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Exercise for peripheral artery disease

Implementation General advice to walk at home has limited evidence of benefit.6 If a patient cannot attend a supervised program, a structured home-based program is reasonable. This may include advice to walk at a pace they can maintain for 5 to 10 minutes (until moderate-strong claudication), to rest until the pain subsides, then to begin the cycle again for at least 30 minutes. Some may need to start with shorter durations (eg, 10 minutes) and increase by 5 minutes per week. Most guidelines suggest a minimum 3 months’ duration.6 Tew et al provide a patient infographic example.11