(201) 581-6120


We are open and safely seeing patients

Peripheral Artery Disease

Are You At A Risk Of Peripheral Artery Disease?

Peripheral Artery Disease

Peripheral Artery Disease, often abbreviated as PAD, is a circulatory disorder where arteries in the legs and sometimes other extremities become narrowed or blocked due to the accumulation of fatty deposits, a condition known as atherosclerosis. This in-turn restricts the blood flow leading further to PAD symptoms like leg pain and minor/major cramping during physical activity.

The most common risk factors include smoking, diabetes, high BP, high cholesterol levels, and a family history of vascular diseases. Other things like age and having a sedentary lifestyle might also increase the risk of developing PAD.

Common symptoms of PAD include leg pain or cramping (claudication) that occurs during exercise and improves with rest, coldness or numbness in the lower limbs, slow-healing wounds on the legs or feet, and changes in skin color or shiny appearance. In case you experience any of these symptoms and if they persist, consult a medical professional immediately.

Diagnosing PAD typically involves a combination of medical history assessment, physical examination, and specialized tests. Doctors may use the ankle-brachial index (ABI) test, ultrasound imaging, or angiography to evaluate blood flow and pinpoint blockages in the affected arteries. These tests will help healthcare experts understand the severity of your condition and guide you with further course of treatment.

The PAD treatment that we offer at Advanced Medical Group focuses on easing symptoms, slowing down the progression of the disease, and reducing the risks of the incurrence of complications like limb amputation or heart issues. Lifestyle changes are pivotal, such as kicking the smoking habit, effectively managing diabetes, adopting a heart-healthy diet, and integrating regular exercise into your routine.

Peripheral Artery Disease Treatments

Peripheral Artery Disease Treatments - Angioplasty and Stenting

Angioplasty and Stenting

In this minimally invasive procedure, a catheter with an inflated balloon is gently placed into the narrowed artery. Once in position, the balloon is expanded to widen the artery, often accompanied by the placement of a stent to maintain the widened passage.

Peripheral Artery Disease Treatments -Lifestyle Adjustments

Surgical Bypass

In severe PAD cases, bypass surgery may become necessary. During this procedure, a surgeon creates an alternative path around the blocked artery using a graft, redirecting blood flow. This surgical intervention can effectively restore circulation to the affected limb.

Peripheral Artery Disease Treatments - Atherectomy

Lifestyle Adjustments

Incorporating regular exercise into your routine, such as supervised walking programs, can encourage the growth of collateral vessels. Transitioning to a heart-healthy diet, and saying no to not so health habits like smoking can help reduce the accumulation of plaque.

Peripheral Artery Disease Treatments - Surgical Bypass


Our knowledgeable vein doctors might recommend certain medications to tackle PAD. These could involve antiplatelet medications such as aspirin or clopidogrel, which work to reduce the likelihood of blood clots, and statins to effectively manage your cholesterol levels.

Peripheral Artery Disease Treatments - Compression Therapy

Compression Therapy

Compression therapy involves wearing special stockings or wraps that apply pressure to your legs. This helps improve blood circulation and reduce swelling in the affected limbs. Your healthcare team will recommend the appropriate compression therapy based on your specific condition.

Peripheral Artery Disease Treatments - Medications


Atherectomy involves the use of specialized catheters equipped with cutting devices or lasers to remove plaque from the artery walls. The procedure aims to ease symptoms, improve overall circulation, and lower the risk of complications linked to PAD.

Peripheral Artery Disease FAQs

PAD- Diseases

The symptoms of PAD often include leg pain or cramping during physical activity, numbness or coldness in the legs or feet, and slow-healing wounds on the lower limbs. At Advanced Medical Group, we offer a comprehensive range of treatment options. This includes lifestyle modifications, medication therapy, minimally invasive procedures like angioplasty and stenting, atherectomy, and surgical bypass.

Yes, many PAD cases can be managed without surgery. Advanced Medical Group emphasizes lifestyle modifications such as supervised walking programs and heart-healthy diets, along with medication therapy to lower cholesterol and prevent blood clots. These approaches can significantly improve blood flow and reduce symptoms, offering effective non-invasive options for our patients.

The need for procedures like angioplasty and stenting is determined based on the severity of your PAD. These minimally invasive interventions involve using a balloon to widen narrowed arteries and often placing stents to keep them open. At Advanced Medical Group, our experienced team will evaluate your condition and recommend the most appropriate treatment. These procedures aim to restore blood flow, reduce symptoms, and improve your quality of life.

Absolutely. Advanced Medical Group offers atherectomy procedures, which involve specialized catheters with cutting devices or lasers to remove plaque from artery walls. This approach is particularly effective for heavily calcified or complex blockages. Our goal is to alleviate symptoms, enhance blood flow, and reduce the risk of complications associated with advanced PAD.

Surgical bypass is considered when PAD is severe and other treatments are insufficient. This procedure involves creating an alternative pathway for blood flow using a graft to bypass the blocked artery. At Advanced Medical Group, our skilled surgeons perform this surgery to effectively restore circulation to the affected limb, especially in complex cases. Going for a bypass procedure depends on your overall health condition and the severity of the disease.

Experiencing Peripheral Artery Diseases Advanced medical Group Arrow

Other Specialist of Advanced Medical Group

Christopher Samaniego, DPM


Merwin Richard, MD

CardioVascular / EndoVascular Specialist

Enrique Chappilliquen, PA-C

Physician Assistant

Radhika Patel, PA-C

Physician Assistant



Aishwarya Parab, PT

Physical Therapist

Reema Parikh, DPT

Physical Therapist

Michael Salvador

Physical Therapist Assistant

Maria Avila, APN,AGNP-C

Nurse Practitioner

Here Are A Few Patient Testimonials You Should Read!

We take pride in delivering exceptional care and treatment for vein diseases at our facilities. We prioritize individualized care, tailoring our treatment plans to meet your individual needs. Experience our exceptional care today, and take the first step towards healthier, happier legs.

Isabelle Hughes
10 months ago
Read More
From my initial consultation to the treatment and follow-up care, the entire experience with Advanced Medical Group was exceptional. The team was not only highly knowledgeable and skilled, but they were also genuinely caring and attentive. The treatments were minimally invasive, and the results exceeded my expectations.
Ava Davis
10 months ago
Read More
The doctors took the time to thoroughly explain my condition and the treatment options available. The professionalism, expertise, and compassion demonstrated by the entire team of Advanced Medical Group are truly commendable. My symptoms have significantly improved, and I finally feel like myself again.
Daniel Russo
10 months ago
Read More
After researching various treatment options, I decided to trust Advanced Medical Group with my care. The staff was incredibly warm and understanding, addressing all my concerns and ensuring I felt comfortable throughout the process. I am grateful for the exceptional care and support provided by this dedicated team.

Manage Your Peripheral Artery Disease with us!

At Advanced Medical Group, we have expert diagnosticians and healthcare professionals who will assist you with the most comfortable treatment journey. For any further questions, vein care clarifications, or queries, please feel free to get in touch with us!

about peripheral artery disease

Book Appointment

Request The Call Back

Dr Christopher Samaniego, DPM

Christopher Samaniego, DPM

Podiatrist located in Jersey City, NJ, Union City, NJ, and West New York, NJ

Christopher Samaniego, DPM, is originally from Freehold, New Jersey. He attended college at Messiah College, where he graduated Magna Cum Laude with a degree in Biology. He earned his podiatric medical degree from Temple University School of Podiatric Medicine in Philadelphia, PA and completed his surgical residency training at Detroit Medical Center in Detroit, MI. 

Dr. Samaniego provides comprehensive foot and ankle care at Advanced Medical Group in Jersey City, Union City, and West New York. His specialized surgical training includes

  • Bunion
  • Hammertoe correction
  • Diabetic foot care
  • Fungal nail care
  • Plantar fasciitis, tendinitis, orthotics
  • Gout, warts, neuroma care
  • Flat feet and high arched feet
  • Foot and ankle trauma
  • Adult and paediatric foot conditions
  • Arthritis of the foot and ankle
  • Arthroscopy, joint replacement, minimally invasive techniques

Samaniego is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. He keeps up to date on the latest surgical techniques and available technology in foot and ankle care.

Prior to joining Advanced Medical Group, Samaniego studied public healthcare in Zambia and assisted in providing care to the local community. He has also presented research at the annual meeting of the American College of Foot and Ankle Surgeons. Samaniego achieved the highest rank of Eagle Scout through the Boy Scouts of America and volunteered with Troop 454 for scouts with special needs and the Freehold Public Library. In his free time, Samaniego volunteers with his local church community service and youth programs.

Samaniego resides in Jersey City, NJ and maintains his health by cycling and interval training several times a week. He explains, “Healthy doctors inspire healthy patients. I follow the same advice I give my patients, and I read constantly to become a better physician every day. I encourage my patients to ask questions and learn about the cause of their symptoms. An ounce of prevention is worth a pound of cure.”

Dr. Merwin Richard, MD. A cardiologist

Merwin Richard, MD

Cardiologist located in Jersey City, NJ & Union City, NJ

As an established board-certified internist and cardiologist, Merwin Richard, MD, has a reputation for helping patients with the most complex of health conditions. He cares for patients at Advanced Medical Group in West New York, Jersey City, and Union City, New Jersey.

Richard began his undergraduate education in medicine at Stanley Medical College in India. He earned his doctor of medicine degree from Tamil Nadu Dr. M.G.R. Medical University before relocating to New York City.

After completing both his internship and internal medicine residency through the Albert Einstein College of Medicine, Dr. Richard went through advanced fellowship training. He completed a cardiovascular fellowship at Columbia University College of Physicians and Surgeons, then went on to finish a second fellowship in interventional cardiology through Mount Sinai School of Medicine (now Icahn).


Throughout his career, Richard has stayed involved in numerous research projects and previously served as a professor at the University of Medicine and Dentistry of New Jersey (now Rutgers University). Richard went on to become the director of the first cardiac catheterization and interventional laboratory in Jersey City and has extensive training in vein treatments.

To ensure he continues staying up to date with the latest research and techniques, Richard maintains his board memberships. He’s board certified through the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Being fluent in English,  Spanish, and Tamil gives Richard the opportunity to communicate with patients from diverse cultural backgrounds. Richard is currently accepting new patients.

Enrique D Chappilliquen Lucio, PA-C

Enrique Chappilliquen, PA-C

Physician Assistant located in Union City, NJ & Jersey City, NJ

About Dr. Chappilliquen
Graduated from Mercy College Physician Assistant Program with a Masters of Science in Physician Assistant Studies, Enrique has extensive experience in the medical field for more than 6 years.

He has clinical experience and training in internal medicine, cardiology, general and vascular surgery, hematology, oncology, and emergency medicine. He joined Dr. Richard’s practice in October of 2016. Since then, he has been a dedicated medical provider working in the Union City office and the Hematology/Oncology office in Jersey City as well.

As a Hispanic, he proudly serves his community with passion and devotion. Being able to communicate fluently with his patients allows him the opportunity to provide excellent medical care to the Hispanic community in Union City and Jersey City. Also, sharing the same language, culture, and values as his patients allows him to connect at a personal level with his patients. Enrique continues to develop his knowledge and skills constantly to continue satisfying the needs of his patients.

Radhika Patel PA-C

Radhika Patel, PA-C

Physician Assistant located in Jersey City, NJ

About Patel
Graduating summa cum laude from Rutgers University with a BA in Biological Sciences and minor in Spanish, Radhika Patel obtained experiences in outpatient medicine as well as in emergency medical services prior to pursuing a career as a physician assistant. She graduated from the Rutgers University Physician Assistant program with a Master of Science after training in cardiology, internal medicine, and urgent care, among many other fields at various hospitals and private practices throughout the state of New Jersey. She is a proud member of the team at Advanced Garden State Cardiology and looks forward to meeting with patients each day in our Jersey City office.

Aishwarya Parab, PT

Physical Therapist

Aishwarya Parab received her Bachelors in Physiotherapy in India in 2015 and furthered her studies at Long Island University where she graduated with her Masters in Exercise Science, Sports, and Nutrition in 2019. She has experience working with various conditions, including herniated disks, spondylolysis, and post-operative mobility issues. Aishwarya has taken courses to expand her knowledge in the physical therapy world, including spinal mobility courses, neuromuscular reeducation courses, and getting a certificate with Revolution in Motion. Aishwarya finds it exceedingly rewarding to build a long-term relationship with her patients and shows commitment towards providing structured and effective healthcare.

Reema Parikh, DPT

Physical Therapist

Reema Parikh received two bachelor’s degrees from Long Island University and Touro College, and graduated as a Doctor of Physical Therapy from Touro College in 2013. In her early years as a DPT, she received an award for excellence in research and taught a course for the national physical therapy licensing board exam. Dr. Parikh has a passion for helping patients on their health journey; she is experienced in all ages and care of patients, ranging from pediatric care to geriatric care. She has hosted live and virtual workouts for varying levels of physical activity, incorporating mobility and strength segments. Dr. Parikh has furthered her education by receiving certifications in many aspects of physical therapy and holistic care including Nutritional PT, Restorative Yoga, Pilates, and Reiki.

Michael Salvador

Physical Therapist Assistant

Michael Salvador has been a Physical Therapist Assistant for over 20 years. He has a vast amount of experience, working in a variety of settings including outpatient orthopedics, inpatient skilled nursing facilities, and pain management. 

Mike has worked with patients suffering from chronic pain, joint replacements, acute knee injuries, and everything in between. He’s seen ages 25-95 and helped heal using a variety of techniques he’s learned from his many continuing education courses, including spinal function and Total Motion Release. Mike is an avid bowler, recently switching to playing as a lefty! He also plays tennis and volleyball and is active in many leagues throughout NJ/NYC.

Ms. Maria Avila

Maria Avila, NP

Nurse Practitioner

Coming Soon


Fatima Shaik MD


Fatima Shaik is a board certified internist and cardiologist. She specializes in general cardiology and heart rhythm disorders. She cares for patients at Advanced Medical Group in Jersey City and North Bergen. She also performs procedures at Jersey City Medical Center.

She completed her undergraduate education at NYU and received her MD degree for SUNY Downstate Medical Center. She completed her residency training at Mount Sinai Beth Israel Medical Center and her cardiology fellowship at New York Presbyterian Queens. She went on for advanced training in electrophysiology at Cooper Hospital in Camden, NJ.
She is trained in device implantation, SVT and atrial fibrillation ablations as well as watchman implantations.
She is fluent in English and Hindi.
She is currently accepting new patients.


Jersey City

Union City

West New York

North Bergen

Jersey City

North Bergen

Dr. Prajakta Avhad

Prajakta Avhad, MD

Pain Management located in Franklin Township, Somerset, NJ & East Brunswick, NJ

About Dr. Avhad
Dr. Prajakta Avhad is double board-certified in Pain Management and Anesthesiology. Dr. Avhad received her M.B.B.S. from MIMER, India, and completed her Surgical internship and Anesthesia residency at Brookdale University Hospital in Brooklyn, New York during which she interned at Memorial Sloan Kettering, St. Luke’s Roosevelt, and Staten Island Hospital.

She then completed her Pain Management Fellowship from Cleveland Clinic Foundation.

Dr. Avhad is a diplomate of the American Board of Anesthesiology and a member of the American Academy of Pain Medicine.

Dr. Avhad has been in practice in Central and South Jersey for more than 12years. She is a caring physician with expertise and experience in treating a spectrum of Pain conditions like chronic back and neck pain, herniated discs/sciatica with minimally invasive interventional procedures.

Dr. Avhad and her family reside in New Jersey. She is an avid gardener active with her kids, dog, and garden if not tending to her broad and exotic orchid collection.