|Ankle Brachial Index (ABI) Test
|The Ankle Brachial Index (ABI) is a powerful, non-invasive test used to
diagnosis popliteal artery entrapment syndrome (PAES), external iliac artery
entrapment syndrome (EIAE), and peripheral arterial disease.
New Jersey Sports Medicine and Performance Center is the only regional
center that performs a stress ABI, the Ankle Brachial Index on athletes with
treadmill and bicycling provocative measures used to diagnose iliac artery
endofibrosis or iliac artery kinking and popliteal artery entrapment
syndrome, two common causes of the often undiagnosed and frustrating
condition of exertional leg pain in the athlete.
Dr. Silberman is also the only physician in the region who can perform both
exertional compartment testing along with the stress ankle brachial index
(ABI) test when evaluating athletes for exertional compartment syndrome.
Dr. Silberman has diagnosed multiple athletes as having a vascular problem
after testing positive for exertional compartment syndrome as well.
Functional popliteal artery entrapment syndrome is treated with botox
injections under ultrasound guidance. Cost of botox injection for PAES is
$500 for each leg (plus cost of medication at the pharmacy).
You don't have to be an athlete to be seen at New Jersey Sports Medicine.
Dr. Silberman specializes in the care of all individuals.
The ankle-brachial index (ABI) is the screening tool of choice in the most
recent American College of Cardiology and American Heart Association
guidelines for treating PVD.
The ABI test is performed by measuring the blood pressure in your arm
and legs simultaneously before and immediately after exercise with
evaluation of a wave form of your blood flow. A slight drop in your ankle
brachial index with exercise or at rest indicates a serious risk factor for heart
attack and stroke, irrespective of other risk factors such as smoking or
Patients considered for screening are:
Under 50 years old, with diabetes and one other atherosclerosis risk factor
(smoking, elevated cholesterol, hypertension or hyperhomocysteinemia)
Age 50 to 69 with history of smoking or diabetes
Age 70 and older
Leg symptoms with exertion (claudication) or ischemic rest pain
Abnormal lower-extremity pulse examination
Known atherosclerotic coronary, carotid or renal artery disease
The PARTNERS study found that the prevalence of PVD in a primary care
office diagnosed by the Ankle Brachial Index was 29%, with a suprising
55% of the PVD diagnoses unknown to the patient or the physician, and
less than 10% of PVD patients noting classic symptoms.
The mortality of a patient with an abnormal Ankle Brachial Index (ABI) <.8
is of the same magnitude as some cancers, such as breast and colon cancer,
both of which are aggressively screened. In a population of patients older
than 55 with exertional leg pain, the five-year mortality was 30 percent. The
majority of this mortality (75 percent) was due to stroke and heart attack,
which could have been prevented with lifestyle modification, medication,
and in some cases, surgery.
|Get Better. Faster.
|Get Better. Faster.