11 Subtle Clues You Can Spot to Catch PVD Before It Progresses

7. Weak or Absent Pulses in the Feet

Checking your pulse isn’t just for your wrist or neck—a gentle pulse should be noticeable on the top of your foot or behind your ankle, too. With PVD, those pulses may become faint or even disappear over time because blood is struggling to travel past narrowed vessels. This clue can be tricky to spot on your own, especially if you’re not used to feeling for a foot pulse, but your healthcare provider will always check during an exam. They might use a gentle touch or a small device to assess blood flow. If you’re curious, try resting your fingers lightly over the top of your foot while sitting or lying down. There’s no need to panic if you’re unsure, but if you notice a marked difference from one foot to the other, or your care team mentions a change, it’s worth following up. Catching a faint pulse early can lead to proactive, manageable steps and keep you confidently on your feet.

8. Coldness in One Leg or Foot

Many of us have experienced cold feet when the weather turns chilly. But if you notice that one foot or lower leg feels consistently cooler than the other—or stays cold even when you’re warm everywhere else—it could be a subtle signal from your circulatory system. PVD can cause certain parts of your body to get less blood, making them cooler to the touch. Try placing your hands on both legs and feet at rest; if there’s a noticeable and ongoing difference, even indoors, it’s not just your imagination. While occasional coldness can stem from minor causes, persistent temperature shifts deserve a little attention. You’re not being oversensitive—your body is offering useful, real-time feedback. Sharing this with your provider helps ensure you stay cozy, comfortable, and well-cared for from head to toe.