FootProblem

Non-Healing Wounds: A Sign of Peripheral Artery Disease

Peripheral arterial disease (PAD) is a condition that develops within the arteries. When PAD is present, plaque buildup in the arteries reduces blood flow and oxygen delivery to the legs and may cause a wide range of symptoms. This plaque buildup occurs as a result of atherosclerosis, or “hardening of the arteries,”, and when left untreated, can cause severe symptoms including pain, non-healing wounds, and the possible need for amputation of a limb. Although many people with PAD do not experience any symptoms, it is important to be aware of these potentially dangerous signs and symptoms so you can seek proper vascular care.

Chronic, non-healing wounds are a symptom of PAD. These wounds often occur on the toes, feet, or legs, where blood flow is reduced due to blocked arteries. Those who experience wounds that do not show healing within 1 to 2 weeks may have advanced PAD, and they are encouraged to see their doctor immediately or schedule an appointment at American Endovascular to determine if they need treatment or are at risk of serious complications.

Symptoms of Non-Healing Wounds

Wound healing is something most people do not think twice about. Normally, the body is able to do its job to close up wounds after an injury, but for those with certain medical conditions, it can be more difficult, or even impossible, for wounds to heal on their own. A wound that has not healed after just a few weeks is considered a non-healing wound. Symptoms of non-healing wounds include:

  • Wounds that do not show signs of healing (scab formation, getting smaller) over 1 to 2 weeks
  • Wounds associated with leg numbness, worsening pain, a history of pain when walking or leg elevation, or weakness and loss of muscle size in the affected leg
  • Redness or swelling that extends beyond the wound, particularly with drainage or a bad smell that may indicate a dangerous wound infection
  • Wounds that are getting progressively larger or when underlying tissues such as tendon or bone is exposed

Causes of Non-Healing Wounds

A variety of medical conditions and factors can cause delayed wound healing. It is important to determine the cause of this symptom so that the right treatment steps can be taken. Non-healing wounds can present a danger to those affected, as the wound can continue to worsen and cause long-term health problems. Some causes of chronic wounds include:

  • Peripheral arterial disease (PAD)
  • Infection
  • Diabetes
  • High blood pressure
  • Repeated trauma
  • Skin conditions
  • Autoimmune diseases
  • Certain medications

How Does Peripheral Artery Disease Cause Non-Healing Wounds?

When the body is generally healthy, the regular healing process for a wound kicks in automatically. Healing involves teamwork from various parts of the body, including the blood vessels, immune system, and skin tissue. Strong blood flow to and from a wound site is crucial for the healing process. 

However, peripheral artery disease delays wound healing. It inhibits blood flow to the lower extremities and takes away a wound’s access to the resources it needs to heal. Patients with PAD may have non-healing wounds on the leg, feet, and ankles. These wounds can lead to painful sores and other issues, including infection or more severe complications.

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PAD Woman Grabbing Legs
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Find out if you are at risk for Peripheral Artery Disease.

Treatment for Non-Healing Wounds Associated with PAD

Treatment of non-healing wounds involves treating the wound itself and its underlying cause. If you are diagnosed with PAD, your physician will guide you on proper wound care techniques to avoid further complications down the road. At American Endovascular, we provide several innovative treatment options for peripheral artery disease to help each patient get on track to healthier living.

Amputation Prevention

Severe PAD brings a greater risk of potential limb loss, especially when non-healing wounds are present. At American Endovascular, we are experts in limb salvage and preservation so that patients can avoid amputation whenever possible, using innovative techniques and technologies such as pedal loop intervention.

Angioplasty

During angioplasty, a low-profile catheter with an inflatable balloon attached is used to stretch open the affected artery and restore blood flow to the rest of the body. This process can also be used to address artery-blocking clots, as medicine can be administered through the catheter if needed.

Atherectomy

Atherectomy is a minimally-invasive procedure that has evolved with cutting-edge advances including orbital, rotational, and diamond-coated surfaces technology. During the procedure, a catheter is inserted into the artery via a minimally-invasive incision. This process is often utilized to treat arteries or blood vessels that are not easily treated with stents.

Stent Placement

A stent is a metallic-based implantable device that is inserted into an artery to address conditions like PAD. This process provides the artery with a new skeletal framework, strengthens its walls, and allows it to remain open. This supports blood flow to other parts of the body, including the lower extremities.

PAD Older Woman Massaging Leg Cramp

What to Expect from Your PAD Treatment

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Less invasive than surgery
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Same-day procedure
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No hospital stay
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Shorter recovery time than major surgery
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Compassionate outpatient care
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Request an Appointment

Request an Appointment at your nearest American Endovascular affiliated center.

Our Vascular Specialists

Our affiliated endovascular specialists at American Endovascular proudly work with patients of all ages to address endovascular conditions and issues, including PAD. The members of our team are recognized as innovators and leaders in vascular and interventional radiology. We will ensure that all of your questions and concerns are addressed every step of the way.

Our Vascular Centers in NY & NJ

At our vascular centers in New York and New Jersey, we work with patients to address endovascular conditions and concerns and provide innovative treatment options. We provide our care in a warm, comforting environment, with procedures performed in a convenient outpatient setting. We are proud to utilize the latest minimally-invasive techniques and technologies to address conditions like PAD.

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Brooklyn, NY 11231
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Queens, NY 11102
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What Our Patients Are Saying

First Impressions are lasting impressions! First, the staff are phenomenal! How is it possible that each and every one of them are incredibly kind, caring, professional, personable and treat you like you are THE most important person in the world!? Well, meet this team for an experience that will make you feel valued as a person, not just as a patient. In walks this amazing Doctor and now you understand why his team are the way they are! They regard each other with the utmost respect, and kindness, and they communicate with each other like family. And as a new patient, I had the honor and pleasure to experience excellence in patient care and concern. I am so very grateful to have found a Doctor who is in my opinion perfect with a team who are exceptional! I’m excited for my next visit, honestly! I write this with a great big Smile on my face!
CC (Moon)
CC (Moon)
20:47 02 Mar 24
I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
Yes it was a good place
Carmen Diaz
Carmen Diaz
14:22 20 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Excelente servicio es lo mejor que me a pasado gracias a sus buenos tratamiento ya no tengo dolor
Is good to be with friendly and professional staff at doctor’s offices like this one.
Dr. Joseph Sham and the entire Team were very professional, knowledgeable, informative and had incredible patience with me by answering all my questions and concerns. Great Team…Thank you all! 👍
Marion
Marion
22:17 27 Dec 23
I was treated very well. The staff was very professional and made me feel comfortable. Looking forward to my next visit.
Stephen Lapinsky
Stephen Lapinsky
20:17 20 Dec 23
This experience was great I’m so happy with everything
stephanie suazo
stephanie suazo
22:53 13 Dec 23
Excellent, professional, organized and efficient all best describes the service here.
Delsi Cunningham
Delsi Cunningham
00:41 06 Dec 23
Love this Dr and staff. They are all kind courteous and professional with excellent medical care. I would highly recommend them to anyone in need.
Sybil Wilkins
Sybil Wilkins
21:58 28 Nov 23
I love this place stuff is helpful an they all were nice. I had a wonderful experience Dr Shams was great.
Victoria Pacheco
Victoria Pacheco
22:07 17 Nov 23
Professional services
Ricky Mo
Ricky Mo
22:14 15 Nov 23
I like the doctor they were kind of pretty thorough he says that he could help me he found out the filter in my abdomen from the surgery I had in 1996 has been clogging my blood flow for 25 years and that’s causing the swelling at every other doctor told me was lymphedema it was not lymphedema it caused the lymphedema because no other doctor took the time or care enough to find out the reason for my leg swelling this doctor was the only one who finally found out and he’s going to see if you could put a stent inside the filter to open it up and and stop my legs from swelling hopefully this will all go good it hasn’t happened yet but I’ll keep you posted thankful for this docto I just pray and hope that it works otherwise I like the doctor very much
Mitchell Dedios
Mitchell Dedios
21:01 27 Oct 23
Excellent service , good customer service and friendly staff. Thanks
Raysa Polanco
Raysa Polanco
20:54 27 Oct 23
You may likely have to wait. Avoid anxiety and frustration. Schedule extra time for the visit. Allow for personal attention to your care needs once in the examination room. Friendly, nice staff and doctor puts you at ease. Bottom line: worth the wait!
Sisle Heyliger
Sisle Heyliger
21:49 26 Oct 23
Very nice and friendly staff.I was so nervous, they all made me feel relaxed and comfortable.They explained everything to me step by step.
Keith Dickens
Keith Dickens
21:18 23 Oct 23
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
Sheer perfection. The care and expertise and teamwork are the best I have ever experienced. I’m a former nurse and I recognize and give a shout out to the best!!!!
Barbara Murray
Barbara Murray
20:49 10 Oct 23
I was given good advice about my blood circulation
Gary Jackson
Gary Jackson
17:04 08 Oct 23
Dr. Shams office is amazing. Whitney and Angela were AMAZING. Great sense of humor. Staff is WONDERFUL.
Sara Correa
Sara Correa
21:13 18 Sep 23
Nice office, personnel friendly, & caring, good informative information concerning my care.
Loretta Johnson
Loretta Johnson
21:26 22 Aug 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
Dr Shams was very attentive and explained everything in detail. The staff was very nice, the staff/nurse were all so very helpful, It was a Monday morning and I didn’t expect such happy staff.
Stacy Lebeau
Stacy Lebeau
21:22 06 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
Good service!
Veronika Shopina
Veronika Shopina
21:09 24 May 23
There is a friendly atmosphere, fast medical attention and an advanced medical equipment !!!The Staff is very knowledgeable and the best care possibly !!!100 % Satisfied !!!
Cruz Figueroa
Cruz Figueroa
03:06 08 May 23
Whole staff was very friendly and professional. I feel confident that I came to the right place for treatment.
Rudy Padilla
Rudy Padilla
02:08 13 Apr 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
I am pleased w/my experience @ endovascular. I hope they can save my foot.
Margo A Williams
Margo A Williams
19:19 29 Mar 23
This has been the best medical experience I’ve had in over thirty years. I was nervous to have a procedure after only knowing about my condition a year ago. They made this process so easy for me that I’m in shock that I had no pain, no discomfort thanks to an excellent doctor and professional staff! Thank you all and best of luck to your practice.
Stacey Marius
Stacey Marius
14:16 29 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
Excellent, Patience, don’t Rush you to be finished. The Doctor explains everything and answers your questions. I would Recommend Dr.Sham service anytime, they are. Great!
Debra Farmer
Debra Farmer
00:16 01 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Very good and very responsive.
James Young
James Young
19:33 22 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
Everything always goes well.staff are very caring.
Lillian Rodriguez
Lillian Rodriguez
19:00 11 Dec 22
Excellent Doctor he explains the procedure process so that it is understandable and comfortable for the patient!
T. J.
T. J.
14:48 06 Dec 21
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