• Vascular Condition

Peripheral Artery Disease (PAD)

WALK WITHOUT PAIN AGAIN

Pain, cramping, numbness, or slow-healing wounds may be signs of reduced blood flow.

Discover advanced, minimally invasive treatment options designed to improve circulation and preserve mobility.

Americans are living with PAD, most are undiagnosed
12 M+
of people with PAD have no symptoms
50 %

1 in 5

adults over 60 may have PAD

Early Detection

and treatment can help prevent serious complications

COULD THIS BE PAD?

Answer a few questions to see your risk level.

Age Over 60
High Blood Pressure
Diabetes
High Cholesterol
Smoker / Former Smoker
Leg Pain While Walking

Your Risk Level

You have multple risk factors for PAD. Early evaluation can help prevent serious complications.

LOW RISK

HOW PAD DEVELOPS

PAD Starts Before Pain

01

HEALTHY
ARTERY

Strong artery with normal blood flow.

02

PLAQUE BUILD
UP

Plaque builds up inside the artery.

03

REDUCED BLOOD FLOW

Narrowing reduces blood flow to the legs.

04

PAIN WHILE WALKING

Reduced flow causes pain and cramping.

05

CRITICAL LIMB ISCHEMIA

Severe blockage can lead to non-healing wounds or tissue loss.

SYMPTOM MAP

Your Legs May Be Warning You

Pain Or Fatigue In The Thigh Or Calf While Walking

Cold feet or toes, even in warm temperature

numbness or tingling in the legs or feet

slow-healing wounds or sores on the legs

skin colour changes - pale, bluish or shiny skin

Burning or aching in the feet or toes, especially at night.

Dr. Vinod Kumar brings 30+ years of experience
treating PAD and vascular disease

Treatment options

How we treat PAD at HVLC

01

Angioplasty

A tiny balloon opens the narrowed artery to restore blood flow.

  • Restores blood circulation
  • Improves walking distance
  • Minimally invasive procedure
Angioplasty

02

Atherectomy

Removes hardened plaque from inside the artery to improve circulation when blockages are more severe or calcified.

  • Removes plaque buildup
  • Improves blood flow
  • May reduce the need for open surgery
Atherectomy

03

Angiogram

Advanced imaging that allows your specialist to precisely identify blockages and create the most effective treatment plan.

  • Maps blood flow
  • Detects narrowed arteries
  • Guides treatment decisions
Angiogram

PATIENT STORIES

See What Recovery Can Look Like

COMMON QUESTIONS

Frequently asked questions

What exactly is Peripheral Artery Disease (PAD)?

Peripheral Artery Disease, or PAD, occurs when plaque builds up inside the arteries that carry blood to the legs and feet. As the arteries narrow, less oxygen-rich blood reaches the muscles and tissues.

PAD may cause leg cramping while walking, cold or numb feet, changes in skin color, pain at rest, or wounds that are slow to heal. Some people have few or no typical symptoms, especially earlier in the disease.

PAD commonly causes aching, cramping, heaviness, or fatigue in the calf, thigh, or hip during walking or exercise. The discomfort often improves after a few minutes of rest because the muscles need less blood when you stop moving.

As PAD becomes more advanced, pain may occur even while resting, particularly in the feet or toes. An examination and circulation testing are needed to determine whether PAD is actually causing your symptoms.

Yes. When an artery is severely narrowed or blocked, the foot or leg may not receive enough oxygen-rich blood to heal normally.

A small cut, blister, or sore can remain open, become infected, or progress to tissue damage. Nonhealing sores or ulcers on the legs or feet are recognized warning signs of PAD and should be evaluated promptly.

Advanced PAD can become limb-threatening when blood flow is severely reduced and the tissue cannot receive enough oxygen to survive or heal.

This may lead to persistent rest pain, nonhealing wounds, infection, or tissue loss. Not every patient with PAD is at risk of amputation, but severe symptoms should be evaluated quickly so treatment options to restore blood flow can be considered.

Your evaluation begins with your symptoms, medical history, pulse examination, and circulation testing.

Noninvasive vascular studies can help determine whether blood flow is reduced. If more detailed information is needed, a peripheral angiogram uses contrast dye and live X-ray imaging to show exactly where an artery is narrowed or blocked and can help determine whether treatment to restore blood flow is appropriate.

No. Treatment depends on how advanced the disease is, your symptoms, and whether the reduced circulation is threatening the health of the leg or foot.

Earlier PAD may be managed with walking therapy, medications, smoking cessation, and control of cholesterol, blood pressure, and diabetes. When symptoms remain limiting or circulation is severely reduced, minimally invasive treatments such as angioplasty, stent placement, or other endovascular procedures may be considered.

No. A procedure such as angioplasty or atherectomy treats a specific narrowed or blocked artery, but it does not cure the underlying atherosclerosis that caused PAD.

Long-term treatment still matters. Managing cholesterol, blood pressure, diabetes, smoking, activity, and prescribed medications can help reduce cardiovascular risk and protect circulation over time.

I think this is an especially important FAQ to include. It manages expectations properly instead of making the procedure sound like a permanent “fix.”

The treatment depends on the location, length, severity, and type of blockage.

Angioplasty uses a balloon to widen the narrowed artery. A stent may sometimes be placed to help keep the artery open. Other catheter-based techniques may also be used when appropriate. A peripheral angiogram helps the physician see the blockage and plan the most appropriate way to restore blood flow.

Many minimally invasive PAD procedures are performed through a small catheter access point rather than a surgical incision.

The access area is numbed with local anesthesia, and at HVLC moderate sedation may be used to help you relax and remain comfortable. General anesthesia is usually not required for these catheter-based procedures. Mild bruising, tenderness, or soreness at the access site can occur afterward.

Recovery and symptom improvement depend on how severe the PAD was, which artery was treated, and the type of procedure performed.

Some patients notice changes in walking discomfort or circulation relatively quickly, while recovery may be more gradual for patients with advanced disease or nonhealing wounds. Wounds in particular require time to heal even after blood flow has been restored.

Coverage depends on your insurance plan, diagnosis, symptoms, medical necessity, and the procedure being recommended. Medicare has coverage policies for medically necessary peripheral vascular testing and certain endovascular PAD treatments, but requirements vary by service and circumstance.

Before treatment is scheduled, our team will verify your benefits, request authorization when required, and discuss any expected financial responsibility.

Health Resources

Expert vascular health tips

chronic joint pain treatment when to stop accepting it pain awareness month Bakersfield

Knee Pain & GAE

Living With Chronic Joint Pain: When Is It Time to Stop Accepting It and Start Treating It? | HVLC

Most people with chronic knee or joint pain have quietly learned to live with it. A vascular specialist in Bakersfield explains why that is worth reconsidering this Pain Awareness Month.

Heart & Vascular Health, PAD & Circulation

High Cholesterol Is Not Just a Heart Problem. What It Is Doing to the Arteries in Your Legs | HVLC

When someone gets a high cholesterol result, the conversation almost always goes the same direction: heart disease risk, statins, diet changes, and keeping an eye on blood pressure. All of that is appropriate. But there is something consistently missing from that conversation. The same cholesterol buildup that narrows the arteries near your heart does the exact same thing to the arteries supplying your legs. And for a lot of patients managing high cholesterol, nobody has told them that.

vascular disease awareness month September Bakersfield Kern County PAD screening heart vascular leg center

Heart & Vascular Health, PAD & Circulation

September Is Vascular Disease Awareness Month. What That Means for People in Kern County | HVLC

September is Vascular Disease Awareness Month and PAD Awareness Month. Here is why that matters specifically for patients in Bakersfield and Kern County, and what a free vascular screening can tell you.

knee pain at night worse when resting what it means and how to treat it Bakersfield

Knee Pain & GAE

Knee Pain at Night: Why It Gets Worse When You Stop Moving | HVLC Bakersfield

Knee Pain at Night: Why It Gets Worse When You Stop Moving and What It Could Mean Most people expect joint pain to get worse during activity. Push it too hard, feel it afterward. That logic makes sense. So when knee pain is worst at night, when you are lying still, not putting any weight on it, not doing anything at all, it catches people off guard. Some assume they slept in a bad position. Others take a painkiller and try to push through. What fewer people know is that nighttime knee pain has a specific meaning. It is not random. It is telling you something about what is driving the pain, and it points directly toward a mechanism that standard treatments often miss.

Heart & Vascular Health, PAD & Circulation

What Happens to Your Legs When You Sit All Day | HVLC Bakersfield

What Happens to Your Legs When You Sit All Day. And Why It Matters More Than You Think sitting all day effects on leg circulation poor circulation vascular health Bakersfield Most people know that sitting too much is not great for them. They have heard it enough times. But the conversation usually stays vague, centered around back pain, posture, or burning calories. What gets far less attention is what prolonged sitting does specifically to the blood flow in your legs. And for a significant number of people, particularly those with diabetes, high blood pressure, or a family history of heart disease, the effects are not just discomfort. They are the early stages of a real vascular problem.

PAD & Circulation

Your Heart Gets a Lot of Attention. Your Leg Arteries Deserve the Same | HVLC Bakersfield

Your Heart Gets a Lot of Attention. Your Leg Arteries Deserve the Same
chronic knee pain management vs treatment what actually helps HVLC Bakersfield
Every February, American Heart Month reminds people to take care of their arteries, watch their cholesterol, check their blood pressure, and protect their cardiovascular health.

Vein Disease & DVT

Diabetes, Veins, and Circulation: Why Leg Health Is a Heart Issue

Deep vein thrombosis (DVT) is a circulatory system problem that occurs in the deep veins of your legs. Anyone who’s developed any stage of vein disease is at risk for developing this potentially life-threatening condition, but knowing your risks will help you get medical treatment at the first sign of trouble.

Knee Pain & GAE

Arthritis Is Not Just About Your Joints. Here Is Why Your Blood Vessels Matter Too

Arthritis Is Not Just About Your Joints. Here Is Why Your Blood Vessels Matter Too And most of the conversation this month follows the same familiar path: cartilage breakdown, joint wear, inflammation, medication, physiotherapy, and eventually surgery.

PAD & Circulation

PAD 101: Start the New Year With a Circulation Screening

Deep vein thrombosis (DVT) is a circulatory system problem that occurs in the deep veins of your legs. Anyone who’s developed any stage of vein disease is at risk for developing this potentially life-threatening condition, but knowing your risks will help you get medical treatment at the first sign of trouble.

PAD & Circulation

Simple Stretches That Boost Blood Flow in Minutes

If your days involve long hours of sitting at a desk or standing on your feet, your legs may be working overtime to keep blood moving. The good news? You don’t need a gym session—or much time—to support healthy circulation. A few simple stretches, like calf raises and ankle circles, can make a noticeable difference in just minutes.

Knee Pain & GAE

GAE vs. Knee Replacement: Understanding Where Genicular Artery Embolization Fits

GAE vs. Knee Replacement: Understanding Where Genicular Artery Embolization Fits
Not Every Patient With Knee Arthritis Is Ready for Surgery Knee osteoarthritis can progress slowly over years. Some patients manage symptoms with exercise, medication, injections, weight loss, bracing, or physical therapy. Others eventually reach a point where knee replacement becomes the best option.

doctor reviewing knee X-ray with patient to discuss bone on bone osteoarthritis treatment options in Bakersfield

Knee Pain & GAE

Your Doctor Said Bone on Bone. Does That Actually Mean You Need Surgery? | HVLC Bakersfield

Being told your knee is bone on bone does not automatically mean surgery is your only option. A vascular specialist in Bakersfield explains what it really means and what else may help.

person with chronic knee pain that has not improved after cortisone shots and physical therapy

Knee Pain & GAE

The Real Reason Your Knee Pain Keeps Coming Back. And What Actually Helps

Tried cortisone shots, physio, and injections but your knee pain is still not gone? You may be missing the real source of the problem. Learn about Genicular Artery Embolization, now available in Bakersfield.

diabetic patient checking legs for circulation problems and PAD symptoms in Bakersfield

Diabetic Foot, Wounds & Limb Preservation

If You Have Diabetes, Your Legs Are at Greater Risk Than You Think

Diabetes quietly damages the arteries in your legs before any pain appears. Learn why diabetics in Kern County are at higher risk for PAD, and what a simple vascular check can tell you.

patient with chronic knee pain consulting vascular specialist in Bakersfield

PAD & Circulation

Knee Replacement Alternative: A Minimally Invasive Option for Chronic Knee Pain | Bakersfield

If you've been told surgery is your only option for knee pain, there may be a step worth exploring first. A minimally invasive procedure targeting inflammation is now available in Bakersfield.

PAD & Circulation

PAD Symptoms: What Your Leg Pain Might Be Telling You | HVLC Bakersfield

Your Heart Gets a Lot of Attention. Your Leg Arteries Deserve the Same
chronic knee pain management vs treatment what actually helps HVLC Bakersfield
Every February, American Heart Month reminds people to take care of their arteries, watch their cholesterol, check their blood pressure, and protect their cardiovascular health.

Visit us or book online

Ready to take the first step?

Office hours

Mon - Thu

8am - 6pm

Fri

8am - 5pm

Sat - Sun

Closed

Insurance

Medicare

Medicare

Most PPOs

Call us directly: 661-324-4100

Same-day appointments often available

5020 Commerce Dr

5020 Commerce Dr, Bakersfield, CA 93309

Great! We’ve received your information.

Great! We’ve received your information.