Peripheral Arterial Disease is caused by plaque that builds up in the arteries of the legs. The plaque narrows the vessels that distribute blood to the feet, which in turn causes problems with circulation.


  • leg pain that is worse with walking and relieved by rest poor healing wounds
  • discoloration to the feet and toes
  • skin and nail changes
  • temperatures changes
  • pain in the toes at night

Risk Factors

  • Smoking Diabetes
  • Heart Disease
  • High cholesterol
  • High Blood pressure
    Over 65 years old

PADnet Testing

At Central Carolina Foot & Ankle, we recognize how critical circulation is to overall foot health. We often are the first physicians to diagnose PAD for our patients. Our clinical assistants are trained in PADnet examination techniques, and if we feel a patient is experiencing compromised circulation due to PAD, we suggest they undergo this simple, non-invasive test to determine if intervention is necessary.

The PADnet test can detect blockages in arteries and measures the quality of blood flow using segmental pressures and pulsed volume recordings (PVRs). The test (which takes about 30 minutes) is performed in the office using blood pressure cuffs placed on the patient’s upper arm, upper leg, below the knee, around the ankle and big toe on both sides of the body. The results are then sent to a vascular specialist for interpretation. If the tests are abnormal, patients may be referred for further evaluation and treatment. If the tests are normal, we recommend repeating this test annually to monitor for changes.

Click Here For Our Pad Questionnaire


The type of bunion surgery (referred to as a bunionectomy) depends upon the degree of deformity, other structural conditions and functional components such as pronation and instability of certain joints in the foot. There are many types of bunion procedures, and to determine the best procedure for you involves a complete foot exam including a range of motion exam and review of the structural deformities on x-ray. Our physicians gather all pertinent information and make recommendations based on their findings. You are fully informed of the different treatment options, you get to see your x-ray images and all expectations and potential risks are discussed in detail prior to the surgery.


  • When you can no longer wear shoes comfortably
  • Great toe joint is painful with or without shoes
  • The pain interferes with your lifestyle and physical activities

If you suspect you need bunion surgery, schedule an exam today to find out what course of treatment our physicians would recommend.

Call Central Carolina Foot and Ankle Associates at 919-477-9333 for an appointment or click the link below.

Central Carolina Foot & Ankle Associates

2609 N. Duke Street, Ste. 301
Durham, NC 27704
(near the corner of N. Duke St. and Stadium Dr.)

5107 Southpark Drive
Suite 202
Durham, NC 27713
(close to RTP and Chapel Hill)