Zespolenie tętnicy podkolanowej
Charakterystyka, pielęgnacja i opieka

Zespół tętnicy podkolanowej (PAES) to rzadka patologia naczyniowa dotykająca głównie młodych, aktywnych sportowców, zwłaszcza mężczyzn poniżej 30 roku życia, charakteryzująca się uciskiem tętnicy podkolanowej przez mięśnie lub ścięgna. Objawia się bólem łydki, chromaniem przestankowym, parestezjami oraz zmniejszeniem tętna na tętnicy piszczelowej tylnej i grzbietowej stopy podczas określonych ruchów. Diagnostyka opiera się na szczegółowym wywiadzie i badaniu fizykalnym, a potwierdzenie uzyskuje się za pomocą obrazowania duplex. Leczenie operacyjne, polegające na uwolnieniu tętnicy poprzez nacięcie w okolicy kolana, jest wskazane przy nasilonych objawach i wpływie na funkcjonowanie pacjenta. Zabieg trwa około godziny, wykonywany jest w znieczuleniu ogólnym, a hospitalizacja zwykle obejmuje 1-2 dni. Po operacji istotna jest kontrola parametrów życiowych, ocena miejsca operacyjnego oraz monitorowanie ukrwienia kończyny.

Zespolenie tętnicy podkolanowej – wprowadzenie

Zespolenie tętnicy podkolanowej (Popliteal Artery Entrapment Syndrome – PAES) to rzadka choroba naczyniowa dotycząca kończyn dolnych, charakteryzująca się uciskiem lub uwięzieniem tętnicy podkolanowej przez otaczające tkanki, mięśnie lub ścięgna.12 Jest to schorzenie występujące głównie u młodych, aktywnych sportowców, zwłaszcza u mężczyzn poniżej 30 roku życia, u których dochodzi do powiększenia mięśni łydki wskutek intensywnych ćwiczeń i treningu.34 Choroba ta objawia się najczęściej bólem łydki, skurczami lub osłabieniem podczas aktywności fizycznej, szczególnie przy zginaniu lub prostowaniu kolana.5 W literaturze anglojęzycznej w ciągu ostatnich 30 lat opisano zaledwie 249 przypadków, co podkreśla rzadkość tego schorzenia.6

Znaczenie opieki pielęgniarskiej w PAES

Dokładna ocena i monitorowanie stanu pacjenta są kluczowe w identyfikacji zespołu tętnicy podkolanowej, minimalizowaniu powikłań i zapobieganiu długotrwałym negatywnym skutkom wpływającym na codzienne funkcjonowanie.7 Personel pielęgniarski odgrywa istotną rolę w interdyscyplinarnym zespole zajmującym się leczeniem PAES, który powinien składać się z chirurgów naczyniowych, pielęgniarek i specjalistów medycyny sportowej.89

Rola personelu pielęgniarskiego w diagnozie

Pielęgniarki odgrywają kluczową rolę w rozpoznawaniu wczesnych objawów zespołu tętnicy podkolanowej. Dokładny wywiad medyczny i badanie fizykalne są niezbędne do postawienia diagnozy.10 Personel pielęgniarski powinien zwracać uwagę na objawy takie jak:

Wczesne rozpoznanie choroby ma kluczowe znaczenie i opiera się na świadomości występowania schorzenia oraz podejrzeniu na podstawie wywiadu i badania fizykalnego.15 Pielęgniarki powinny być szczególnie czujne u młodszych, aktywnych fizycznie pacjentów zgłaszających niewyjaśniony ból nóg podczas wysiłku.

Opieka przedoperacyjna

Przed zabiegiem chirurgicznym personel pielęgniarski powinien przeprowadzić kompleksową ocenę stanu pacjenta, która obejmuje:16

  • Dokładny wywiad medyczny
  • Ocenę nasilenia objawów i ich wpływu na codzienne funkcjonowanie
  • Monitorowanie parametrów krążeniowych
  • Przygotowanie psychiczne pacjenta do zabiegu
  • Edukację na temat procedury chirurgicznej i okresu pooperacyjnego

Należy również upewnić się, że pacjent rozumie potencjalne ryzyko związane z zabiegiem, takie jak: infekcja, krwawienie, zakrzepy krwi, uszkodzenie okolicznych struktur, potencjalny nawrót objawów oraz powikłania związane ze znieczuleniem.17

Przygotowanie do zabiegu chirurgicznego

Chirurgia jest jedynym sposobem na skorygowanie nieprawidłowego mięśnia łydki i uwolnienie uwięzionej tętnicy.18 Lekarz prawdopodobnie zaleci operację, jeśli objawy znacząco wpływają na codzienne funkcjonowanie lub aktywność sportową pacjenta.19 Personel pielęgniarski powinien przygotować pacjenta do zabiegu przez:

  • Omówienie procedury operacyjnej – podczas zabiegu chirurg wykonuje nacięcie na wewnętrznej stronie łydki tuż poniżej kolana lub z tyłu kolana, aby uwolnić nieprawidłowy mięsień łydki i stworzyć więcej przestrzeni dla tętnicy20
  • Poinformowanie o czasie trwania procedury – zazwyczaj około godziny
  • Wyjaśnienie procesu znieczulenia – operacja wykonywana jest w znieczuleniu ogólnym21
  • Omówienie konieczności pozostania w szpitalu – zwykle jeden dzień22

Opieka pooperacyjna

Po operacji zespołu tętnicy podkolanowej pacjent rozpoczyna proces powrotu do zdrowia, który jest kluczowym etapem w osiągnięciu optymalnych wyników.23 Personel pielęgniarski powinien być przygotowany na występowanie pewnego dyskomfortu, obrzęku i zasinienia wokół miejsca operacji u pacjenta.

Bezpośrednia opieka pooperacyjna

Bezpośrednio po zabiegu opieka pielęgniarska obejmuje:2425

  • Monitorowanie parametrów życiowych
  • Ocenę miejsca operacyjnego pod kątem krwawienia i oznak infekcji
  • Kontrolę bólu – zespół zapewni strategie zarządzania bólem w celu złagodzenia dyskomfortu i wspierania procesu gojenia26
  • Obserwację ukrwienia kończyny dolnej
  • Zapewnienie odpoczynku operowanej kończynie

Pacjent zwykle musi pozostać w szpitalu na noc po operacji.27 Następnie może rozpocząć fizjoterapię jako pacjent ambulatoryjny, co pomoże w procesie powrotu do zdrowia.

Rehabilitacja i fizjoterapia

Po operacji zespołu tętnicy podkolanowej kluczową rolę odgrywa odpowiednia rehabilitacja:2829

  • Przez pierwsze dwa tygodnie po zabiegu pacjent powinien wykonywać ćwiczenia rozciągające i zwiększające elastyczność
  • Po dwóch tygodniach wprowadza się ćwiczenia wzmacniające i kondycyjne, które są kontynuowane do całkowitego powrotu do zdrowia
  • Konieczne może być ograniczenie aktywności obciążających kończynę dolną i elevacja nogi w celu zmniejszenia obrzęku
  • Zalecane może być noszenie pończoch uciskowych w celu wspomagania krążenia i zapobiegania zakrzepom krwi30

Większość pacjentów spędza tylko 1-2 dni w szpitalu po operacji i nie wymaga fizjoterapii po powrocie do domu.31 Jednakże, w niektórych przypadkach, szczególnie u sportowców wyczynowych, rehabilitacja może być bardziej intensywna.

Czas powrotu do zdrowia i monitoring pacjenta

Czas powrotu do zdrowia po operacji zespołu tętnicy podkolanowej wynosi od 4 do 6 tygodni, w zależności od poziomu aktywności danej osoby, przy czym sportowcy uprawiający sporty o wysokiej intensywności wymagają najdłuższego okresu rekonwalescencji.32 Niektóre źródła podają, że pełny powrót do zdrowia może trwać od 4 do 6 miesięcy.33

Po zakończeniu leczenia pacjenci powinni kontynuować długoterminową obserwację ambulatoryjną.34 Personel pielęgniarski powinien monitorować stan pacjenta poprzez:

  • Regularne kontrole naczyniowe
  • Obrazowanie duplex tętnic, wykorzystujące ultradźwięki do oceny przepływu krwi przez tętnice35
  • Ocenę powrotu do normalnej aktywności fizycznej
  • Monitorowanie ewentualnych nawrotów objawów

Rokowanie chirurgicznie skorygowanego PAES jest często korzystne, jeśli diagnoza zostanie postawiona wcześnie. Po operacji ponad 90% pacjentów odczuwa znaczną poprawę objawów i powraca do normalnej aktywności fizycznej w ciągu trzech miesięcy.3637

Farmakoterapia i leki wspomagające

W leczeniu zespołu tętnicy podkolanowej stosuje się również farmakoterapię, która może obejmować:3839

  • Leki przeciwpłytkowe – wszyscy pacjenci powinni przyjmować terapię przeciwpłytkową z małymi dawkami aspiryny, szczególnie po operacji pomostowania żylnego podudzia
  • Leki przeciwzakrzepowe – mogą być stosowane profilaktycznie, zwłaszcza u osób z dodatkowymi czynnikami ryzyka, takimi jak infekcja (np. COVID-19) lub palenie tytoniu
  • Leki rozszerzające naczynia – są częścią konwencjonalnej terapii wspomagającej

Osoby z PAES, które przeszły zakażenie COVID-19, mogą mieć zwiększone ryzyko zakrzepicy tętniczo-żylnej, co może dodatkowo nasilić ostrą niedokrwienność kończyn dolnych. Z tego powodu pacjenci ci powinni otrzymywać profilaktyczne leczenie przeciwzakrzepowe, aby uniknąć poważnych powikłań, takich jak amputacja.40

Leczenie zachowawcze i zalecenia dla pacjenta

W przypadkach z łagodnymi objawami można zastosować leczenie zachowawcze, które obejmuje:4142

Jednakże, gdy leczenie zachowawcze jest nieskuteczne, konieczne jest skierowanie do specjalisty naczyniowego w celu interwencji chirurgicznej, która może obejmować wycięcie lub przecięcie pasma mięśniowego, bypass naczyniowy lub rekonstrukcję tętniczą.44

Edukacja pacjenta i wsparcie

Personel pielęgniarski odgrywa kluczową rolę w edukowaniu pacjenta na temat zespołu tętnicy podkolanowej i wspieraniu go w procesie leczenia.45 Edukacja powinna obejmować:

  • Informacje o naturze schorzenia i jego przebiegu
  • Wyjaśnienie konieczności leczenia chirurgicznego
  • Instrukcje dotyczące samoobserwacji i rozpoznawania objawów wymagających natychmiastowej konsultacji medycznej
  • Zalecenia dotyczące modyfikacji stylu życia i aktywności fizycznej
  • Wsparcie psychologiczne w powrocie do normalnej aktywności

Pacjent powinien zostać poinformowany o konieczności kontaktu z lekarzem w przypadku wystąpienia: niegojących się ran na nodze lub stopie, bólu podczas chodzenia lub problemów z poruszaniem się, niewyjaśnionego obrzęku nogi, zmiany temperatury lub koloru nogi oraz bólu nogi w spoczynku.46

Wnioski i zalecenia

Zespolenie tętnicy podkolanowej jest rzadkim schorzeniem, które wymaga interdyscyplinarnego podejścia w leczeniu.47 Personel pielęgniarski odgrywa kluczową rolę zarówno w procesie diagnostycznym, jak i w opiece okołooperacyjnej. Wczesne i dokładne rozpoznanie powinno zostać ustalone dla pacjentów z zespołem tętnicy podkolanowej, aby zapewnić odpowiednie leczenie tak szybko, jak to możliwe.48

Chirurgia pozostaje preferowaną metodą leczenia zespołu tętnicy podkolanowej, dając doskonałe wyniki u większości pacjentów. Ponad 90% osób, które przeszły operację, odczuwa znaczną poprawę objawów.4950 Jednak kluczowe znaczenie ma wczesna diagnoza i leczenie, aby zapobiec trwałemu uszkodzeniu tętnicy, nerwów lub mięśni.51

Kompleksowa opieka pielęgniarska, obejmująca dokładną ocenę i monitorowanie, edukację pacjenta oraz wsparcie w procesie rehabilitacji, przyczynia się do skutecznego leczenia i pełnego powrotu do zdrowia pacjentów z zespołem tętnicy podkolanowej.

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Popliteal artery entrapment syndrome: implications for nursing care – PubMed
    https://pubmed.ncbi.nlm.nih.gov/1592615/
    Popliteal artery entrapment syndrome is an extremely rare phenomenon, with only 249 cases in the English literature over the past 30 years. Obstruction of the popliteal artery caused by abnormal anatomic development results in diminished blood supply to the extremity. […] Accurate assessment and monitoring are critical in identifying this syndrome, minimizing complications, and preventing long-term adverse effects on activities of daily living.
  • #2 What is Popliteal Artery Entrapment Syndrome (PAES)?
    https://vascular.tcvcg.com/blog/what-is-popliteal-artery-entrapment-syndrome-paes
    What is Popliteal Artery Entrapment Syndrome (PAES)? […] Popliteal Artery Entrapment Syndrome (PAES) is a vascular condition characterized by the compression or entrapment of the popliteal artery. […] The treatment for PAES depends on the severity of the condition and the impact on the patient’s daily life. […] Conservative treatments include rest, physical therapy, and modification of activities to reduce symptoms. […] In more severe cases or when conservative measures fail, surgical intervention may be recommended. […] Surgery for PAES involves releasing the entrapment and restoring normal blood flow to the lower leg. […] If you suspect that you or someone you know may have PAES, it’s essential to consult with a board-certified vascular specialist for a proper evaluation and personalized treatment plan.
  • #3 Popliteal Artery: Intermittent Claudication Popliteal Pulse
    https://my.clevelandclinic.org/health/body/22708-popliteal-artery
    The popliteal artery entrapment syndrome (PAES) occurs when muscles and tendons in the knee area put pressure on the popliteal arteries. It causes muscle cramps and muscle pain in your calves during physical activity like walking. This is called intermittent claudication. PAES most often affects athletes, especially men under age 30. […] You should call your healthcare provider if you experience: Nonhealing leg or foot wounds. Pain when walking or movement problems. Unexplained leg swelling. Change in leg temperature or color. Leg pain at rest. […] The popliteal arteries play key roles in bringing blood from the femoral arteries to the lower legs. Popliteal artery diseases can restrict this blood flow, leading to problems like intermittent claudication. You may have leg pain when you walk or move, but not when you rest. Some popliteal artery diseases can lead to limb loss. Your healthcare provider can recommend dietary and lifestyle changes to maintain healthy blood flow throughout the body and can suggest testing or procedures when needed.
  • #4 Popliteal Artery Entrapment Syndrome | Frankel Cardiovascular Center | Michigan Medicine
    https://www.umcvc.org/conditions-treatments/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome (PAES) is a rare vascular condition that affects the legs. […] PAES affects individuals under the age of 55, but is more commonly diagnosed in younger, highly active athletes whose calf muscles become enlarged due to exercise and training. […] The vascular surgery team at Michigan Medicine has extensive expertise in the diagnosis and treatment of PAES. […] Our experts diagnose PAES based on a patients medical history, a physical exam and non-invasive diagnostic testing. […] If compression is detected and the popliteal artery remains healthy, surgery most often results in restoring normal blood flow to the leg. […] Recovery for either surgery is 4-6 weeks, depending on the individuals level of activity, with high-intensity athletes requiring the longest recovery period. […] Michigan Medicines multidisciplinary vascular team includes vascular surgeons, nurse practitioners and sports medicine specialists with expertise in diagnosis and treatment of patients with popliteal artery entrapment syndrome.
  • #5 Understanding Aneurysm Disease: Causes, Symptoms, Diagnosis, and Treatments
    https://vascularsurgeonshyd.com/popliteal-arteryentrapment/
    Popliteal Artery Entrapment Syndrome (PAES) can cause discomfort and limited mobility, affecting your ability to engage in physical activities. […] Symptoms of PAES can vary but often include calf pain, cramping, or weakness during physical activity, particularly when bending or extending the knee. […] Treatment for PAES aims to relieve symptoms, improve blood flow, and prevent complications such as blood clots or arterial damage. […] For expert care and treatment of Popliteal Artery Entrapment Syndrome in Hyderabad, trust Dr. Devender Singh. […] Dont let Popliteal Artery Entrapment Syndrome hinder your quality of life. Understanding its causes, symptoms, and available treatments is the first step towards effective management.
  • #6 Popliteal artery entrapment syndrome: implications for nursing care – PubMed
    https://pubmed.ncbi.nlm.nih.gov/1592615/
    Popliteal artery entrapment syndrome is an extremely rare phenomenon, with only 249 cases in the English literature over the past 30 years. Obstruction of the popliteal artery caused by abnormal anatomic development results in diminished blood supply to the extremity. […] Accurate assessment and monitoring are critical in identifying this syndrome, minimizing complications, and preventing long-term adverse effects on activities of daily living.
  • #7 Popliteal artery entrapment syndrome: implications for nursing care – PubMed
    https://pubmed.ncbi.nlm.nih.gov/1592615/
    Popliteal artery entrapment syndrome is an extremely rare phenomenon, with only 249 cases in the English literature over the past 30 years. Obstruction of the popliteal artery caused by abnormal anatomic development results in diminished blood supply to the extremity. […] Accurate assessment and monitoring are critical in identifying this syndrome, minimizing complications, and preventing long-term adverse effects on activities of daily living.
  • #8 Popliteal Artery Entrapment Syndrome | Frankel Cardiovascular Center | Michigan Medicine
    https://www.umcvc.org/conditions-treatments/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome (PAES) is a rare vascular condition that affects the legs. […] PAES affects individuals under the age of 55, but is more commonly diagnosed in younger, highly active athletes whose calf muscles become enlarged due to exercise and training. […] The vascular surgery team at Michigan Medicine has extensive expertise in the diagnosis and treatment of PAES. […] Our experts diagnose PAES based on a patients medical history, a physical exam and non-invasive diagnostic testing. […] If compression is detected and the popliteal artery remains healthy, surgery most often results in restoring normal blood flow to the leg. […] Recovery for either surgery is 4-6 weeks, depending on the individuals level of activity, with high-intensity athletes requiring the longest recovery period. […] Michigan Medicines multidisciplinary vascular team includes vascular surgeons, nurse practitioners and sports medicine specialists with expertise in diagnosis and treatment of patients with popliteal artery entrapment syndrome.
  • #9 Popliteal artery entrapment syndrome needs an interdisciplinary approach – Turkish Journal of Thoracic and Cardiovascular Surgery
    https://tgkdc.dergisi.org/text.php?id=2324
    Popliteal artery entrapment syndrome needs an interdisciplinary approach […] Early and accurate diagnosis should be settled for the patients with popliteal artery entrapment syndrome to ensure an appropriate management as soon as possible. […] The management of PAES depends on the disease classification and the extent of the arterial damage. Simple correction of the anatomic abnormality by dividing the appropriate musculotendinous structures may be adequate in patients with type 1 PAES without any irreversible arterial damage. […] The long-term postoperative care after infrainguinal vein bypass surgery deserves a special interest, as the patient population is mostly young. All patients should be on antiplatelet therapy with low-dose aspirin. […] Therefore, an interdisciplinary approach may give these patients improved limb survival with long-standing comfort.
  • #10
    https://journals.lww.com/ijvs/fulltext/2021/08030/popliteal_artery_entrapment_syndrome__our.12.aspx
    The true incidence of popliteal entrapment cannot be estimated due to a lack of awareness, misdiagnosis, and the relative rarity of presentation. […] To make the diagnosis, a careful history and physical examination are necessary. Physical examination findings in early disease include decreased posterior tibial and dorsalis pedis pulses upon leg hyperextension and active plantar flexion. […] The diagnosis of popliteal artery entrapment early in its course is crucial and relies upon disease awareness and suspicion based on the history and physical examination. Noninvasive and sometimes invasive tests are needed to demonstrate both the anatomic and functional aspects of the disease. Tests including arterial duplex or angiography with provocative maneuver scan show the functional result of compression.
  • #11 Frontiers | Case Report: COVID-19 exacerbates acute lower limb ischemia in patients with popliteal artery entrapment syndrome
    https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2024.1329863/full
    Popliteal artery entrapment syndrome (PAES) is a rare clinical ischemic disease of the lower limbs, mainly caused by various reasons such as popliteal artery compression and stenosis and secondary thrombosis caused by an injury of the vascular endothelium due to exercise and other factors. […] The main manifestation is progressive motor pain in the lower limbs, and the combination of high-risk factors such as infection and smoking for thrombosis will exacerbate lower limb ischemia. If not diagnosed and treated appropriately, it may lead to disability and even serious consequences, such as amputation. […] When patients have early symptoms of lower limb pain, it is necessary to actively perform relevant examinations and perform a clear diagnosis to avoid delaying treatment. Anticoagulants and vasodilators are the conventional therapy. Furthermore, open surgery and endovascular intervention are the fundamental therapies to cure patients. The key to treating PAES lies in relieving popliteal artery compression and restoring the blood supply to the affected limb.
  • #12 CE Activity | Popliteal Artery Entrapment Syndrome | NPs
    https://www.statpearls.com/nursepractitioner/ce/activity/96780
    The rare clinical manifestation of Popliteal Artery Entrapment Syndrome (PAES) was defined approximately 40 years ago. It has a preference for young to middle-aged patients. The hallmark of this disease is a vascular compromise within the popliteal fossa resulting in an insidious, progressive course of exercise intolerance and calf pain with exertion relieved by rest (claudication). […] This activity describes the evaluation, and treatment of PAES, and reviews the role of the interprofessional team in managing patients with this condition. […] Outline the medical management and education options the interprofessional team should provide to a patient with popliteal artery entrapment syndrome. […] Outline the pharmacologic therapy as it applies to Popliteal Artery Entrapment Syndrome.
  • #13
    https://www.orthobullets.com/evidence/34106091
    Popliteal artery entrapment syndrome (PAES) is an uncommon condition that causes recurrent posterior leg pain and foot paresthesia in running athletes. […] Nonsurgical treatment with physical therapy and stretching of the gastrocnemius complex should be done as the first line of treatment. […] When conservative treatments are ineffective, referral to a vascular specialist for surgical intervention with a muscular band excision or transection, vascular bypass, or arterial reconstruction is necessary.
  • #14
    https://journals.lww.com/ijvs/fulltext/2021/08030/popliteal_artery_entrapment_syndrome__our.12.aspx
    The true incidence of popliteal entrapment cannot be estimated due to a lack of awareness, misdiagnosis, and the relative rarity of presentation. […] To make the diagnosis, a careful history and physical examination are necessary. Physical examination findings in early disease include decreased posterior tibial and dorsalis pedis pulses upon leg hyperextension and active plantar flexion. […] The diagnosis of popliteal artery entrapment early in its course is crucial and relies upon disease awareness and suspicion based on the history and physical examination. Noninvasive and sometimes invasive tests are needed to demonstrate both the anatomic and functional aspects of the disease. Tests including arterial duplex or angiography with provocative maneuver scan show the functional result of compression.
  • #15
    https://journals.lww.com/ijvs/fulltext/2021/08030/popliteal_artery_entrapment_syndrome__our.12.aspx
    The true incidence of popliteal entrapment cannot be estimated due to a lack of awareness, misdiagnosis, and the relative rarity of presentation. […] To make the diagnosis, a careful history and physical examination are necessary. Physical examination findings in early disease include decreased posterior tibial and dorsalis pedis pulses upon leg hyperextension and active plantar flexion. […] The diagnosis of popliteal artery entrapment early in its course is crucial and relies upon disease awareness and suspicion based on the history and physical examination. Noninvasive and sometimes invasive tests are needed to demonstrate both the anatomic and functional aspects of the disease. Tests including arterial duplex or angiography with provocative maneuver scan show the functional result of compression.
  • #16 Popliteal Artery Entrapment Syndrome In Las Vegas, NV | LVSA
    https://lvsurgical.com/vascular-vein/popliteal-artery-entrapment-syndrome/
    Popliteal Artery Entrapment Syndrome is a rare vascular condition that occurs when the popliteal artery, the main artery for the lower body, is compressed by muscles behind the knee, restricting blood flow through the legs. Typically, this occurs due to abnormal positioning or hypertrophy of adjacent muscles or tendons, leading to compression of the artery during certain movements, such as flexion of the knee. […] If left untreated, PAES can potentially lead to complications such as reduced blood flow to the lower leg and an increased risk of arterial thrombosis or aneurysm formation. Early diagnosis and appropriate management with LVSA are essential to prevent complications and improve your outcome. […] To stay ahead of PAES and diagnose it before it becomes complicated, it’s vital to book a consultation with us at Las Vegas Surgical Associates. Our experienced medical team will conduct a thorough evaluation of your symptoms, and medical history, and perform diagnostic tests to assess the condition of your popliteal artery. This assessment allows us to determine if PAES is the underlying cause of your symptoms and to develop a personalized treatment plan tailored to your needs, setting you up for success.
  • #17 Popliteal Artery Entrapment Syndrome In Las Vegas, NV | LVSA
    https://lvsurgical.com/vascular-vein/popliteal-artery-entrapment-syndrome/
    On the day of Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will meet our surgeons and medical professionals dedicated to ensuring your safety and comfort throughout the procedure. […] Following Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will begin your recovery. This is a crucial phase in achieving optimal outcomes. Prepare for some discomfort, some swelling, and some bruising around the surgical site. Our team will provide you with pain management strategies to alleviate discomfort and promote healing. You may need to limit weight-bearing activities and elevate your leg to reduce swelling. Additionally, wearing compression stockings may be recommended to support circulation and prevent blood clots. […] Popliteal Artery Entrapment Syndrome surgery, like any surgical procedure, carries certain risks, these risks include: Infection, Bleeding, Blood clots, Damage to surrounding structures, Potential recurrence of symptoms, Complications related to anesthesia.
  • #18 Popliteal artery entrapment syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/popliteal-artery-entrapment-syndrome
    Surgery is the only way to correct the abnormal calf muscle and free the trapped artery. Your doctor will likely recommend surgery if your symptoms significantly affect your everyday or athletic activities. […] During surgery, the surgeon makes an incision on the inner calf just below the knee, or in the back of the knee, to release the abnormal calf muscle and give the artery more room. This will prevent the calf muscle from pressing on the artery in the future. Surgery is done while you are under general anesthesia. The procedure takes about an hour. Typically, you’ll need to stay in the hospital for one day. […] If you’ve had the condition for a long time, you may need artery bypass surgery. Bypass surgery is usually done only on those who have severe narrowing of the artery (stenosis) due to long-term popliteal artery entrapment syndrome. […] Surgery to release the calf muscle and artery usually doesn’t affect leg function. When the condition is diagnosed and treated early, a full recovery is expected, and your symptoms should disappear.
  • #19 Popliteal artery entrapment syndrome – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/popliteal-artery-entrapment-syndrome/
    Surgery is the only way to correct the abnormal calf muscle and free the trapped artery. Your doctor will likely recommend surgery if your symptoms significantly affect your everyday or athletic activities. […] During surgery, the surgeon makes an incision on the inner calf just below the knee, or in the back of the knee, to release the abnormal calf muscle and give the artery more room. This will prevent the calf muscle from pressing on the artery in the future. Surgery is done while you are under general anesthesia. The procedure takes about an hour. Typically, you’ll need to stay in the hospital for one day. […] Surgery to release the calf muscle and artery usually doesn’t affect leg function. When the condition is diagnosed and treated early, a full recovery is expected, and your symptoms should disappear.
  • #20 Popliteal artery entrapment syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/popliteal-artery-entrapment-syndrome
    Surgery is the only way to correct the abnormal calf muscle and free the trapped artery. Your doctor will likely recommend surgery if your symptoms significantly affect your everyday or athletic activities. […] During surgery, the surgeon makes an incision on the inner calf just below the knee, or in the back of the knee, to release the abnormal calf muscle and give the artery more room. This will prevent the calf muscle from pressing on the artery in the future. Surgery is done while you are under general anesthesia. The procedure takes about an hour. Typically, you’ll need to stay in the hospital for one day. […] If you’ve had the condition for a long time, you may need artery bypass surgery. Bypass surgery is usually done only on those who have severe narrowing of the artery (stenosis) due to long-term popliteal artery entrapment syndrome. […] Surgery to release the calf muscle and artery usually doesn’t affect leg function. When the condition is diagnosed and treated early, a full recovery is expected, and your symptoms should disappear.
  • #21 Popliteal artery entrapment syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/popliteal-artery-entrapment-syndrome
    Surgery is the only way to correct the abnormal calf muscle and free the trapped artery. Your doctor will likely recommend surgery if your symptoms significantly affect your everyday or athletic activities. […] During surgery, the surgeon makes an incision on the inner calf just below the knee, or in the back of the knee, to release the abnormal calf muscle and give the artery more room. This will prevent the calf muscle from pressing on the artery in the future. Surgery is done while you are under general anesthesia. The procedure takes about an hour. Typically, you’ll need to stay in the hospital for one day. […] If you’ve had the condition for a long time, you may need artery bypass surgery. Bypass surgery is usually done only on those who have severe narrowing of the artery (stenosis) due to long-term popliteal artery entrapment syndrome. […] Surgery to release the calf muscle and artery usually doesn’t affect leg function. When the condition is diagnosed and treated early, a full recovery is expected, and your symptoms should disappear.
  • #22 Popliteal artery entrapment syndrome // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/popliteal-artery-entrapment-syndrome
    Surgery is the only way to correct the abnormal calf muscle and free the trapped artery. Your doctor will likely recommend surgery if your symptoms significantly affect your everyday or athletic activities. […] During surgery, the surgeon makes an incision on the inner calf just below the knee, or in the back of the knee, to release the abnormal calf muscle and give the artery more room. This will prevent the calf muscle from pressing on the artery in the future. Surgery is done while you are under general anesthesia. The procedure takes about an hour. Typically, you’ll need to stay in the hospital for one day. […] If you’ve had the condition for a long time, you may need artery bypass surgery. Bypass surgery is usually done only on those who have severe narrowing of the artery (stenosis) due to long-term popliteal artery entrapment syndrome. […] Surgery to release the calf muscle and artery usually doesn’t affect leg function. When the condition is diagnosed and treated early, a full recovery is expected, and your symptoms should disappear.
  • #23 Popliteal Artery Entrapment Syndrome In Las Vegas, NV | LVSA
    https://lvsurgical.com/vascular-vein/popliteal-artery-entrapment-syndrome/
    On the day of Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will meet our surgeons and medical professionals dedicated to ensuring your safety and comfort throughout the procedure. […] Following Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will begin your recovery. This is a crucial phase in achieving optimal outcomes. Prepare for some discomfort, some swelling, and some bruising around the surgical site. Our team will provide you with pain management strategies to alleviate discomfort and promote healing. You may need to limit weight-bearing activities and elevate your leg to reduce swelling. Additionally, wearing compression stockings may be recommended to support circulation and prevent blood clots. […] Popliteal Artery Entrapment Syndrome surgery, like any surgical procedure, carries certain risks, these risks include: Infection, Bleeding, Blood clots, Damage to surrounding structures, Potential recurrence of symptoms, Complications related to anesthesia.
  • #24 Popliteal Artery Entrapment Syndrome (PAES): Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17375-popliteal-artery-entrapment-syndrome-paes
    Popliteal artery entrapment syndrome (PAES) is a rare condition that causes leg pain in some young athletes. […] Surgery is the preferred treatment for popliteal artery entrapment syndrome because it gives excellent results for most people. More than 90% of people who have the surgery have great improvement in their symptoms afterward. […] The popliteal artery entrapment syndrome recovery time after surgery is four to six months. […] You’ll need to stay in the hospital overnight after your surgery. Then you may do physical therapy (stretching and flexibility exercises) for the first two weeks as an outpatient to help you recover. After two weeks, you’ll do strength and conditioning exercises until you recover completely. […] If you have popliteal artery entrapment syndrome, talk with your provider about whether surgery is right for you. It’s been a successful treatment in many cases.
  • #25 Popliteal Artery Entrapment Syndrome (PAES) Causes and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome (PAES) is a rare vascular condition of the leg. It happens when tendons and muscles squeeze the knee’s main (popliteal) artery, limiting blood flow to the lower leg. […] At UPMC, our surgeons are experts at diagnosing PAES and performing vascular surgery to relieve symptoms. […] If you have symptoms of PAES, you should schedule an appointment with your doctor. Although PAES is not an emergency, if left untreated, it can cause permanent damage to your popliteal artery, nerves, or muscles. […] At UPMC, our vascular surgeons offer expert treatment for PAES. Based on the severity of your condition, we will work with you to determine if surgical care is right for you. […] Your UPMC vascular surgeon can treat PAES through open surgery to release the compression of the popliteal artery.
  • #26 Popliteal Artery Entrapment Syndrome In Las Vegas, NV | LVSA
    https://lvsurgical.com/vascular-vein/popliteal-artery-entrapment-syndrome/
    On the day of Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will meet our surgeons and medical professionals dedicated to ensuring your safety and comfort throughout the procedure. […] Following Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will begin your recovery. This is a crucial phase in achieving optimal outcomes. Prepare for some discomfort, some swelling, and some bruising around the surgical site. Our team will provide you with pain management strategies to alleviate discomfort and promote healing. You may need to limit weight-bearing activities and elevate your leg to reduce swelling. Additionally, wearing compression stockings may be recommended to support circulation and prevent blood clots. […] Popliteal Artery Entrapment Syndrome surgery, like any surgical procedure, carries certain risks, these risks include: Infection, Bleeding, Blood clots, Damage to surrounding structures, Potential recurrence of symptoms, Complications related to anesthesia.
  • #27 Popliteal Artery Entrapment Syndrome (PAES): Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17375-popliteal-artery-entrapment-syndrome-paes
    Popliteal artery entrapment syndrome (PAES) is a rare condition that causes leg pain in some young athletes. […] Surgery is the preferred treatment for popliteal artery entrapment syndrome because it gives excellent results for most people. More than 90% of people who have the surgery have great improvement in their symptoms afterward. […] The popliteal artery entrapment syndrome recovery time after surgery is four to six months. […] You’ll need to stay in the hospital overnight after your surgery. Then you may do physical therapy (stretching and flexibility exercises) for the first two weeks as an outpatient to help you recover. After two weeks, you’ll do strength and conditioning exercises until you recover completely. […] If you have popliteal artery entrapment syndrome, talk with your provider about whether surgery is right for you. It’s been a successful treatment in many cases.
  • #28 Popliteal Artery Entrapment Syndrome (PAES): Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17375-popliteal-artery-entrapment-syndrome-paes
    Popliteal artery entrapment syndrome (PAES) is a rare condition that causes leg pain in some young athletes. […] Surgery is the preferred treatment for popliteal artery entrapment syndrome because it gives excellent results for most people. More than 90% of people who have the surgery have great improvement in their symptoms afterward. […] The popliteal artery entrapment syndrome recovery time after surgery is four to six months. […] You’ll need to stay in the hospital overnight after your surgery. Then you may do physical therapy (stretching and flexibility exercises) for the first two weeks as an outpatient to help you recover. After two weeks, you’ll do strength and conditioning exercises until you recover completely. […] If you have popliteal artery entrapment syndrome, talk with your provider about whether surgery is right for you. It’s been a successful treatment in many cases.
  • #29 Popliteal Artery Entrapment Syndrome | Frankel Cardiovascular Center | Michigan Medicine
    https://www.umcvc.org/conditions-treatments/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome (PAES) is a rare vascular condition that affects the legs. […] PAES affects individuals under the age of 55, but is more commonly diagnosed in younger, highly active athletes whose calf muscles become enlarged due to exercise and training. […] The vascular surgery team at Michigan Medicine has extensive expertise in the diagnosis and treatment of PAES. […] Our experts diagnose PAES based on a patients medical history, a physical exam and non-invasive diagnostic testing. […] If compression is detected and the popliteal artery remains healthy, surgery most often results in restoring normal blood flow to the leg. […] Recovery for either surgery is 4-6 weeks, depending on the individuals level of activity, with high-intensity athletes requiring the longest recovery period. […] Michigan Medicines multidisciplinary vascular team includes vascular surgeons, nurse practitioners and sports medicine specialists with expertise in diagnosis and treatment of patients with popliteal artery entrapment syndrome.
  • #30 Popliteal Artery Entrapment Syndrome In Las Vegas, NV | LVSA
    https://lvsurgical.com/vascular-vein/popliteal-artery-entrapment-syndrome/
    On the day of Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will meet our surgeons and medical professionals dedicated to ensuring your safety and comfort throughout the procedure. […] Following Popliteal Artery Entrapment Syndrome surgery in Las Vegas, you will begin your recovery. This is a crucial phase in achieving optimal outcomes. Prepare for some discomfort, some swelling, and some bruising around the surgical site. Our team will provide you with pain management strategies to alleviate discomfort and promote healing. You may need to limit weight-bearing activities and elevate your leg to reduce swelling. Additionally, wearing compression stockings may be recommended to support circulation and prevent blood clots. […] Popliteal Artery Entrapment Syndrome surgery, like any surgical procedure, carries certain risks, these risks include: Infection, Bleeding, Blood clots, Damage to surrounding structures, Potential recurrence of symptoms, Complications related to anesthesia.
  • #31 Popliteal Artery Entrapment Syndrome (PAES) Causes and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/popliteal-artery-entrapment-syndrome
    Most people only spend 1-2 days in the hospital after surgery and don’t need physical therapy after they return home. The majority of patients make a full recovery within four weeks. […] PAES surgery successfully relieves symptoms in more than 90 percent of people. However, if you have damage to your popliteal artery, you may have pain in your legs when you exercise, even after surgery.
  • #32 Popliteal Artery Entrapment Syndrome | Frankel Cardiovascular Center | Michigan Medicine
    https://www.umcvc.org/conditions-treatments/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome (PAES) is a rare vascular condition that affects the legs. […] PAES affects individuals under the age of 55, but is more commonly diagnosed in younger, highly active athletes whose calf muscles become enlarged due to exercise and training. […] The vascular surgery team at Michigan Medicine has extensive expertise in the diagnosis and treatment of PAES. […] Our experts diagnose PAES based on a patients medical history, a physical exam and non-invasive diagnostic testing. […] If compression is detected and the popliteal artery remains healthy, surgery most often results in restoring normal blood flow to the leg. […] Recovery for either surgery is 4-6 weeks, depending on the individuals level of activity, with high-intensity athletes requiring the longest recovery period. […] Michigan Medicines multidisciplinary vascular team includes vascular surgeons, nurse practitioners and sports medicine specialists with expertise in diagnosis and treatment of patients with popliteal artery entrapment syndrome.
  • #33 Popliteal Artery Entrapment Syndrome (PAES): Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17375-popliteal-artery-entrapment-syndrome-paes
    Popliteal artery entrapment syndrome (PAES) is a rare condition that causes leg pain in some young athletes. […] Surgery is the preferred treatment for popliteal artery entrapment syndrome because it gives excellent results for most people. More than 90% of people who have the surgery have great improvement in their symptoms afterward. […] The popliteal artery entrapment syndrome recovery time after surgery is four to six months. […] You’ll need to stay in the hospital overnight after your surgery. Then you may do physical therapy (stretching and flexibility exercises) for the first two weeks as an outpatient to help you recover. After two weeks, you’ll do strength and conditioning exercises until you recover completely. […] If you have popliteal artery entrapment syndrome, talk with your provider about whether surgery is right for you. It’s been a successful treatment in many cases.
  • #34
    https://www.ijcrimedicine.com/archive/2018-articles/2018100046Z09JM-mathew/100046Z09JM-full-text.php
    A case of popliteal artery entrapment in an active duty soldier […] Popliteal Artery Entrapment Syndrome (PAES) is a less considered entity in active patients presenting with exertional lower extremity pain with associated claudication. […] After treatment, recovery is promising with most patients returning to cardiovascular activity after three months. […] It is important to have a high index of suspicion for PAES in patients presenting with exertional claudication in the lower extremity and to understand what immediate testing can be done in the clinic and after evaluation, that can aid in diagnosis and management. […] Surgical repair is often required to resolve mechanical compression or vascular damage. […] Following treatment, patients should continue long-term outpatient follow-up. The prognosis of surgically-corrected PAES is often favorable if the diagnosis is made early. Following surgery, more than 90% of patients have a significant improvement in their symptoms and return to normal physical activity within three months.
  • #35 Popliteal Artery Entrapment Syndrome – MD Searchlight
    https://mdsearchlight.com/health/popliteal-artery-entrapment-syndrome/
    Popliteal artery entrapment syndrome (PAES) is a rare condition that could lead to serious problems in limbs. […] The usual treatment for uncomplicated PAES involves surgery to inspect and release pressure in that area, or to release the popliteal artery by cutting the fibrous bands (tough bands of tissue) that may be affecting it. […] For patients who are experiencing symptoms, surgery to release the popliteal artery, the main artery they’re experiencing pressure on, is the preferred treatment method. […] For the most effective results in treating PAES, and to evaluate the artery for any necessary repairs or bypasses, open surgical procedures are usually the best choice. […] Once surgery is completed, patients are followed-up using arterial duplex imaging, which uses ultrasound to see how blood is flowing through your arteries.
  • #36
    https://www.ijcrimedicine.com/archive/2018-articles/2018100046Z09JM-mathew/100046Z09JM-full-text.php
    A case of popliteal artery entrapment in an active duty soldier […] Popliteal Artery Entrapment Syndrome (PAES) is a less considered entity in active patients presenting with exertional lower extremity pain with associated claudication. […] After treatment, recovery is promising with most patients returning to cardiovascular activity after three months. […] It is important to have a high index of suspicion for PAES in patients presenting with exertional claudication in the lower extremity and to understand what immediate testing can be done in the clinic and after evaluation, that can aid in diagnosis and management. […] Surgical repair is often required to resolve mechanical compression or vascular damage. […] Following treatment, patients should continue long-term outpatient follow-up. The prognosis of surgically-corrected PAES is often favorable if the diagnosis is made early. Following surgery, more than 90% of patients have a significant improvement in their symptoms and return to normal physical activity within three months.
  • #37 Popliteal Artery Entrapment Syndrome (PAES): Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17375-popliteal-artery-entrapment-syndrome-paes
    Popliteal artery entrapment syndrome (PAES) is a rare condition that causes leg pain in some young athletes. […] Surgery is the preferred treatment for popliteal artery entrapment syndrome because it gives excellent results for most people. More than 90% of people who have the surgery have great improvement in their symptoms afterward. […] The popliteal artery entrapment syndrome recovery time after surgery is four to six months. […] You’ll need to stay in the hospital overnight after your surgery. Then you may do physical therapy (stretching and flexibility exercises) for the first two weeks as an outpatient to help you recover. After two weeks, you’ll do strength and conditioning exercises until you recover completely. […] If you have popliteal artery entrapment syndrome, talk with your provider about whether surgery is right for you. It’s been a successful treatment in many cases.
  • #38 Popliteal artery entrapment syndrome needs an interdisciplinary approach – Turkish Journal of Thoracic and Cardiovascular Surgery
    https://tgkdc.dergisi.org/text.php?id=2324
    Popliteal artery entrapment syndrome needs an interdisciplinary approach […] Early and accurate diagnosis should be settled for the patients with popliteal artery entrapment syndrome to ensure an appropriate management as soon as possible. […] The management of PAES depends on the disease classification and the extent of the arterial damage. Simple correction of the anatomic abnormality by dividing the appropriate musculotendinous structures may be adequate in patients with type 1 PAES without any irreversible arterial damage. […] The long-term postoperative care after infrainguinal vein bypass surgery deserves a special interest, as the patient population is mostly young. All patients should be on antiplatelet therapy with low-dose aspirin. […] Therefore, an interdisciplinary approach may give these patients improved limb survival with long-standing comfort.
  • #39 Frontiers | Case Report: COVID-19 exacerbates acute lower limb ischemia in patients with popliteal artery entrapment syndrome
    https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2024.1329863/full
    Popliteal artery entrapment syndrome (PAES) is a rare clinical ischemic disease of the lower limbs, mainly caused by various reasons such as popliteal artery compression and stenosis and secondary thrombosis caused by an injury of the vascular endothelium due to exercise and other factors. […] The main manifestation is progressive motor pain in the lower limbs, and the combination of high-risk factors such as infection and smoking for thrombosis will exacerbate lower limb ischemia. If not diagnosed and treated appropriately, it may lead to disability and even serious consequences, such as amputation. […] When patients have early symptoms of lower limb pain, it is necessary to actively perform relevant examinations and perform a clear diagnosis to avoid delaying treatment. Anticoagulants and vasodilators are the conventional therapy. Furthermore, open surgery and endovascular intervention are the fundamental therapies to cure patients. The key to treating PAES lies in relieving popliteal artery compression and restoring the blood supply to the affected limb.
  • #40 Frontiers | Case Report: COVID-19 exacerbates acute lower limb ischemia in patients with popliteal artery entrapment syndrome
    https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2024.1329863/full
    Thus, popliteal artery bypass surgery may be the best treatment for PAES. […] COVID-19 may increase the risk of arteriovenous thrombosis, which may further aggravate the acute ischemia of lower limbs in people with PAES. Thus, these people tend to be given preventive anticoagulant treatment to avoid serious complications such as amputation.
  • #41
    https://www.orthobullets.com/knee-and-sports/3107/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome is a condition characterized by constriction of the popliteal artery by adjacent muscles, tendons or fibrous tissue. […] Treatment is generally conservative for mild symptoms with vascular surgery indicated for patients with refractory symptoms. […] Nonoperative treatment includes activity modification and observation for mild symptoms with rigorous exercise only. […] Operative treatment may involve vascular bypass with saphenous vein vs endarterectomy if there is damage to the popliteal artery or vein, and most patients eventually require surgery. […] 70-100% of patients are reported to be asymptomatic after surgery.
  • #42 What is Popliteal Artery Entrapment Syndrome (PAES)?
    https://vascular.tcvcg.com/blog/what-is-popliteal-artery-entrapment-syndrome-paes
    What is Popliteal Artery Entrapment Syndrome (PAES)? […] Popliteal Artery Entrapment Syndrome (PAES) is a vascular condition characterized by the compression or entrapment of the popliteal artery. […] The treatment for PAES depends on the severity of the condition and the impact on the patient’s daily life. […] Conservative treatments include rest, physical therapy, and modification of activities to reduce symptoms. […] In more severe cases or when conservative measures fail, surgical intervention may be recommended. […] Surgery for PAES involves releasing the entrapment and restoring normal blood flow to the lower leg. […] If you suspect that you or someone you know may have PAES, it’s essential to consult with a board-certified vascular specialist for a proper evaluation and personalized treatment plan.
  • #43
    https://www.orthobullets.com/evidence/34106091
    Popliteal artery entrapment syndrome (PAES) is an uncommon condition that causes recurrent posterior leg pain and foot paresthesia in running athletes. […] Nonsurgical treatment with physical therapy and stretching of the gastrocnemius complex should be done as the first line of treatment. […] When conservative treatments are ineffective, referral to a vascular specialist for surgical intervention with a muscular band excision or transection, vascular bypass, or arterial reconstruction is necessary.
  • #44
    https://www.orthobullets.com/evidence/34106091
    Popliteal artery entrapment syndrome (PAES) is an uncommon condition that causes recurrent posterior leg pain and foot paresthesia in running athletes. […] Nonsurgical treatment with physical therapy and stretching of the gastrocnemius complex should be done as the first line of treatment. […] When conservative treatments are ineffective, referral to a vascular specialist for surgical intervention with a muscular band excision or transection, vascular bypass, or arterial reconstruction is necessary.
  • #45 CE Activity | Popliteal Artery Entrapment Syndrome | NPs
    https://www.statpearls.com/nursepractitioner/ce/activity/96780
    The rare clinical manifestation of Popliteal Artery Entrapment Syndrome (PAES) was defined approximately 40 years ago. It has a preference for young to middle-aged patients. The hallmark of this disease is a vascular compromise within the popliteal fossa resulting in an insidious, progressive course of exercise intolerance and calf pain with exertion relieved by rest (claudication). […] This activity describes the evaluation, and treatment of PAES, and reviews the role of the interprofessional team in managing patients with this condition. […] Outline the medical management and education options the interprofessional team should provide to a patient with popliteal artery entrapment syndrome. […] Outline the pharmacologic therapy as it applies to Popliteal Artery Entrapment Syndrome.
  • #46 Popliteal Artery: Intermittent Claudication Popliteal Pulse
    https://my.clevelandclinic.org/health/body/22708-popliteal-artery
    The popliteal artery entrapment syndrome (PAES) occurs when muscles and tendons in the knee area put pressure on the popliteal arteries. It causes muscle cramps and muscle pain in your calves during physical activity like walking. This is called intermittent claudication. PAES most often affects athletes, especially men under age 30. […] You should call your healthcare provider if you experience: Nonhealing leg or foot wounds. Pain when walking or movement problems. Unexplained leg swelling. Change in leg temperature or color. Leg pain at rest. […] The popliteal arteries play key roles in bringing blood from the femoral arteries to the lower legs. Popliteal artery diseases can restrict this blood flow, leading to problems like intermittent claudication. You may have leg pain when you walk or move, but not when you rest. Some popliteal artery diseases can lead to limb loss. Your healthcare provider can recommend dietary and lifestyle changes to maintain healthy blood flow throughout the body and can suggest testing or procedures when needed.
  • #47 Popliteal artery entrapment syndrome needs an interdisciplinary approach – Turkish Journal of Thoracic and Cardiovascular Surgery
    https://tgkdc.dergisi.org/text.php?id=2324
    Popliteal artery entrapment syndrome needs an interdisciplinary approach […] Early and accurate diagnosis should be settled for the patients with popliteal artery entrapment syndrome to ensure an appropriate management as soon as possible. […] The management of PAES depends on the disease classification and the extent of the arterial damage. Simple correction of the anatomic abnormality by dividing the appropriate musculotendinous structures may be adequate in patients with type 1 PAES without any irreversible arterial damage. […] The long-term postoperative care after infrainguinal vein bypass surgery deserves a special interest, as the patient population is mostly young. All patients should be on antiplatelet therapy with low-dose aspirin. […] Therefore, an interdisciplinary approach may give these patients improved limb survival with long-standing comfort.
  • #48 Popliteal artery entrapment syndrome needs an interdisciplinary approach – Turkish Journal of Thoracic and Cardiovascular Surgery
    https://tgkdc.dergisi.org/text.php?id=2324
    Popliteal artery entrapment syndrome needs an interdisciplinary approach […] Early and accurate diagnosis should be settled for the patients with popliteal artery entrapment syndrome to ensure an appropriate management as soon as possible. […] The management of PAES depends on the disease classification and the extent of the arterial damage. Simple correction of the anatomic abnormality by dividing the appropriate musculotendinous structures may be adequate in patients with type 1 PAES without any irreversible arterial damage. […] The long-term postoperative care after infrainguinal vein bypass surgery deserves a special interest, as the patient population is mostly young. All patients should be on antiplatelet therapy with low-dose aspirin. […] Therefore, an interdisciplinary approach may give these patients improved limb survival with long-standing comfort.
  • #49 Popliteal Artery Entrapment Syndrome (PAES): Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17375-popliteal-artery-entrapment-syndrome-paes
    Popliteal artery entrapment syndrome (PAES) is a rare condition that causes leg pain in some young athletes. […] Surgery is the preferred treatment for popliteal artery entrapment syndrome because it gives excellent results for most people. More than 90% of people who have the surgery have great improvement in their symptoms afterward. […] The popliteal artery entrapment syndrome recovery time after surgery is four to six months. […] You’ll need to stay in the hospital overnight after your surgery. Then you may do physical therapy (stretching and flexibility exercises) for the first two weeks as an outpatient to help you recover. After two weeks, you’ll do strength and conditioning exercises until you recover completely. […] If you have popliteal artery entrapment syndrome, talk with your provider about whether surgery is right for you. It’s been a successful treatment in many cases.
  • #50
    https://www.orthobullets.com/knee-and-sports/3107/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome is a condition characterized by constriction of the popliteal artery by adjacent muscles, tendons or fibrous tissue. […] Treatment is generally conservative for mild symptoms with vascular surgery indicated for patients with refractory symptoms. […] Nonoperative treatment includes activity modification and observation for mild symptoms with rigorous exercise only. […] Operative treatment may involve vascular bypass with saphenous vein vs endarterectomy if there is damage to the popliteal artery or vein, and most patients eventually require surgery. […] 70-100% of patients are reported to be asymptomatic after surgery.
  • #51 Popliteal Artery Entrapment Syndrome (PAES) Causes and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/popliteal-artery-entrapment-syndrome
    Popliteal artery entrapment syndrome (PAES) is a rare vascular condition of the leg. It happens when tendons and muscles squeeze the knee’s main (popliteal) artery, limiting blood flow to the lower leg. […] At UPMC, our surgeons are experts at diagnosing PAES and performing vascular surgery to relieve symptoms. […] If you have symptoms of PAES, you should schedule an appointment with your doctor. Although PAES is not an emergency, if left untreated, it can cause permanent damage to your popliteal artery, nerves, or muscles. […] At UPMC, our vascular surgeons offer expert treatment for PAES. Based on the severity of your condition, we will work with you to determine if surgical care is right for you. […] Your UPMC vascular surgeon can treat PAES through open surgery to release the compression of the popliteal artery.