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Circulation

Peripheral arterial disease foot care

Peripheral arterial disease means narrowed arteries are reducing blood flow to your legs and feet. Podiatry checks your feet and protects your skin, alongside your doctor's medical care.

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Understanding the condition

Peripheral arterial disease (PAD) happens when the arteries that carry blood to the legs and feet become narrowed or blocked, commonly by fatty build-up.1,3 Smoking and diabetes are the main risk factors.3 Some people have no symptoms. Others get cramping or tiredness in the leg when walking that settles with rest (intermittent claudication), cold feet, or sores that heal slowly.1,2,4 PAD is also a sign of wider artery disease and raises the risk of heart attack and stroke.1,4

Podiatrists do not treat the arteries. That is the work of your GP and vascular specialist, and medical care matters: stopping smoking, blood pressure and cholesterol treatment, and regular walking are recommended.4 We check the pulses, skin, nails and sensation in your feet, manage nail, skin and wound care, and refer for circulation testing such as an ankle brachial index when needed.4,5 People living with diabetes should have their feet checked for PAD every year.5 Compression should only be used once circulation is assessed.6

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Peripheral arterial disease foot care

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Cramping, aching or tiredness in the calf, thigh or buttock when walking that settles with rest
  • Cold lower legs or feet, hair loss on the legs, or brittle toenails
  • Sores or ulcers on the toes, feet or heels that are slow to heal
  • A foot that looks blue or dusky, or that changes colour
  • No symptoms at all, which is why regular foot checks matter if you smoke or live with diabetes
  • Pain in the leg or foot at rest, especially at night or when the leg is raised, a cold, pale, blue or discoloured foot, or a sore that is not healing needs urgent medical assessment. If a limb is suddenly numb, white or cold, or you cannot move it, call 000.

How our team helps

  • Circulation testing in the clinic, including an ankle brachial index and toe brachial index measured with an automated device, alongside pulses, skin colour, temperature and sensation
  • A written report to your GP, and referral to a high risk foot clinic at a tertiary hospital when results or your foot call for it
  • Nail and skin care to prevent cracks, ingrown nails and pressure damage
  • Footwear advice so shoes protect fragile feet and do not rub
  • Wound care and dressings, with early referral if a wound is not healing
  • Coordination with your GP, vascular specialist and diabetes educator

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Podiatry
Podiatry
Allied health team
Podiatry
Comprehensive foot assessments and diabetes-related foot care from experienced podiatrists.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Diabetes Education
Diabetes Education
Allied health team
Diabetes Education
Expert guidance from Credentialled Diabetes Educators for all types of diabetes including Type 1 diabetes, Type 2 diabetes, gestational diabetes, and all diabetes technology.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Our care follows the 2021 Australian evidence-based guidelines for diabetes-related foot disease, Healthdirect and RACGP guidance on peripheral artery disease, and Australian wound management standards.

  1. Healthdirect Australia. Peripheral vascular disease. Sydney: Healthdirect Australia; reviewed August 2024.
  2. Healthdirect Australia. Peripheral vascular disease [complications page]. Sydney: Healthdirect Australia; reviewed August 2024.
  3. Australian Institute of Health and Welfare. Heart, stroke and vascular disease: Australian facts. Peripheral arterial disease. Canberra: AIHW; updated 27 May 2026.
  4. Aitken SJ. Peripheral artery disease in the lower limbs: the importance of secondary risk prevention for improved long-term prognosis. Aust J Gen Pract. 2020;49(5):239-244.
  5. Lazzarini PA, Raspovic A, Prentice J, et al. Australian evidence-based guidelines for the prevention and management of diabetes-related foot disease: a guideline summary. Med J Aust. 2023;219(10).
  6. Queensland University of Technology. Venous Leg Ulcers: Information for health professionals. Brisbane: QUT; 2024.
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Common questions

What are the early signs of peripheral arterial disease in the feet?
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Cramping leg pain when walking that eases with rest, cold feet, hair loss on the legs and brittle toenails are common signs. Some people have none, so people who smoke or live with diabetes should have regular foot checks. Sores that do not heal need prompt review.

Is peripheral arterial disease serious?
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It can be. The same artery disease that narrows leg arteries raises the risk of heart attack and stroke, and severe PAD can lead to non-healing wounds. That is why medical management, such as stopping smoking and treating blood pressure and cholesterol, matters as much as foot care.

Does walking help peripheral arterial disease?
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Regular walking programs are part of recommended care and can improve how far you can walk comfortably. Your GP or vascular specialist will advise what is safe for you, and a podiatrist can check your feet and footwear so walking does not cause sores or blisters.

Can I wear compression stockings if I have peripheral arterial disease?
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Not without an assessment. Compression can be unsafe when the arterial blood supply is poor, so circulation should be checked first, often with an ankle brachial index. Do not start compression yourself if you have PAD, leg ulcers or foot sores. Ask your GP or podiatrist first.

Do I need a referral to see a podiatrist for foot checks?
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No referral is needed for private appointments. A Medicare rebate needs a GP Chronic Condition Management Plan and a GP referral, and applies to up to five eligible allied health services a calendar year. Private health extras often cover podiatry, and DVA or NDIS funding may apply in some cases.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

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