THROBBING LEG PAIN AT NIGHT: WHAT CARETAKERS NEED TO KNOW ABOUT PAD IN LOVED ONES

Understanding Your Role as a Primary Caregiver

For many women, caring for aging parents or partners is not just an act of love—it’s a full-time responsibility. As the backbone of countless households, women often serve as the primary decision-makers when it comes to healthcare for their families. If someone you love has been experiencing throbbing leg pain at night, struggles to walk long distances, or has wounds that won’t heal, this may be more than aging or tiredness—it could be a warning sign of Peripheral Arterial Disease (PAD).

PAD is a serious condition that impacts blood flow to the legs, and it can lead to severe disability or limb loss if left untreated. This article is designed to help women caregivers understand how to recognize PAD, why it’s especially dangerous when symptoms are dismissed, and how early diagnosis and treatment can make all the difference.


What is PAD—and Why Should You Be Concerned?

PAD is caused by plaque buildup in the arteries that carry blood to the limbs. Over time, this buildup narrows or blocks blood flow, depriving the legs and feet of oxygen-rich blood. The result? Pain, numbness, and poor healing—especially noticeable at night when circulation slows.

As a caregiver, you may be the first to notice these symptoms in your partner, parent, or loved one:

  • Complaints of leg pain at night, especially in the feet or calves
  • Needing to dangle their legs off the bed for relief
  • Difficulty walking long distances due to pain or fatigue
  • Sores or wounds on feet or legs that won’t heal
  • Cold, discolored, or numb feet

Why Nocturnal Leg Pain Is a Red Flag

Leg pain that disrupts sleep is often one of the earliest signs of severe PAD. This pain happens because the legs aren’t getting enough blood while the person is lying down. Many caregivers mistake this for arthritis or poor circulation from diabetes, but ignoring this symptom can lead to critical limb ischemia, a dangerous condition that can result in amputation if not treated promptly.


Why PAD Disproportionately Affects the Ones You Care For

If your loved one has any of the following risk factors, their chances of having PAD are significantly higher:

  • Diabetes
  • High blood pressure
  • High cholesterol
  • Smoking history
  • Chronic kidney disease
  • Age 60+

Many of these conditions are common in aging men and parents, especially those with a history of cardiovascular disease. As a caregiver, being aware of these overlapping conditions is crucial.


How Women Caregivers Make a Difference in Outcomes

Research shows that patients with involved, informed caregivers are more likely to seek early care and follow through with treatment. As a woman making medical decisions for your family, your role is pivotal in catching PAD before it becomes limb- or life-threatening.

Steps you can take:

  1. Start the conversation – Ask about leg discomfort, cramping, or nighttime pain.
  2. Encourage screening – A simple test called an Ankle-Brachial Index (ABI) can detect PAD early.
  3. Seek expert care – Choose a specialist with extensive experience in PAD and limb salvage.
  4. Support follow-through – Ensure your loved one takes prescribed medications, attends follow-ups, and adopts lifestyle changes.

Why Choose South Bay Vascular and Dr. Polly Kokinos

Dr. Polly Kokinos at South Bay Vascular Center has over 30 years of experience treating patients with PAD. As one of the few independent vascular surgeons in Santa Clara County, she offers a level of personalized, patient-first care that many large systems simply cannot match. Her team works closely with caregivers to:

  • Explain complex diagnoses in easy-to-understand language
  • Involve families in every step of the treatment process
  • Provide compassionate care that respects cultural and emotional dynamics

Dr. Kokinos is especially known for her work in limb salvage and amputation prevention, helping families avoid devastating outcomes. With her background in both community-based practice and international mission work, she brings deep empathy and unmatched skill to every patient interaction.


Treatments That Can Help Your Loved One

The good news? PAD is treatable—especially when caught early. Treatment plans may include:

  • Lifestyle changes: Quitting smoking, eating healthier, and walking
  • Medication: To improve blood flow and control underlying conditions
  • Minimally invasive procedures: Like angioplasty or stenting to open blocked arteries
  • Surgical options: For advanced cases where blood flow must be rerouted

At South Bay Vascular, treatment plans are tailored to each patient’s specific needs, and you—as the caregiver—are never left out of the loop.


Conclusion: Your Leadership Saves Lives

As the primary caregiver, you are not just supporting a loved one—you are advocating for their future. By learning the signs of PAD, understanding its risks, and connecting with experts like Dr. Kokinos, you can help ensure your loved one receives the best care possible before the disease progresses.

Don’t ignore nighttime leg pain. If your partner, parent, or family member is struggling with any of the symptoms mentioned above, reach out today. If you or our loved ones suffers from any of the conditions outlined above, ask your primary care physicians for a referral to Dr Kokinos at South Bay Vascular Center or if you think you need a second opinion, please call our office at 408-376-3626 to schedule an appointment.

We offer hope when others say there is none


THE “RIGHT” EXPERIENCE COUNTS WHEN IT COMES TO YOUR HEALTH

The “RIGHT” Experience Counts When It Comes to Your Health! South Bay Vascular Center and Vein Institute is the Bay Area’s Most Trusted Varicose Vein Clinic and Treatment Center.

Having performed over 20,000 vein procedures in the past 24 years, more independent doctors refer their vein patients to Dr. Polyxene (Polly) Kokinos than to any other vascular surgeon in the greater Silicon Valley region. Recognized as San Jose’s most experienced Vascular Surgeon and Varicose Vein Expert, Dr Kokinos offers cutting edge care to patients suffering from all forms of both arterial and venous disease.

Here’s why more local doctors refer to South Bay Vascular than to any other Vascular Surgery Center in the Valley:

  • The “RIGHT” Experience Counts When it Comes to your Health: South Bay Vascular center has been treating vein patients in a private practice setting for over 24 years.
  • Cutting edge vascular care in a fully accredited, state of the art, and private out-patient surgery center dedicated entirely to the practice of vascular surgery.
  • Access to the most Advanced Imaging and Device technologies found anywhere in the world.
  • On-site fully staffed IAC accredited Vascular Ultrasound Clinic that is operated full time by Registered Vascular Technologists (RVT).
  • Vascular Studies ready by RPVI certified Vascular Surgeons.
  • Same day availability for Hemodialysis Access de-clots.
  • “One-Doctor, One Patient, One Nurse” practice philosophy means we put the patients first.
  • Full time access to practice physicians
  • Easy access to care: No admissions departments.
  • RESULTS:   We are MORE than just a colorful website and a Google Adwords campaign. Remember, all that glitters is NOT Gold!  https://www.southbayvascular.com/blog/varicose-vein-doctors/

 Trust the doctor your physician does.

 Remember, Its Not Just Experience That Counts.

When It Comes to Your Health, It’s The “RIGHT” Experience that Matters!

Dr Polyxene Kokinos, Silicon Valley’s Vascular Surgeon.

Call us today at 408-376-3626 to schedule your vein consultation.

Click here to learn more about Dr Kokinos  NOT JUST VASCULAR CARE, EXCEPTIONAL VASCULAR CARE

ARE YOU AT RISK FOR PERIPHERAL ARTERIAL DISEASE (PAD)?

WHAT IS PAD?

Peripheral Artery Disease (PAD) is a common and often underdiagnosed circulatory disease where blood flow to the legs and feet is restricted by the narrowing of blood vessels due to plaque buildup.

ARE YOU AT RISK FOR PAD?

  • Smoking is the most powerful predictor of PAD: Are you a current or former smoker?
  • 1 in 10 Americans over the age of 40 have PAD
  • Do you or your loved one have diabetes?
  • Struggle with high blood pressure or cholesterol?
  • Suffer from kidney disease?
  • Risk for amputation is 10 times greater in patients with both PAD and diabetes vs PAD alone

THE GOOD NEWS IS THAT PAD CAN BE TREATED!

With an early diagnosis, you may have more treatment options and may have a better chance to reduce or eliminate your symptoms. Left untreated, however, PAD can lead to amputation and put you or your loved one’s quality of life and long-term health at serious risk.

Dr. Polly G Kokinos, a board certified Vascular and General Surgeon in Campbell, CA. is recognized as one of the regions foremost authorities in the diagnosis and treatment of PAD. With offices in both Campbell and Gilroy, CA. Dr. Kokinos has dedicated her 24 year career to serving the South County community as a Vascular Surgeon and is a pioneer in the evaluation and treatment of patients suffering from Peripheral Arterial Disease.

Unlike other Vascular Surgeons in the region who do their work at a local hospital or in shared facilities, Dr. Kokinos’ does her surgeries in a private, nationally accredited Vascular Surgery Center of Excellence. She focuses entirely on treating patients suffering from complex vascular disorders and unlike a traditional hospital she has the most advanced imaging and device technology available anywhere in the world. Most importantly, unlike a Univeristy or community hospitals, Dr. Kokinos’ patients experience the individualized care of “One Patient, One Doctor and One Nurse” rather than the cold, informal “production” environment of a typical hospital.

If you or anyone you love suffers from any of the conditions listed above, please call our office at 408-376-3626 to schedule an appointment. Most insurances are accepted and our staff typically can schedule an appointment within a few days for an initial consulation and non-invasive vascular ultrasound study. All ultrasound testing is done in our on-site Vascular Ultrasound Lab, The Institute for Vascular Testing making it significantly easier for our patients to be fully evaluated in a single visit and in a single facility.

South Bay Vascular Center and Vein Institute: We Offer Hope When Others Say There Is None

DR. POLYXENE KOKINOS…AN INDEPENDENT COMMUNITY VASCULAR SURGEON SERVING SOUTH BAY RESIDENTS FOR 24 YEARS

For 24 years, Dr. Polyxene (Polly) Kokinos has worked in the greater San Francisco Bay Area community as an independent vascular surgeon, dedicating her time to serving patients suffering from vascular disease.

With offices in both Campbell, CA and Gilroy, CA Dr. Kokinos has worked with over 25,000 patients helping them as they suffer from circulatory illnesses and the impact of their disease. From the most delicate to the most complex surgical care, Dr. Kokinos’ and her staff have remained independent community physicians, offering patients an alternative to the “Big Box” medical systems of Santa Clara, San Mateo and Alameda Counties (Kaiser, PAMF, Sutter, Stanford) by offering unmatched personalized care and innovative surgical techniques to advance the care and treatment of her patients.

“We offer hope when others say there is none” is more than a simple message crafted by a marketing agent. It is at the core of everything we do and is the reason why we our facility operates in the most personal way available…

One Patient, One Doctor, One Nurse

South Bay Vascular Center and Vein Institute, located in Campbell, CA is the only fully accredited privately owned state of surgery center in the South Bay dedicated entirely to the practice of Vascular Surgery. Here, Dr. Kokinos provides unmatched vascular surgical care using cutting edge imaging and device technology that no other vascular surgeon or institution in the area can offer as she continues her pioneering work in the treatment of vascular disease.

Recognized by her peers as a national expert in the care of complex vascular disease, Dr. Kokinos is highly sought after as a speaker at national and international vascular surgical conferences and educational symposia. On March 4 2020 as part of her ongoing commitment to her community, Dr. Kokinos spoke in San Mateo, CA. addressing a large group of her peers as an invited guest of Global Education Group and Educational Awareness Solutions under a grant from Philips Image Guided Therapy. Her topic was “The Essential Role of the Primary Community Care Team in the Management of Lower Extremity Arterial and Venous Disease”

Her talk focused on Vascular diseases, “Including peripheral arterial disease (PAD) and venous thromboembolism and their prevalence in the US. When unrecognized or inadequately treated, these disorders may be life threatening and disabling. The therapeutic an diagnostic landscape for vascular conditions is rapidly evolving; yet there remains an unmet need for more awareness among healthcare professionals and patients.” As a recognized expert in her field, Dr. Kokinos was asked to address these topics with her peers, offering solutions and answering questions and was honored to present at this event.

As an independent community surgeon, Dr Kokinos isn’t forced to achieve the “productivity” targets or revenue targets that are by design a part of “Big Box” Medicine. Her practice has always been one of service to her community and as such continues taking emergency vascular call at Good Samaritan Hospital, O’Connor and El Camino Hospital’s in the Silicon Valley. She has served as the chair of vascular surgery at Good Samaritan Hospital in San Jose, Headed the wound care clinic at Good Samaritan, O’Connor and St Louis hospitals and continues to treat patients at the O’Connor Wound Care Clinic.

As an independent community physician Dr. Kokinos focuses her work on providing cutting edge care in the treatment of the most difficult vascular problems. Free from “corporate” medicine Dr Kokinos’ practice is dedicated to finding the “Why” you are suffering so that you have “real” solutions to living a healthy life. At South Bay Vascular, our first job is to listen. We take the time to fully understand your symptoms so that we can provide the best possible solutions to get your legs and your life back…and that’s what she has been doing for over 24 years.

Unlike Big Box medical practices where doctors see the patients on their “list” every morning, Dr. Kokinos must earn the trust and respect of everyone she sees. She’s knows each and every one of her patients by name and everyone who comes in to see Dr. Kokinos gets her cell phone to call if they ever have a problem. It’s what she does and what she’s always done, building her practice patient by patient, referring physician by referring physician for the past 24 years.

If you or anyone you love suffers from vascular disease, we would be honored to meet with you to discuss your symptoms. Please call our office at 408-376-3626 to schedule an appointment.