeart]

have you gotten a leg artery ultrasound to see if anything has changed in your condition?

[@depinder]

4:40 thats what I wanted to hear. ok I will push myself :)

[@robinsmith8846]

Treadmill? How xan people start healing if it is weakness, not pain that has made you stop walking too much, no wounds at all.

[@TheWayToMyHeart]

You might also want to ask for an orthopedic consult to check your spine at that point. Make sure your vascular doctor and orthopedic doctor are in direct communication about your case following the consult to help determine which symptoms are vascular vs potentially from back issues to agree on the best course of action to keep you on your feet. If you need help coming up with critical questions to ask either physician, call our leg saver hotline at 415-320-7138

[@floroma2820]

Are you saying if you push through the pain, new pathways would rebuild and eventually you would cure yourself would no longer have any pain and won’t need any procedures

[@TheWayToMyHeart]

It may not take away all of the pain. But if your body is responding to your walking efforts to push through the claudication, it should create enough flow to improve symptoms dramatically. 80-year old Kevin Morgan is a great example of how it can work. He wrote a book on how he did it: athletewithstent.com/ - That being said, if you are having rest pain that wakes you up at night and you have to dangle your legs over the side of the bed and/or a wound that won't heal, that's the time to discuss with your doctor other options. But if your doctor prescribes walking as medicine for you, here's a great guide to help you better understand how to walk effectively to build the collateral network of vessels: simplebooklet.com/walkingbrochureperipheralarte

[@cooterhead_jones]

My wife starts off with pain after a few step. Cardiologist told her, WALK WALK WALK. She tries, but 0.1- 0.2 miles is all she can do. Since 15, good athlete except,the last five years she has done no exercise at all, walk to car, walk to trash. Question is if the pain comes almost instantly, does she derive benefit by walking that extra tent of a mile?

[@cooterhead_jones]

My wife starts off with pain after a few step. Cardiologist told her, WALK WALK WALK. She tries, but 0.1- 0.2 miles is all she can do. Since 15, good athlete except,the last five years she has done no exercise at all, walk to car, walk to trash. Question is if the pain comes almost instantly, does she derive benefit by walking that extra tent of a mile?

[@loripatterson5753]

I understand we need to walk. I walk and walk and i get mad at my body and push my legs and one goes numb and then im dragging my leg. And still their stiff and painful!

[@TheWayToMyHeart]

It sounds like you need a follow-up vascular evaluation. Can you get in for another ultrasound to compare now with all of your walking to before you started the regimen?

[@alisonhay5924]

I've been given additional exercises along with the walking so I'm hoping that this helps me 😊 thank you for your explanation of this issue. ❤

[@drsamkim]

Why you didn't tell me this earlier?

[@keithbyrd7566]

If there is a diagnosis of two below the knee veins 100% blocked and one vein open is walking still as effective? No pain. Only slight swelling in one foot. I walk about 5-7 miles per day prior to the diagnosis (67 yo).

[@TheWayToMyHeart]

That's great that you are able to walk that much with two arteries blocked below the knee! Good for you! I bet you are growing your collateral network! I am imagining that you have some blockages in your below-the-knee arteries? There are three arteries below the knee. Anterior Tibial (front), Posterior Tibial (back), and Peroneal (center). Doctors will not perform an intervention on those vessels if you are not experiencing 'rest pain' at night or they're not limiting your lifestyle. If they do ever get to that level of pain, it's important to find a doctor who specializes in treating the small vessels below the knee and into the foot. Not all PAD doctors can do this or are willing to do this. Typically ones who treat below the knee are diabetic foot specialists as they have extra vascular training to carefully send wires and balloons into the smaller vessels. If you ever want to talk about your symptoms or need help finding a doctor call our Leg Saver Hotline at 415-320-7138

[@keithbyrd7566]

Thank you for this detailed and helpful response.

[@kaysmith1964]

No matter how you classify PAD pain ; wether as claudication or as Critical limb ischemia . If you leave it to the later you will have tissue loss and that damage can never be repaired. Treat early and prevent damage. This is the dichotomy I find between surgical procedures and treatment by intervention specialists. And until you experience the pain of PAD you can never understand. Your an amazing surgeon who has endovascular skills but no “ buckets “, should exist only treatment.

[@lanetteroth384]

I have artery disease in my legs and it hurts terribly to walk but I also have spinal stenosis in my back that causes pain when I walk also..

[@TheWayToMyHeart]

Yes, that's a double-whammy! I'm so sorry you are experiencing this! It helps to maintain your walking on a flat surface vs inclines to ease stress on your back. Have you sought a referral for a PT to help you learn how to walk effectively to build leg collaterals while mitigating stress on your back?

[@visco4916]

can bucket 1 change to bucket 2?

[@dragonblack6872]

how unclog my artery of heart.. i had 70% blockage.. please info

[@TheWayToMyHeart]

It's always important to get a second opinion from a couple of different interventional cardiologists to understand all options available to you. If you have a significant narrowing in your vessels coupled with symptoms, the doctor may discuss going in with wires, catheters, balloons, and stents through your wrist or groin to try and improve blood flow. If you want additional assistance, feel free to reach out to our free hotline for help finding a second opinion and critical questions to discuss with your doctor. 415-320-7138

[@debbiekling6065]

Does wood smoke hurt

[@TheWayToMyHeart]

anything you breathe in that is burned can be toxic to your arteries @@debbiekling6065

[@marthakandali6779]

How should. I stop pain i critical limv ischemia

[@TheWayToMyHeart]

Oh wow I’m so sorry you are experiencing that pain! Patients explain it as if having a torniquet wrapped around their leg cutting off all the oxygen. It sound like you need to be seen urgently. Do you have a wound that won’t heal? Call our Leg Saver Hotline for guidance: 415-320-7138

[@christinelombardino5203]

Have you ever seen a patient where an apron tummy caused lack of blood flow to legs. I cant get a straight answer out of anyone.

[@cooterhead_jones]

My wife starts off with pain after a few steps. Cardiologist told her, WALK WALK WALK. She tries, but 0.1- 0.2 miles is all she can do. Diabetic Since 15, good athlete except,the last five years she has done no exercise at all, walk to car, walk to trash. Question is if the pain comes almost instantly, does she derive benefit by walking that extra tent of a mile?

[@TheWayToMyHeart]

Has she been diagnosed with PAD? We have a free PAD tracking program via text that might be worth her using because it tracks critical data that other general programs don't. It's FREE. Have her call the Global PAD Association's Leg Saver Hotline [phone] or go to their website for help www.padhelp.org

[@cooterhead_jones]

@@TheWayToMyHeart Yes, she has. We go for the catheterization tomorrow,Feb. 13. Ultrasound has show 3-4 partial occlusions in left leg, one described as nearly occluded. Her heart arteriogram revealed some narrowing, but the Dr. chose not to do any intervention at that time.

[@TheWayToMyHeart]

@@cooterhead_jones make sure to check the find a doctor section of padhelp.org to ensure her doctor is using the most advanced tools and techniques for less trauma to the vessel. One recommendation we make with patients is tthat Intravascular Ultrasound (IVUS) be used by the supervising physician during treatment to ensure the proper sizing and placement of any catheters, balloons, and/or stents. Another recommendation is to ensure the doctor is trained and willing to offer both coming down from the groin and coming up from the foot as options for access to the arteries in case way direction fails as well as can provide surgical alternatives (either personally or via referral) if both of those aren't successful in getting adequate blood flow. It's good to always have options. Make sure to ask for before and after images as well as case notes following the procedure so you have them for your records.

[@ScottLitton]

@@TheWayToMyHeart thank you

[@ScottLitton]

@@TheWayToMyHeart Last week, the Dr performed catheterization on one leg. Complete occlusion of femoral which he could not fully penetrate. Next week, he will attempt to treat the other. No mention of blood thinners or bypass yet. In fact, we have heard nothing so far about plan of action. Maybe it is too early. As I stated, We have been walking everyday for two months now. The pain starts earlier in the walk than it did a month ago. It is very hard to watch.

[@princesswilson5196]

I just had they have stopped prescribing pain medication everywhere in the US

[@TheWayToMyHeart]

There are still pain meds prescribed when medically necessary as per your doctor. Ask for a referral to a pain management specialist.

[@millierivera2274]

How about Marijuana smoke? Is it the same? I don’t smoke cigarettes but yes weed. 75.

[@stacynolan5732]

Wow

[@christopherjones6016]

What if I use nicotine gum

[@JudyBerry-pb2ig]

Bad stuff!!!

[@TheWayToMyHeart]

Nicotine gum is part of a protocol to start weening you off of this chemical that can cause inflammation throughout your body. But it's a step in the right direction!

[@nomadicrecovery1586]

She said its not reversible? nonsense

[@sweetesthawaiianprincess8086]

Focus on building new vessels not opening what’s already done

[@carlporter4615]

So if you have hip bursa along with P.A D, and your leg goes numb, you Still have to walk and do physical therapy, I'm not buying it. Doctor's or advisors whom don't have The problems with the pain why tell others who have extreme pain doing simple lifestyle activities 😪

[@TheWayToMyHeart]

Wow those hip bursas are awful. Are you under treatment for it? It takes time. Hoping they can get the inflammation down soonest so you can get more steps in! Sometimes they offer steroid injections. What is the course of treatment you are on?

[@donnaellis1095]

I have P.A.D right leg and I have Bursa in left hip. And yes she is absolutely right! When I was diagnosed 5 years ago I have 0% blood flow at play and 20% at rest. My doctor told me to walk and walk. I went from walk 20 feet to 5 miles a day and stretching and stretching with physical therapy helped with the bursa. I now have a torn meniscus having surgery in a few days. I’ve not gotten to walk because of the knee in 4 months because of the pain. The pain is coming back to the hip and I feel little cramping in the lower legs. Yes walking is the thing to do. I can’t wait to get back at it..

[@martykerns3802]

Blaming it on genetics is B.S! It’s the food!

[@Billie-l8x]

Both....😊

[@highvalue1965]

Blame whatever you want....you still have the problem