P. A. D. develops slowly over many years. In the early stages, most people with P.A.D. have no symptoms. Only about one out of three people with P.A.D. actually feel there is something wrong with their feet or legs. By that time, their arteries may be so clogged or hardened that they are not getting enough oxygen to supply their leg muscles. The most common signs of P.A.D. include one or more of these problems:
- Fatigue, tiredness or pain in your legs, thighs, or buttocks that always happens when you walk - but that goes away when you rest. This is called claudication (pronounced as'klo/di-ka'shen').
- Foot or toe pain at rest that often disturbs your sleep. Skin wounds or ulcers on your feet or toes that are slow to heal (or that do not heal for 8 to 12 weeks)