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Amputation Prevention

Patients with poor circulation can risk losing limbs, including arms and legs.  MVP physicians are experts at treating the diseases that impair poor circulation using advanced non-surgical endovascular treatment, which reduce the risks of amputation. 

What causes limb amputation​?

Peripheral Arterial Disease (PAD) is a condition that occurs when arteries narrow and limit blood flow to limbs, most commonly the legs.  Left untreated, blood flow in that artery can become limited or blocked all together.  PAD has different levels of severity, of which the most severe is called Critical Limb Ischemia (CLI). 


Amputation; "the action of surgically cutting off a limb" is the traditional approach for treating patients with Critical Limb Ischemia, specifically for the geriatric population.

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Physiotherapy Session

What are the signs and symptoms?​


One of the most common symptoms of CLI is resting leg pain. This is called ischemic rest pain. This pain most commonly occurs when the legs are in a resting position and during a night’s sleep. 

Other symptoms include:

  • Numbness or pain in the foot

  • Diabetic ulcers on the feet

  • Pain in the foot or leg when walking

  • Long-lasting wounds on foot or leg

  • Excessive thickening of toenails

  • Lack of pulse in the foot or leg

  • Dry gangrene

  • Extremely shiny and/or flaky skin on the foot or leg

What are the risk factors?​

Age plays a major factor in the population at risk, but some others include:

  • Family history of atherosclerosis or claudication

  • High blood pressure

  • High cholesterol

  • Inactive lifestyle

  • Obesity

  • Smoking

  • Diabetes

  • Chronic kidney disease

Mobile Vascular Physicians & Amputation Prevention Introduces: 


The LEEP! (Lower Extremity Endovascular Preservation) program with MVP specializes in treating patients with vascular disease or diabetes who are at high risk for foot and leg amputation. LEEP! coordinates an interdisciplinary team of vascular specialists, podiatrists, physical therapists, and other experts dedicated solely to healing wounds and preventing amputations in patients with diabetes, peripheral artery disease (PAD), and venous disease. With appropriate treatment, many amputations can be prevented and LEEP! provides comprehensive and advanced treatment alternatives to major limb amputation for patients with serious foot and leg problems caused by diabetes and PVD. LEEP! is a novel and ambitious limb salvage program that provides comprehensive diagnostic evaluation, and advanced wound care strategies and collaboration. By considering all of our patients' needs the LEEP! team works collaboratively to heal wounds, improve blood flow, prevent recurrence, and preserve limbs.

Diagnosis:  We offer many advanced types of diagnostic imaging in our office from ultrasounds to arteriography. 

Treatment:  After diagnosing the problem, we will perform the appropriate intervention such as minimally invasive endovascular therapy such as angioplasty, stenting or atherectomy, or a surgical procedure such as arterial bypasses or revascularization.

Follow Up:  We will follow your disease closely to make sure you are improving or scheduled for additional treatment, if needed. 

Click here for more information on MVP's LEEP! Program!