Poor CirculationSymptoms & Treatment

Reduced blood flow can cause pain, numbness and slow healing. Physiotherapy supports conditioning and self‑management alongside medical care.

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What is poor circulation?

Poor circulation refers to reduced blood flow to tissues, commonly in the legs and feet. It can cause pain with walking, numbness or slow healing. A physiotherapist helps build safe conditioning and strategies alongside medical input.

Who it affects and typical treatment

Who it affects

  • Adults with peripheral artery disease or diabetes
  • People with prolonged sitting, smoking or low activity
  • Those with swelling or slow‑healing wounds
  • Older adults with vascular changes

Typical treatment plan

  • Supervised walking and graded aerobic conditioning
  • Calf/leg strengthening and balance training
  • Compression or lymphatic support if indicated
  • Lifestyle advice and coordination with medical care

Common causes

Peripheral artery disease

Narrowed arteries reduce blood flow to limbs.

Diabetes

Vascular and nerve changes reduce circulation.

Sedentary habits

Prolonged sitting and low activity impair flow.

Smoking

Nicotine constricts vessels and damages lining.

Common symptoms

  • Cold hands or feet; colour changes
  • Numbness, tingling or cramps (especially calves)
  • Pain with walking that eases with rest
  • Slow‑healing wounds or swelling

How a physiotherapist can help

  • Supervised walking program and pacing
  • Leg strength, balance and foot care education
  • Lifestyle support: activity, smoking cessation signposting

Effective treatments

Walking & aerobic conditioning

  • Intervals with rest; progress duration and speed
  • Monitor symptoms and use pacing rules

Strength & circulation care

  • Calf raises, ankle pumps, step‑ups
  • Compression, limb elevation and foot care

See all physiotherapy treatments

At‑home management

Activity

  • Walk little and often; avoid long sitting
  • Gentle calf pumps regularly

Care

  • Foot care and appropriate footwear
  • Compression use if prescribed

Lifestyle

  • Stop smoking; manage weight and glucose
  • Elevate legs when resting

What to expect in physiotherapy

Assessment

Risk factors, walking tolerance, foot/skin checks; red flags screened.

Plan

Progressive walking and strength, compression guidance, milestones.

Progress

Increase distance and pace; track wound/skin status with team.

Medical Disclaimer

This information is for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.