Overview

Welcome to our comprehensive guide on critical limb ischemia treatment. Whether you are seeking information on critical limb ischemia regenerative therapy treatment in Delhi or critical limb ischemia regenerative therapy in Mumbai, you've come to the right place. Here, we provide detailed insights into symptoms, causes, risk factors, and modern treatment options for this serious condition. Our expertise, led by Dr. BS Rajput and his team at Cumballa Hill Hospital in Mumbai and Elantis Hospital in New Delhi, ensures you receive the best care possible.

What is Critical Limb Ischemia?

Critical limb ischemia (CLI) is a severe arterial obstruction that reduces blood flow to the extremities, causing severe pain and ulcers or sores. It's a serious condition that necessitates prompt medical attention. Chronic critical limb ischemia can lead to gangrene and amputation if untreated.

CLI is a chronic condition, meaning it develops gradually over time. It's often a complication of Peripheral Arterial Disease (PAD), where fatty deposits (plaque) build up in the arteries, narrowing the passage for blood flow. This narrowing can eventually lead to complete blockage, causing critical limb ischemia.

History

Who Gets Critical Limb Ischemia?

CLI primarily affects individuals with a history of atherosclerosis or peripheral artery disease (PAD). It's more common in older adults, smokers, and those with diabetes, high cholesterol, or high blood pressure. Understanding critical limb ischemia causes is crucial for prevention and management.

Is CLI Life-Threatening?

Yes, CLI can be life-threatening. Without prompt critical limb ischemia intervention, the condition can lead to severe complications, including infections, tissue loss, and the potential need for amputation. Critical limb ischemia is a serious condition that can be life-threatening if left untreated. The lack of blood flow can lead to tissue death (gangrene) and infection, which can necessitate limb amputation and potentially spread to other parts of the body.

How Common is Critical Limb Ischemia?

CLI is a relatively common condition, particularly among the elderly population. It's estimated that millions of people worldwide suffer from CLI, with a significant number residing in India.

CLI affects 1-2% of the population over the age of 50. It is more common in people who have diabetes as well as those with a history of heart problems. Early diagnosis and lower limb ischemia treatment are key to managing the condition effectively.

Symptoms of Critical Limb Ischemia

Below are some typical signs to look out for:

  • Pain in the legs or feet, especially at rest or at night, that improves with elevation
  • Numbness or weakness in the affected limb
  • Skin sores that don't heal or heal very slowly
  • Coldness in the affected leg or foot
  • Changes in skin color (pale or bluish)
  • Decreased hair growth on the affected leg or foot
  • Gangrene (tissue death) in severe cases

Causes of Critical Limb Ischemia

The primary cause of CLI is severe blockage in the arteries supplying blood to the legs. This blockage is usually caused by atherosclerosis, the buildup of plaque in the arteries. Other factors that can contribute to CLI include:

  • Diabetes: Diabetes can damage blood vessels and nerves, making it more difficult for blood to reach the legs.
  • Smoking: Smoking tightens the arteries and lowers blood circulation.
  • High blood pressure: High blood pressure can damage blood vessels and increase the risk of plaque formation.
  • High cholesterol: High cholesterol levels contribute to plaque buildup in the arteries.

Diagnosis of CLI

Diagnosis involves physical examination, ankle-brachial index (ABI) test, Doppler ultrasound, and imaging studies like angiography. Identifying critical limb ischemia classification helps determine the severity and appropriate treatment plan.

  • Ankle-brachial index (ABI): This non-invasive test compares the blood pressure in your arm to the blood pressure in your leg.
  • Doppler ultrasound: This painless test uses sound waves to assess blood flow in the arteries.
  • Angiography: X-ray imaging with a contrast dye to visualize the arteries and identify blockages.

Risk Factors

Risk factors for CLI include:

  • Smoking
  • Diabetes
  • High cholesterol
  • Hypertension
  • Obesity
  • Sedentary lifestyle
  • Family history of cardiovascular diseases

Preventing Critical Limb Ischemia

The best way to manage CLI is to prevent it altogether. Here are some preventive measures you can take:

  • Maintain a healthy lifestyle: Maintain a healthy weight by eating a well-balanced diet and engaging in regular exercise.
  • Manage diabetes: If you have diabetes, it's crucial to control your blood sugar levels effectively.
  • Quit smoking: Smoking cessation is essential for preventing CLI and other vascular diseases.
  • Control blood pressure and cholesterol: Regularly monitor and manage your blood pressure and cholesterol levels.
  • Proper foot care: Regularly inspect your feet for any cuts, sores, or injuries and practice proper hygiene.

Regular check-ups with a critical limb ischemia doctor in Delhi or critical limb ischemia doctor in Mumbai can help in early detection and prevention.

Living with Critical Limb Ischemia

If you've been diagnosed with CLI, it's important to follow your doctor's treatment plan diligently. This may involve lifestyle modifications, medication, and potentially intervention procedures. Here's what you can expect:

  • Long-Term Management: Effectively managing your underlying conditions like diabetes and high blood pressure is crucial for long-term management of CLI. Quitting smoking and leading a healthy lifestyle are also important.
  • Complications: Gangrene, Amputation, Cardiovascular events, and infection are the most severe complications of CLI. Early detection and treatment are vital to prevent limb amputation and the spread of infection.

Long Term Management

Long-term management includes medications to improve blood flow, lifestyle modifications, and, in severe cases, surgical options like bypass surgery or angioplasty. The Department of Orthopaedics and Advanced Orthobiologics at our hospitals provides complete care, including innovative treatments like regenerative therapy and tissue transplant.

Management and Treatment

Effective management and treatment of CLI include:

  1. Medical treatments to decrease clotting of the blood and increase blood flow
  2. Surgical options such as bypass grafting or angioplasty.
  3. Cellular therapy and tissue grafting for tissue regeneration.
  4. PRP (Platelet-Rich Plasma) treatments and blood-derived growth factors for healing.
  5. Minimally invasive techniques for very less surgery.

Management and Treatment by Dr. BS Rajput

Dr. BS Rajput and his team of consultants at Cumballa Hill Hospital in Mumbai and Elantis Hospital in New Delhi specialize in advanced treatments. The Advanced Centre for Cellular Therapy in Orthopaedic and Neuromuscular Disorders provides cutting-edge treatments in regenerative medicine.

Fortunately, advanced treatment options are available for critical limb ischemia in both Delhi and Mumbai. Here at Dr. B.S. Rajput's Department of Orthopaedics and Advanced Orthobiologics, we offer a comprehensive approach to CLI management at Cumballa Hill Hospital in Mumbai and Elantis Hospital in New Delhi. Dr. Rajput and his team of consultants, Dr. Rajput and Associates, are renowned for their expertise in minimally invasive and regenerative treatments for CLI.

Our treatment philosophy focuses on maximizing blood flow restoration and promoting tissue regeneration in the affected limb. This frequently requires a mix of techniques, including:

  • Endovascular interventions: These minimally invasive procedures use catheters and balloons to open blocked arteries. Techniques like angioplasty and stenting can improve blood flow without extensive surgery.
  • Bypass surgery: In some cases, traditional bypass surgery might be necessary. This involves creating a new pathway for blood to bypass the blockage using a vein from another part of the body.
  • Cellular therapy and Tissue Regeneration: Dr. Rajput and Associates are pioneers in the field of Orthobiologics, offering cutting-edge regenerative therapies for CLI. This may include procedures like Platelet-Rich Plasma (PRP) therapy, where concentrated growth factors from your own blood are injected into the affected area to stimulate tissue healing and blood flow. Additionally, Dr. Rajput and his team are exploring the potential of other cellular therapies and tissue grafting techniques to promote tissue regeneration and limb salvage in CLI patients.

When to See a Doctor

If you're experiencing any symptoms suggestive of CLI, it's crucial to seek immediate medical attention. Early diagnosis and intervention are critical for successful treatment and preventing limb amputation. Please consult a doctor if you notice:

  • Persistent pain in the legs or feet, especially at rest or at night
  • Non-healing injuries or ulcers in the legs or feet
  • Changes in skin color or temperature in the affected limb
  • Difficulty walking due to leg pain

If you or a loved one is experiencing symptoms of CLI, don't wait. Contact Dr. Rajput and Associates at Cumballa Hill Hospital in Mumbai or Elantis Hospital in New Delhi for expert care. We offer comprehensive evaluations and personalized critical limb ischemia treatment in Delhi and Mumbai.

Cost of Autologous Cellular Transplant/Therapy in Critical Limb Ischemia

Cost of bone marrow derived cellular transplant in critical limb ischaemia is between 3 to 3.5 Indian Rupees lacs depending upon hospital and class of room.

Make an Appointment

Our team at Dr. B.S. Rajput's Department of Orthopaedics and Advanced Orthobiologics is dedicated to providing advanced treatment for critical limb ischemia. If you're in Delhi or Mumbai and experiencing symptoms of CLI, contact us today at +91-9820850187 to schedule an appointment. We offer minimally invasive, regenerative solutions tailored to your specific needs, aiming for optimal limb salvage and improved quality of life.

Take the first step towards better health and quality of life by making an appointment with our doctors today.

whatsapp icon