Center for Chronic Limb Ischemia & Ulcer

1

Cardiology Family Practice Internal Medicine Gastroenterology
Endocrinology Women’s Health Occupational Health Clinic Urgent Care
Section Resources
About CCC and Medical Associates
Our Mission
Meet Our Medical Providers
Meet Our Staff
Meet Our Provider
Ash Jain, MD, FACC
Thirupathi Reddy, MD, FACC
Adil Irani, MD
Lay Hwa Lou, MD
Seema Rikhy, MD
Simin Siddiq, MD
Shaista Shah, MD
Hui Zheng, MD
Sylvia Hoang, MD
Victor Maceda, MD
Archana Bindra, MD
Shakir Hyder, MD
Scott Kramer, MD
Uma Kantamuneni, MD
Micheal Heinrich, MD
Hae Jin Lim
Aravind Rangaraj, MD
Jeffrey Carlson, MD
Edward Meyer, MD
Jennifer Chiu, MD
Andre Nicolas Gay, MD
Nabil Shafi, MD

Center for Chronic Limb Ischemia and Ulcer Care

Critical limb ischemia (CLI) is a severe blockage in the arteries of the lower extremities, which markedly reduces blood-flow. It is a serious form of peripheral arterial disease (PAD). PAD is caused by atherosclerosis, the hardening and narrowing of the arteries over time due to the buildup of fatty deposits called plaque.

CLI is a chronic condition that results in severe pain in the feet or toes, even while resting. Complications of poor circulation can include sores and wounds that won’t heal in the legs and feet. Left untreated, the complications of CLI will result in amputation of the affected limb.

Symptoms

The most prominent features of critical limb ischemia (CLI) are called ischemic rest pain — severe pain in the legs and feet while a person is not moving, or non-healing sores on the feet or legs.

  • Pain or numbness in the feet
  • Shiny, smooth, dry skin of the legs or feet
  • Thickening of the toenails
  • Absent or diminished pulse in the legs or feet
  • Open sores, skin infections or ulcers that will not heal
  • Dry gangrene (dry, black skin) of the legs or feet

Risk factors

Risk factors for chronic limb ischemia are the same as those for atherosclerosis, hardening and narrowing of the arteries due to the build up of fatty deposits, called plaque.

  • Age
  • Smoking
  • Diabetes
  • Overweight or obesity
  • Sedentary lifestyle
  • High cholesterol
  • High blood pressure
Share Button