<s>[INST] My husband has periphrial artery disease and has had a by pass in both legs in the past two years. He has recently had angioplasty in both legs at the same time. The left leg had a fair bit of narrowing at the grap and retired a stint. The right had some narrowing but only needed the balloon angioplasty. He has been back at work for approx three weeks and is complaining of a great deal of pain in the left leg and having great difficulty putting on sock and boot. We are quite worried and are looking for further advice. [/INST] Hi welcome to Chat Doctor. I understand your query and concern. Peripheral artery disease treated by stents can be of great functional improvement. In case if symptoms recur, its advisable to go for stent revision. Lifestyle modification is largely required in your case. The definitive management consists of Lumbar sympathectomy to interrupt the pain pathway.It's always advisable to keep the blood pressure under 130/80 mm of Hg. Avoid overt treatment to prevent lightheadedness, for this I advise you to have a baseline 2 dimensional echocardiography, ECG,HS CRP and lipid profile to assess the basic cardiac reserve of your heart and degree of atherosclerosis. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Reduce the intake of fatty and fried food. Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat. One pomegranate a day will help to keep your heart at good pace without clot formation. Dizziness will go away, away once the headache and blood pressure will subside. Semiannual follow-ups are advisable on maintenance. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you. </s>