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Poor Circulation: 7 Surprising Warning Signs

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Posted by Andrea Lubitz, MD, MPH

It's easy to assume sore, achy legs are just a part of getting older. But they can sometimes be your body’s way of tipping you off to poor circulation. Especially if it’s accompanied by certain other symptoms.

Poor circulation doesn’t just make a person uncomfortable. It’s usually a sign of an underlying health problem that isn’t being well-managed. These can include peripheral artery disease, coronary artery disease, high blood pressure, high cholesterol, or diabetes, to name a few. 

As a vascular surgeon, I often see patients whose poor circulation has already become severe. But there are subtle warnings that might suggest your circulation isn’t working the way it should be. Watching for these signs and taking action early can help you avoid complications and protect your health.  

Poor circulation causes and complications

Circulation problems happen when something limits normal blood flow. Usually, it stems from damage to arteries or blood vessels. 

Circulation problems are more likely to affect people who:

  • Are over 40
  • Have diabetes
  • Smoke
  • Have high blood pressure
  • Have kidney disease

The damage can be caused by:  

When poor circulation takes hold, it becomes harder for oxygen-rich blood to be delivered to all parts of the body — especially in the arms, legs, hands, and feet. That can lead to serious complications. A person’s legs might become prone to sores that can become severely infected, for instance. In extreme cases, limbs that are damaged by poor circulation may need to be amputated

Circulation red flags

So, what are the warning signs that your circulation system might be struggling? Here are common symptoms to watch for: 

  1. Numbness or tingling in your hands, legs, feet, fingers, or toes. Numbness might be more noticeable when you’re resting.
  2. Pain, aching, or burning in your lower extremities when you’re active. The symptoms often ease up with rest. You might notice discomfort only when walking uphill, walking fast, or walking for a long time.
  3. Skin changes. Areas that aren’t getting as much blood flow might appear pale or blue-tinged. They might also feel very dry or cool to the touch.
  4. Cold hands and feet. They might feel chilled even when the rest of your body is comfortable.
  5. Slow wound healing. Take note if sores or cuts seem to stick around for longer than they used to.
  6. Erectile dysfunction. Men may have trouble maintaining an erection when they’re aroused. 

Managing poor circulation

Let your doctor know if you’re having symptoms of poor circulation. Catching and treating the problem sooner will reduce your risk for serious complications and protect your overall health.

The best treatment option depends on the severity of your symptoms and what’s causing them. Your provider might recommend medications to manage an underlying condition like high cholesterol or high blood pressure. Your provider may recommend walking or exercise programs to increase circulation. In some cases, surgery might be needed to repair damaged arteries.

Lifestyle changes can make a big difference. I always recommend that patients focus on healthy lifestyle habits. For example, you can:

  • Quit smoking, if you smoke. This will prevent further damage to your blood vessels.
  • Eat a heart-healthy diet. Focus on fruits and vegetables and drink plenty of water. Limit red meat, full-fat dairy, and alcohol.
  • Be active. Try to move for at least 30 minutes per day. If it’s uncomfortable, work up to walking for longer stretches over time.
  • Work with your doctor to manage your blood pressure and cholesterol.

Help for vascular problems

Temple’s vascular surgeons are experts at treating a range of circulation problems. To make an appointment, call 800-TEMPLE-MED (800-836-7536) or request an appointment online

Helpful Resources

Andrea Lubitz, MD, MPH

Dr. Andrea Lubitz specializes in Vascular Surgery. Her clinical interests include open and endovascular treatment of peripheral arterial disease, limb salvage, open and endovascular treatment of abdominal aortic aneurysms, carotid artery disease, hemodialysis access, and venous disease.

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