NAME: Dr. Jeffrey S. Mandak
COMPANY: Moffitt Heart & Vascular Group, PinnacleHealth Cardiovascular Institute
YEARS IN FIELD: 15
Q: Why is poor circulation a concern?
A: Poor circulation can be sign of a serious problem. The arteries are blood vessels that carry oxygenated blood and nutrients to the organs and muscles. When the arteries become diseased, there may be a decrease in blood flow leading to poor functioning of the organs and fatigue or discomfort in the muscles served by the particular blood vessel. It could be a sign of poor pumping function of the heart or blockages in arteries for specific muscle groups. This can lead to heart attacks or strokes.
Wounds and sores do not heal properly when there is poor circulation. This can lead to infection, other complications and loss of limb. Poor circulation is especially a concern for diabetic patients.
Q: What are the signs that someone has poor blood circulation?
A: The signs and symptoms of poor blood circulation will depend on the artery affected and where the blockage is located, but they can include fatigue, shortness of breath and an inability to exercise as normal. Also, you can experience a burning or pain in the chest or "muscle aches." This pain typically occurs with exercise and is relieved with rest.
Signs and symptoms of peripheral artery disease include poorly healing wounds, legs are cooler than the arms, shiny skin over the legs, loss of hair on the legs and decreased pulses in the feet.
Q: What health conditions might cause poor blood circulation?
A: Poor blood circulation can be caused by a number of diseases including diabetes, hypertension (high blood pressure) and high cholesterol. In addition, unhealthy habits such as smoking or tobacco use can increase a person's chances of having poor blood circulation. Smoking constricts the blood vessels and flow of blood, decreasing oxygen and nutrients that are vital to the organs in our body. Lack of exercise or physical activity can lead to poor circulation as well.
Q: How can blood circulation be improved?
A: Blood circulation can be improved by a number of methods. We can prescribe medications or perform revascularization procedures, such as balloon angioplasty and stenting, to reopen narrowed arteries and improve the heart pumping and blood flow. Second, please stop smoking. Smoking cessation not only improves blood circulation, but also prevents a host of other illnesses including cancer, heart disease, high blood pressure, diabetes and more. Third, increase the amount of time you exercise or if you do not exercise currently, consult with your primary care doctor to begin an exercise program. Walking is safe and effective in improving cardiovascular health. And finally, eat a healthy, balanced diet.
Q: Is there a way to prevent circulation problems from developing?
A: The same prevention techniques used to prevent heart disease and peripheral vascular disease can prevent poor blood circulation. Manage your diabetes by controlling your sugars and maintaining a good relationship with your primary care provider. Diabetic patients should receive proper foot care, inspect feet daily and seek medical attention if a sore occurs on their legs or feet. Early detection can prevent a more serious problem. Control high blood pressure and high cholesterol by taking medications as recommended by your primary care provider. Exercise and physical activity, as well as tobacco cessation, are very important. All of these tips work hand-in-hand to prevent disease and increase your overall well-being.
Interview conducted via email by Patriot-News staff.