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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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ACR Appropriateness Criteria® Chronic Foot Pain: Update 2025.

, Nicholas Said1, Michael G Fox2

  • 1Duke University Medical Center, Durham, North Carolina.

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Summary
This summary is machine-generated.

This document provides best practices for ordering medical imaging for chronic foot pain, categorizing scenarios to guide appropriate study selection for better patient outcomes.

Keywords:
AUCAppropriate Use CriteriaAppropriateness Criteriachronic foot paindiagnostic imagingfootforefoothindfootmidfoot

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Area of Science:

  • Radiology
  • Orthopedics
  • Clinical Practice Guidelines

Background:

  • Chronic foot pain significantly impacts quality of life.
  • Appropriate imaging is crucial for diagnosis and treatment planning.

Purpose of the Study:

  • To establish evidence-based best practices for ordering imaging studies in chronic foot pain.
  • To categorize clinical scenarios for optimal imaging modality selection.

Main Methods:

  • Comprehensive literature analysis and review of best imaging practices.
  • Adaptation of established methodology principles like Grading of Recommendations Assessment, Development, and Evaluation (GRADE).
  • Utilized the RAND/UCLA Appropriateness Method for procedure appropriateness.

Main Results:

  • Categorization of clinical scenarios for chronic foot pain management.
  • Detailed descriptions of imaging modality usefulness, advantages, and limitations for each scenario.

Conclusions:

  • The guidelines aim to improve the appropriateness of imaging studies for chronic foot pain.
  • Expert opinion supplements evidence where literature is lacking or equivocal.