Can You Run With Lower Limb Atherosclerosis?

Lower limb atherosclerosis refers to the hardening of arteries in the legs due to plaque buildup. This condition can often be detected through an ultrasound scan, where thickening of the arterial walls or the presence of plaques may be observed. The clinical progression of peripheral arterial disease is generally categorized into four stages, each indicating a different level of severity and impact on mobility.

Stage 1: Mild Ischemia

In the initial phase, the symptoms are relatively mild. Patients may experience numbness, coldness, or a general sense of discomfort in the legs. However, these sensations typically do not interfere with daily activities or exercise. At this stage, engaging in moderate activities such as jogging or walking is usually safe and can even be beneficial for improving circulation and overall vascular health.

Stage 2: Intermittent Claudication

As the disease progresses and plaque buildup increases, blood flow to the legs becomes more restricted. This often results in a condition known as intermittent claudication. During this stage, individuals may feel fatigue or pain in the legs after walking short distances—often around 500 to 1,000 meters. The discomfort usually subsides after a few minutes of rest, allowing the person to walk a similar distance again. At this point, jogging or high-impact exercise may become more challenging and should be approached with caution.

Managing Exercise at This Stage

It is important to listen to your body and adjust your activity level accordingly. Low-impact exercises such as walking, swimming, or cycling are often recommended. Consulting with a healthcare provider or a vascular specialist can help tailor an exercise plan that supports cardiovascular health without overexerting the lower limbs.

Stage 3: Rest Pain

When the condition worsens, pain can occur even during rest. This is a sign of severe ischemia, where blood flow is so limited that the legs do not receive enough oxygen—even when inactive. People at this stage may experience intense pain at night, making it difficult to sleep. At this point, running or any strenuous physical activity is not advised and medical intervention becomes crucial.

Stage 4: Tissue Loss and Ulceration

The final and most critical stage involves tissue death, ulcers, or gangrene in the lower limbs. Without prompt treatment, amputation may become necessary. It is essential to seek immediate medical attention if you notice any signs of non-healing wounds, discoloration, or severe pain in the feet or legs.

When to Seek Medical Advice

If you begin to experience symptoms like intermittent claudication or find yourself unable to walk long distances without pain, it is important to visit a hospital for an ultrasound evaluation. Early detection and management of lower limb atherosclerosis can significantly reduce the risk of complications and improve quality of life.