September is Peripheral Artery Disease Awareness Month, and board-certified vascular surgeon Dr. Pushpinder Sivia is urging Americans to pay attention to leg and foot symptoms that may be the body&rsquo;s version of a warning light.
Leg pain is easy to brush off. Maybe it is arthritis. Maybe you walked too much. Maybe you are simply getting older.
But pain that repeatedly appears while walking and improves with rest can be a sign of <a href="https://empirevein.com/en/vascular-services/peripheral-artery-disease/?utm_source=Patch_CV_&amp;utm_medium=PR_article&amp;utm_campaign=PAD_EN" rel="noopener nofollow" target="_blank">peripheral artery disease, or PAD</a>, in which narrowed arteries reduce blood flow to the legs.
More than 400 amputations occur every day in the United States as a result of PAD. An estimated 10 to 12 million Americans over age 40 have the disease, and many do not know it.
&ldquo;PAD is easy to miss because the symptoms can seem so ordinary,&rdquo; says <a href="https://empirevein.com/en/our-team/dr-pushpinder-sivia/" rel="noopener nofollow" target="_blank">Dr. Pushpinder Sivia</a>, of Empire Vein &amp; Vascular Specialists. &ldquo;People blame arthritis, age or a muscle problem. But when the same symptoms keep happening with activity and improve with rest, that pattern matters.&rdquo;
The legs can act like the body&rsquo;s check-engine light: the warning may appear there even though the underlying problem involves circulation more broadly.
The Leg Pain That Should Get Your Attention
A classic sign of PAD is pain, cramping, aching, heaviness or fatigue in the calf, thigh or buttock that appears while walking and improves with rest.
When you walk, your muscles need more blood. If an artery is narrowed, blood flow may not keep up. When you stop, demand falls and the discomfort improves.
Other signs include one foot feeling colder, numbness or weakness, skin color changes, reduced hair growth, a slow-healing sore, or foot or leg pain at rest.
PAD Is Not Just About Your Legs
PAD is usually caused by atherosclerosis, the buildup of plaque inside the arteries. That same process can affect arteries supplying the heart and brain, raising the risk of heart attack and stroke.
Who Should Pay Extra Attention?
Risk is higher among people who smoke or used to smoke, have diabetes, high blood pressure, high cholesterol, kidney disease, heart or vascular disease, or are over age 50 with other risk factors.
Black adults have higher PAD rates and amputation risk, while underserved communities may face delays in diagnosis.
Take Off Your Socks
Take off your socks and look at your feet. Is one foot colder? Has the skin changed color? Is there a sore that will not heal? Do your calves hurt when you walk and improve when you stop?
The Test Can Be Surprisingly Simple
Checking for PAD may begin with an ankle-brachial index, or ABI, which compares blood pressure at the ankle with blood pressure in the arm. A significant difference can suggest reduced blood flow.

What Happens If PAD Is Found?
Treatment depends on severity. It may include exercise, smoking cessation, risk-factor control and medication.
Some patients may need angioplasty, stents, plaque-removal devices or intravascular lithotripsy (IVL), which uses sonic pressure waves to open calcium-hardened arteries.<figure class="float-left"><img src="https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;width=600" id="PAD before-after.png" data-image="PAD before-after.png" srcset="https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=320 320w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=375 375w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=420 420w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=720 720w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=600 600w" sizes="(max-width: 325px) 320px, (max-width: 375px) 375px, (max-width: 420px) 420px, (max-width: 768px) 720px, 600px"></figure>
Don&rsquo;t Ignore the Warning Light
&ldquo;Your legs can give you an early warning that there may be a circulation problem,&rdquo; Dr. Sivia says. &ldquo;The important thing is not to keep dismissing the same warning over and over.&rdquo;
During PAD Awareness Month, pay attention to the pattern. Look at your feet. Notice what happens when you walk. And if something keeps feeling wrong, get it checked.
We would never keep driving for months with the check-engine light on. We should not do it with our bodies, either.
For more information or to schedule a consultation, visit <a href="https://empirevein.com/en/vascular-services/peripheral-artery-disease/?utm_source=Patch_CV_&amp;utm_medium=PR_article&amp;utm_campaign=PAD_EN" rel="noopener nofollow" target="_blank">EmpireVein.com</a> or call&nbsp;1-888-263-7167.
Empire Vein &amp; Vascular Specialists is located in Rancho Mirage, La Quinta, Palm Springs, Riverside, Ontario and Victorville.

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Our Annual Wildomar Car Show is back and will take place this year on&nbsp;SEPTEMBER 19, 2026 from 10am-2pm! This annual event welcomes all in our valley for a time of community, fun, and food! The Wildomar Car Show will take place at Cornerstone Community Church in the Upper Parking Lot.
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Galway Downs  Los Caballos Rd, Temecula, CA, 92592

THE NATURE EDUCATION FOUNDATION&nbsp; AND GALWAY DOWNS TEAM UP FOR THE 11TH ANNUAL COWBOY JUBILEE ON SEPT. 19, 2026<a href="https://www.tnefcowboyjubilee.org" rel="nofollow noopener" target="_blank">TICKETS</a>&nbsp;/ 10% Early Bird Discount for Tables of 8 and Grand Prix&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Package for 10 = Promo Code&nbsp; EARLYBIRDCBJ26
The western-themed event will take place at the Equestrian Grand Prix Arena at Galway Downs and will include live music, delicious barbecue, libations, and elite equestrian show featuring the Los Amigos and Southern California Peruvian Paso Horse Clubs. 
August 2026 – TEMECULA, CA – The Nature Education Foundation at the Santa Rosa Plateau is proud to partner with Galway Downs for the 11th Annual Cowboy Jubilee, a signature fundraising event supporting nature education programs for students across Southwest Riverside County.
This year’s “Western and English” themed celebration will be held on Saturday, Sept. 19, 2026, from 5:30 p.m. to 10 p.m., inside the scenic Equestrian Grand Prix Arena at Galway Downs, surrounded by Temecula Valley’s rolling hills, vineyards, and wineries.
The evening blends the best of Western and English horsemanship traditions highlighting their distinct cultures, values, and riding techniques through music, food, language, and a shared work ethic.
Guests will be welcomed with complimentary champagne and treated to a Texas-style BBQ dinner, freshly prepared and served at the Grand Prix Outdoor Pavilion. The night’s entertainment includes a unique equestrian show with music and history presented by the Los Amigos and Southern California Peruvian Paso Horse Clubs.
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Event Details
Date: Saturday, Sept. 19, 2026; 5:30 p.m. – 10 p.m. 
Location: Galway Downs/Equestrian Center, 38801 Corralitos Road, Temecula, CA 92591 
Admission: $100 per person; $750 table of 8; $1,200 VIP Grand Prix Ticket Package for 10&nbsp; &nbsp; 
Parking: FREE 
Tickets and Information: <a href="https://tnefcowboyjubilee.org" rel="nofollow noopener" target="_blank">https://tnefcowboyjubilee.org</a>
Questions?&nbsp; &nbsp;Info@the-nef.org / Call 951-319-2998
Stay at Galway Downs for the Cowboy Jubilee
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Local Event: Cowboy Jubilee Returns to Galway Downs

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