Acute and Chronic Lower Limb Ischemia Treatment

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Acute and Chronic Lower Limb Ischemia Treatment

Minimally Invasive and Open Revascularization in Dubai

Lower limb ischemia occurs when blood flow to the legs becomes severely reduced. In its early stages, patients may feel heaviness or calf pain while walking. As the disease progresses, symptoms can worsen to the point where walking short distances becomes difficult, or the foot develops wounds that do not heal. In acute cases, the blockage happens suddenly and can become limb threatening if not treated promptly.
If you have leg pain on walking, sudden foot pain or any sign of reduced circulation, early evaluation helps prevent long term complications and protects your mobility.

When Treatment for Lower Limb Ischemia Is Needed

You may require evaluation if you experience symptoms such as:

Symptoms of Chronic Lower Limb Ischemia

  • Calf or thigh pain while walking
  • Pain that improves with rest
  • Numbness, tingling or a cold sensation in the feet
  • Slow healing wounds on the foot or toes
  • Skin darkening or thinning
  • Thickened nails or hair loss on the legs
  • Reduced pulse in the feet
  • Difficulty walking long distances

Symptoms of Acute Lower Limb Ischemia

  • Sudden severe leg or foot pain
  • Pale or cold limb
  • Loss of sensation
  • Weakness or inability to move the leg
  • Absent pulses
Acute cases require immediate medical attention. Delaying treatment may put the limb at risk.

How Diagnosis Is Performed

Diagnosis begins with a detailed consultation to understand your symptoms and medical history. A duplex ultrasound is typically performed to assess blood flow in the arteries. Further imaging, such as CT angiography or MR angiography, may be recommended to examine the severity of the blockage and plan treatment precisely.
Throughout the process, Dr. Abuazab explains the findings in simple, clear language so you understand what is happening and how it affects your circulation.

Treatment Options Tailored to Your Condition

The choice between minimally invasive endovascular treatment and open surgical revascularisation depends on the type of blockage, its location and your overall health.
Endovascular Treatment (Minimally Invasive)

Endovascular procedures are often preferred for many patients because they are gentle, precise and fast to recover from. These include:

  • Balloon angioplasty to widen narrowed arteries
  • Stent placement to keep arteries open
  • Catheter-directed thrombolysis for blood clot dissolution
  • Mechanical thrombectomy to remove clots

Benefits may include:

  • Small puncture instead of an incision
  • Quick recovery
  • Minimal discomfort
  • Short hospital stay
  • Effective relief of symptoms in many cases
Open Surgical Revascularization

Open surgery may be recommended when the blockage is severe, long standing or unsuitable for endovascular treatment. Procedures may include bypass surgery or endarterectomy to restore blood flow.
Advantages include:

  • Strong long term durability
  • Effective treatment for complex or extensive blockages
  • Proven outcomes for severe ischemia

Both options are performed with meticulous technique, focusing on restoring blood flow and preventing future complications.

How Treatment Helps Improve Your Quality of Life

Most patients experience noticeable improvement soon after treatment. Depending on the severity of the condition, you may benefit from:
  • Stronger and more comfortable walking
  • Relief from calf or foot pain
  • Better wound healing
  • Reduced numbness or tingling
  • Improved warmth and colour in the foot
  • Protection against limb-threatening complications
  • Improved mobility and independence
Early treatment contributes significantly to preserving long term leg function and quality of life.

Frequently Asked Questions

What causes lower limb ischemia?

Common causes include atherosclerosis, diabetes, smoking and blood clots.

Is endovascular treatment safe?

Yes. It is minimally invasive and offers fast recovery for many patients.

Is surgery always necessary?

No. Many patients benefit from endovascular treatment. Surgery is used when blockages are extensive or complex.

Can ischemia return after treatment?

Long term follow up helps prevent recurrence. Lifestyle changes and medical management are often recommended.

What if I have sudden severe foot pain?

Seek immediate medical care. Acute ischemia is an emergency and must be treated quickly.

Book Your Consultation

Meet Dr. Mohammed Abuazab for a thorough evaluation, clear diagnosis, and a personalised treatment plan tailored to your condition. Take the first confident step toward better circulation and long-term vascular health.