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Barry Manilow on cancer, coming out and plastic surgery

Barry Manilow steers a golf cart to the end of a long driveway, pulls to a stop and flings a plush toy goose across a manicured lawn to the delight of his two Labrador retrievers.

“OK, where we doing this?” the 82-year-old singer asks about our interview. Dressed in a khaki shirt and slim-fitting rust-colored trousers, he’s got the look of a man prepared to undertake some très chic brush clearance; in reality, he’s motored down here merely to answer questions about his fabulous life and career.

Manilow and his husband and longtime manager, Garry Kief, moved to this sprawling desert estate from Los Angeles in the late 1990s. “We kept coming out, and it’s so beautiful that eventually we said, ‘Screw it — let’s just stay,’” he says. By then, Manilow had long since established himself as one of music’s premier showmen, with a Grammy Award, 11 Top 10 hits and a storied 15-night run at L.A.’s Greek Theatre under his belt.

So you might’ve taken Palm Springs as a sign that he was ready to slow down. Instead, he launched a residency at the Las Vegas Hilton in 2005 that eventually surpassed the length of Elvis Presley’s show there; in 2006, he released “The Greatest Songs of the Fifties,” which went platinum and spawned a series of successful follow-up albums.

Last month, Sabrina Carpenter interpolated a bit of Manilow’s iconic “Copacabana (At the Copa)” into her headlining set at Coachella just days before he was honored by the American Advertising Federation for his work writing commercial jingles. The range of those achievements said something about his blend of music-nerd craft and pop-star razzle-dazzle.

“Barry loves music as much as anyone I’ve ever known,” says Bette Midler, who hired Manilow as her pianist for the name-making gig she played at New York’s Continental Baths in the early 1970s. Performing, Midler adds, “isn’t a job with him — it’s a vocation, a calling.”

Yet now that calling faces a threat. In December, Manilow announced that he’d been diagnosed with lung cancer and that surgery would require him to postpone a number of concert dates; five months later, he has yet to return to the stage — the longest break, COVID-19 aside, he can remember taking in decades.

Fortunately for Manilow, he has a new album, “What a Time,” with which to occupy himself. Due June 5, it consists mostly of original material — his first such LP in nearly 15 years — though it opens with a sumptuous rendition of Peter Allen and Dean Pitchford’s “Once Before I Go.” Manilow notes proudly that the song, which was produced by Kenneth “Babyface” Edmonds, recently made Billboard’s adult contemporary chart, extending his run on that tally beyond the half-century mark.

Barry Manilow performs on stage under purple lights.

Barry Manilow performs in Beverly Hills in 2025.

(Gina Ferazzi / Los Angeles Times)

Still, performing is clearly on his mind as he leads me into a tile-roofed gym equipped with weights, a treadmill and a massage table. Manilow has been working out here every morning, he says, to regain the strength needed for his show; he’s got Vegas dates on the books for July but admits he’s unsure whether they’ll happen or not. We settle into two leather club chairs, his dogs Jake and Abby at his feet.

“Please be brilliant,” he tells me. “Don’t be boring.”

What are you doing on a day you’re not working?
Working.

I see.
Since the surgery, I can’t go on the road. Ninety minutes of screaming in tune, which is what I do for a living — I’m not up for that yet. I will be, but it’s taking a long time to get my voice back. They warned me that I’d have to learn to breathe again. So these days, I get up, I go to my piano and I try to be creative. Before I know it, the afternoon’s over.

Was the diagnosis a shock?
Imagine your doctor saying, “You’ve got lung cancer.”

Fair enough.
I’ll tell you the story. I have terrible hips — bursitis and everything — and they hurt so bad that I thought maybe I broke a bone or something. So I asked my wonderful family doctor, I said, “Can you just do one of those MRIs and see?” Now, before that, I’d had two bad bouts of bronchitis, one after the next. Have you ever had bronchitis?

I have.
It stinks. So I asked him if he could check my hip, and he told the guys that were doing it, “Why don’t you check his lungs?” And I think he might have saved my life because they found a big black thing in my chest. One doctor said it was probably remnants of the bronchitis, the other doctor said it could be cancer. I voted for the bronchitis. But they went back in to see and it was a cancerous tumor.

How’d you react?
When they told me, I was on the road, and I just went back to sound check. What else could I do? I never thought cancer would get me — it wasn’t in the cards. They wanted to get rid of it as soon as possible, so we made a deal: I’d finish the couple of weeks of shows that I had, then I’d go to the hospital and they’d remove it. It was supposed to be a no-brainer — it hadn’t spread yet, thank goodness. But then my AFib kicked in and acid reflux kicked in and pneumonia kicked in. They rushed me to the ICU for seven days.

Barry Manilow holds Dionne Warwick's waist.

Barry Manilow with Dionne Warwick in Los Angeles in 1985.

(Paul Harris / Getty Images)

Sorry to be morbid, but were you close to death?
They said at one point — I didn’t hear them say this but I heard that they did say it — “We don’t want to lose him.” It’s all a total blur now. When they finally brought me back to my lovely room at the Eisenhower [medical center], I weighed 128 pounds.

How long you figure it had been since you weighed 128 pounds?
I don’t remember ever being 128.

You said you never thought cancer would get you. Why?
I’m too busy. Pretty stupid. What I realized is that I’ve always been the leader — leader of the band, leader of an audience — but I wasn’t the leader of this one. That was a big lesson for me. I had to rely on everybody else. Nurses, doctors, friends — you should see some of the notes people have sent.

What’s it been like to be offstage for so long?
Agony. Make an album, go on the road, come back, make an album, go on the road — that’s what my life’s been for years. And I like it. Now I just have to get better and do what the doctors are telling me. It’s the only way out.

Well, there’s one other way.
I’m not ready to croak. But I wasn’t ready to stop performing either, and it just went like that [snaps fingers]. The day before surgery, people are screaming, standing ovation, band sounds great. Next day I’m packing to go to the hospital.

Are you working with a vocal coach?
Yep. But I get winded just walking down the hallway. I turn on my old records and sing along, and three songs in I’m like [pants].

Could you do a show where you skip the uptempos? No “It’s a Miracle” or “Copacabana”?
I’m trying ballads too — my ballads end big.

Are you allowed to smoke or drink?
I stopped smoking many, many years ago. I vape but hardly — I just like holding it. I was a great smoker. Brooklyn in the ’50s? Please. I started smoking when I was 9. I got up to three packs of Pall Mall non-filters a day, and it never bothered me — never had any problem breathing. I was just a skinny piano player who smoked. That’s who I am. That’s who I was.

Before he was a skinny piano player, he was a skinny accordion player.

Manilow grew up poor in Brooklyn, the only son of a Jewish mother and an Irish father who split up right after he was born. As a kid he entertained his mom and his maternal grandparents by squeezing out the Jewish folk song “Hava Nagila”; later, his stepfather brought home records by Gerry Mulligan and Judy Garland that opened his mind to jazz and pop.

He says today that he never saw himself as a performer — he wanted to write, arrange, produce. His first success came with jingles for brands like State Farm — “Like a Good Neighbor” is his handiwork — and Band-Aid.

“My ideas were good for pop music because of the commercials,” he says. “The rules are pretty much the same — you need to grab the listener as soon as possible. For a commercial, you’ve got about five seconds. For a pop song, you’ve got 10.”

In 1971, Manilow got the job with Midler and ended up working on her million-selling debut, “The Divine Miss M,” which led to a deal of Manilow’s own with Clive Davis’ Arista Records. Despite Manilow’s insistence that he was a behind-the-scenes guy, he scored a No. 1 hit out of the box with the plaintive “Mandy,” then quickly followed that with another chart-topper, “I Write the Songs” — a pop-philosophical epic, as nobody’s tired of pointing out ever since, that Manilow didn’t actually write.

Barry Manilow, wearing a khaki shirt and brown pants, sits on a chair on his lawn.

Barry Manilow at home in Palm Springs.

(Christina House / Los Angeles Times)

Bruce Johnston, who wrote “I Write the Songs” — and won a Grammy for song of the year thanks to Manilow’s recording — says the key to Manilow’s performance is that “he’s never too cool for school.” A Beach Boy for six decades until he retired from the band this year, Johnston adds that Manilow’s rendition of the song, which was also cut by Captain & Tennille and David Cassidy, “is the only one I care about, honestly. He really grabbed it — he’s just as real as he could be.”

After several more Manilow hits — “Tryin’ to Get the Feeling Again,” “Weekend in New England,” “Looks Like We Made It” — Davis asked the singer to produce a would-be comeback album by his latest Arista signing, Dionne Warwick. Warwick’s initial reaction to that idea: “Really?” she says with a laugh. “Did Barry Manilow really know anything about Dionne Warwick? As it turned out, he knew quite a bit,” adds Warwick, who recalls turning up for their first session to discover that Manilow had laid every one of her albums on his piano. “He was letting me know: I know you,” she says.

“Dionne,” the album they made together, went on to win a pair of Grammys and spun off silky hit singles including “Deja Vu” and “I’ll Never Love This Way Again” that reinvigorated Warwick’s career and helped solidify Manilow’s standing as a kind of soft-rock auteur.

Which isn’t to say that rock’s intelligentsia ever viewed him kindly. Though his best music finds an emotional truth in over-the-top theatrics, critics routinely dismissed Manilow as a lightweight or a schlockmeister; even now, he seems an unlikely candidate for the Rock & Roll Hall of Fame, where he’s been eligible for induction for decades.

Manilow, who entered the Songwriters Hall of Fame in 2002, insists the slights don’t bother him. “I’ve never been one of the guys,” he says. We’ve been talking for a while, and because of the bursitis, perhaps, he’s hoisted one of his legs over the arm of his chair. “I don’t think about awards and parties and stuff like that. I’m very lucky — I live in the most gorgeous place I’ve ever seen and I have the most wonderful partner that you can imagine. I’m grateful he’s chosen to share his life with me. We’ve been together for over 46 years, and we still laugh and we still love each other. That’s the greatest award I’ll ever get.”

Manilow and Kief married in 2014; the singer came out as gay three years later. (Manilow was briefly married to his high school girlfriend, Susan Deixler, in the mid-1960s.) Has he found that the world looks at him differently since he came out?

“It was a non-event. Nobody gave a s—,” he says. “They all knew. I never really hid it, but in the ’70s and ’80s, that would have killed the career, and I didn’t want to do that. So I just never talked about it.” He smiles.

“Garry and I are just two guys that live in a house on a hill with two dogs that we love.”

Like many of Manilow’s hits, “Once Before I Go” was Davis’ idea.

Allen, the late Australian entertainer portrayed by Hugh Jackman in Broadway’s Tony-winning “The Boy From Oz,” had played the tune for Manilow in the early ’80s. “And I loved it,” Manilow says now. “But I was too young to sing a song like that — that song needs age to be able to pull it off honestly.”

Davis first suggested that Manilow perform it in his set at the post-pandemic We Love NYC concert that Davis put on in Central Park in 2021. After the show, which was called off due to weather as Manilow sang “Can’t Smile Without You,” Davis repeatedly advised the singer to record it.

Clive Davis stands as Barry Manilow puts his hand beside his neck.

Clive Davis, left, with Barry Manilow at an Arista Records party in Los Angeles in 1989.

(Lester Cohen / Getty Images)

“I don’t know, he had a bug up his ass,” Manilow says. “He loved it, and he loved it for me. And I’m not even on his record label anymore — he’s just a friend at this point. But he was right once again.”

Given the cancer diagnosis, did Manilow worry that fans might interpret the song — a teary goodbye from a well-wishing lover — as a more permanent farewell?

“Not one time has anybody said, ‘Is he talking about dying?’”

You wouldn’t necessarily call “What a Time” a concept album, though many of the songs ponder the ways memory and history can shape a romance. Manilow knows he’s regarded as a singles act but says that putting together LPs is what he’s always enjoyed best. His favorite is 1984’s jazzy “2:00 AM Paradise Cafe,” on which he collaborated with Mulligan, Sarah Vaughan and Mel Tormé.

“That was one where the critics who’d been killing me, they didn’t know I was capable of doing something like that,” he says. “But frankly, I’d been surprised that I was capable of doing the pop stuff.”

You made records of hits from the ’50s, ’60s, ’70s and ’80s. Why’d you stop before “The Greatest Songs of the Nineties”?
Were there songs in the ’90s?

Barry.
Didn’t it start to go downhill?

I can think of a handful of classics by Whitney Houston alone.
You can’t touch those. I’m a good arranger, but you can’t top those records. Maybe four of those albums was enough. I was ready to go back to writing.

You’ve said the problem with modern pop is that there’s no melody anymore.
That’s what I miss. Clive’s been pushing me to do “The Great New American Songbook.”

Like he did with Johnny Mathis a few years ago.
So I’ve been studying the Top 20. The one I like is Lady Gaga and Bruno Mars.

“Die With a Smile.”
Love that. But the way they’re writing songs these days is not the way I know how to write songs. They don’t do a verse, a chorus, a bridge, a chorus, a big ending. To me, when I listen, the songs feel like run-on sentences.

Barry Manilow stands outside beside his dog.

Barry Manilow with his dog Abby.

(Christina House / Los Angeles Times)

I was trying to think of artists older than you who are still performing.
Name me one.

Willie Nelson.
Oh, yeah.

Johnny Mathis.
Mm-hmm.

Frankie Valli.
[Rolls eyes].

You’re invoking the widely held assumption that he lip syncs.
I loved Frankie Valli and the Four Seasons. Who didn’t?

Would you ever lip sync?
I’m terrible at it. I try now and again.

Do you find it morally objectionable?
Depends on the artist. I like being in the moment, not knowing what’s gonna happen in the next bar or at the ending. It’s exciting to me to see if I can make those high notes.

Would not being able to make them mean it’s time to hang it up?
Well, what’s happening right now, I’m on the verge. But I’m getting stronger, so maybe I don’t have to hang it up yet. I look fantastic, but I’m a hundred years old, right? I don’t know how that happened, by the way — I don’t get Botox or anything.

You’ve had no work done?
No! I must say: There was one time when we lived in L.A. that I did do a facelift. But after that it’s just been a little here, a little there.

Wait, I asked you —
“Work” is like a facelift, and I only had one of those. The rest of it — I see something falling down, sure, I’ll do that. I’m as vain as anybody else. One of my old friends, his mother said, “I always knew he was talented, but when did he get so handsome?”

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Doctor buried after he died treating Ebola patients in DRC | News

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Loved ones and healthcare workers gathered for the burial of a doctor who died after treating Ebola patients in the Democratic Republic of Congo. Fears among frontline medical teams are growing as the outbreak worsens, with more than 900 suspected cases of the virus.

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Louisiana urges Supreme Court to block abortion pills sent by mail

Louisiana’s state attorneys on Thursday urged the Supreme Court to stand aside for now and to uphold an appeals court ruling that would stop the mailing of abortion pills nationwide.

They blamed former President Biden for undermining the state’s strict bans on abortion and the Trump administration for slow-walking a study on the federal regulations that permit sending the pills through the mail.

The justices are likely to act soon on emergency appeals filed by two makers of mifepristone. They argued the pills have been shown to be safe and effective for ending an early pregnancy.

But last week, the conservative 5th Circuit Court of Appeals in New Orleans ruled for Louisiana and revived an earlier regulation that would require women to obtain the pills in person from a doctor.

The three-judge panel also took the unusual step for putting its order into effect immediately. On Monday, Justice Samuel A. Alito, who oversees the 5th Circuit, issued an administrative stay that will keep the case on hold through Monday.

The justices have to decide whether Louisiana had standing to sue over the federal drug regulations, and if so, whether judges have the authority to overrule the Food and Drug Administration.

Two years ago, the Supreme Court by a 9-0 vote dismissed a similar challenge to the abortion pills that came from the 5th Circuit. And Chief Justice John G. Roberts has said in the past that judges should usually defer to the federal agency that is responsible fo regulating drugs.

In response to anti-abortion advocates, Trump’s Health and Human Services Secretary Robert F. Kennedy Jr. agreed to have the FDA review the safety record of mifepristone.

It was approved in 2000 as safe and effective for ending early pregnancies. And in the past decade, the agency had relaxed earlier restrictions, including a requirement that pregnant women visit a doctor’s office to obtain the pills.

But the FDA said last month its review is far from complete.

In October, Louisiana Atty. Gen. Liz Murrill decided to bypass the FDA review and went to federal court seeking a ruling that would prevent the pills being sent by mail.

A federal judge refused to decide on the issue while the FDA was undertaking its review. But the 5th Circuit chose to act now. The Louisiana state attorney put the focus on the Biden administration.

When the Supreme Court was considering the Dobbs case, which overruled Roe vs. Wade and the right to abortion, “the Biden Administration was preparing a plan that predictably would undermine that decision,” she wrote in Thursday’s response.

“Although Louisiana law generally prohibits abortion and the dispensing of mifepristone to pregnant women, out-of-state prescribers—freed from the in-person dispensing requirement — are causing approximately 1,000 illegal abortions in Louisiana each month by mailing FDA-approved mifepristone into the state,” she said.

The Trump administration has yet to tell the court of its views on this case.

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BBC star ‘hours from fatal heart attack’, doctor tells him

BBC Morning Live’s legal expert, Gary Rycroft said he thought he was suffering from asthma

A BBC star has explained how he was horrified to be ‘hours’ from a potentially lethal heart attack after undergoing a surgical procedure. BBC Morning Live’s legal expert, Gary Rycroft, told hosts Rick Edwards and Helen Skelton that he had been suffering from a few chest pains, but put it down to just getting older.

He decided to do the Couch to 5k challenge – and said he had never felt better in many ways. He said: “I think it’s typical of dare I say men of my age, where we ignore things. We think we’re getting old. I didn’t wear glasses till I was 50. My hearing really is not as good as it used to be.

“So when I started to get chest pains walking my dog, I live on top of a hill, so I’m up and down the hill two or three times a day walking to work, walking my dog, and I’d say every fortnight or so I’d get a chest pain and it would it would pass really quickly. So I didn’t really think anything of it. I put it to the back of my mind as people tend to do.”

Mr Rycroft said whatever people do they should get any symptoms checked out. He only got it checked out because he was doing the Couch to 5k and thought he’d like to hear from a doctor.

He said: “I actually did feel a lot better and I lost quite a bit of weight. So, I was feeling really good, but I’d started this diagnostic journey with my GP. So, I’d had an ECG. They checked out the electrics of the heart. That was fine. And then in January, I went to have a cardiac CT scan, which is kind of an X-ray of the heart to check out the structure and check out the plumbing.

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“And when I got the result of that a couple of weeks later, it was really quite bad news which floored me, which was actually the main artery to your heart is pretty much blocked. And of course, you start googling and it was called the left anterior descending artery. Not very helpfully on the internet, it’s often referred to as the widow maker. So, suddenly I was in quite a dark place to be honest, and it was quite stressful for my partner Jenny and the kids.”

It was when he had the straightforward operation to put in a stent that the full extent became clear. Gary said: “The next thing to do is called an invasive angiogram, where they put a little tube up your wrist, and they fit what’s called a stent.

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“So, I had that procedure. It was all done in about 40 minutes. It was pretty remarkable. And you know, thank goodness for medical science. When I came round from that, the cardiologist was kind of, you know, you’re a very lucky person, because you were probably hours or days from having a massive potentially fatal heart attack. So, that was that was quite a lot to take in.“

Doctor Xand van Tulleken said: “If you’ve had this procedure I mean they are safe. They are very common and Gary’s risk you know it is traumatic having these things. You get much closer to death than you would want to. But if you can manage your blood pressure, your cholesterol, quit smoking, manage your risk factors, your GP will help you with all of that afterwards, you you you know Gary’s life expectancy is pretty much the same as it was before the procedure, which is fantastic. That’s the reason to go and have it done.

Gary added: “This is a silent killer for people in their 50s and 60s and people will have lost people. And I wanted to talk about this because I wanted to say to people, don’t wait as long as I did. I had a very close shave. Don’t wait as long as I did. And if you’re living with someone who’s concerned, encourage them to have that conversation. If something’s not quite right, it’s well worth checking it out.”

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Why Meghan Trainor canceled her entire Get in Girl tour

Meghan Trainor is turning off the microphone.

The singer announced in an Instagram Story that she is canceling her Get in Girl tour. “This is the right decision for my family and me right now,” Trainor explained Thursday, saying that the decision came “after a lot of reflection and some really tough conversations.”

“Balancing the release of a new album, preparing for a nationwide tour and welcoming our new baby girl to our growing family of five has just been more than I can take on right now, and I need to be home and present for each and all of them at this time,” Trainor wrote.

Trainor apologized to her fans, but promised that she will be “back soon.” She also shared that she “can’t wait” for fans to hear her new album, “Toy With Me,” which will be released April 24.

“I know this will come as a disappointment to my fans, and I am so sorry to let you down,” Trainor said. “I’m endlessly grateful for your love and support always.”

Trainor announced the Get in Girl tour in November and was set to kick it off June 12 in Clarkston, Mich. The tour included stops at Madison Square Garden in New York City and the United Center in Chicago and was to conclude at the Kia Forum in Los Angeles.

Social media users speculated that the tour’s cancellation was due to low ticket sales, with Ticketmaster seating charts in some stadiums showing very few seats sold. Influencer and Trainor’s close friend Chris Olsen took to TikTok to push back against the “predictably vicious” online comments about the tour.

“This is a bigger conversation than just her and people’s feelings toward Meghan,” Olsen said. “The question that always comes up for me is ‘Why? And what is the end goal?’”

The singer welcomed her third child with her husband, Daryl Sabara, via surrogate in January. Trainor, who has been candid about her struggles during her first two pregnancies, explained on Instagram that she was “forever grateful to all the doctors, nurses, teams who made this dream possible.”

“We had endless conversations with our doctors in this journey and this was the safest way for us to be able to continue growing our family,” Trainor wrote.



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BBC doctor gives warning to ‘anyone who has woken up in the morning with a pain in the leg’

Dr Xand van Tulleken told viewers ‘it can be like a heart attack for your legs’

A BBC doctor has given a worrying update for anyone who has woken up in the morning with a pain in the leg. Appearing on BBC Morning Live, Dr Xand van Tulleken told viewers they should ‘never’ just write symptoms off as what happens due to ageing.

Many people get aches and pains, but specific discomfort in the legs should be investigated, he said. Host Helen Skelton said: “We’re looking at protecting our health now, though. And if you started this morning with a pain in your leg, you’re not alone.

“It’s thought that one in five people over the age of 60 is living with a blood vessel disorder.“ Dr Xand said “It’s really important that no one should ever regard any symptoms they have as just part of getting older. If you have a symptom and you don’t know why you have it, you need to get an explanation.

“Whether it’s shortness of breath or pain in your legs. There are lots of different causes for pain in your legs, but this morning we’re talking about peripheral arterial disease, which is a sort of intimidating medical term, but really we mean just peripheral, meaning it’s at the outside of your body. It’s in your legs rather than being in your heart or your brain.”

Arterial disease might be the cause – and that’s a condition which can mean there are serious health issues at stake beyond just aching legs. Dr Xand said “Arterial disease is the same problems that gives us heart attacks and strokes. Your blood vessels narrow over time. They can calcify, they harden, they clog up with cholesterol, and you are left with a narrower space for blood to flow through and that means that you’re not getting a sufficient blood supply to your legs and that can give you leg pain.

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“And you can think of it a little bit like in the same way that some people get angina, they get heart pain when they exercise, when they move around. This is a bit like angina for your legs. And sometimes if those blood vessels completely clog off, it can be like a heart attack for your legs.”

The NHS says many people with PAD have no symptoms. However, some develop a painful ache in their legs when they walk, which usually disappears after a few minutes’ rest. The medical term for this is “intermittent claudication”.

The pain can affect 1 or both legs, range from mild to severe, and usually goes away after a few minutes when the person rests their legs.

Other symptoms of PAD can include:

  • hair loss on your legs and feet
  • numbness or weakness in the legs
  • brittle, slow-growing toenails
  • ulcers (open sores) on your feet and legs, which do not heal
  • changing skin colour on your legs, such as turning paler than usual or blue – this may be harder to see on brown and black skin
  • shiny skin
  • in men, erectile dysfunction
  • the muscles in your legs shrinking (wasting)

The NHS adds: “The symptoms of PAD often develop slowly, over time. If your symptoms develop quickly, or get suddenly worse, it could be a sign of a serious problem requiring immediate treatment.”

Dr Xand added: “The quality of the pain is quite specific. I mean, the way that people describe it and it typically wouldn’t be a pain that you’d get when you’re just sitting still, much like angina. It’s the pain that comes from not getting enough oxygen to your muscles. Those blood vessels aren’t working. And so, people tend to describe a kind of deep, heavy ache, like they’re just not, and you can almost feel that thing of just not getting enough.

“It’s a bit like if you’re lifting weights at the gym, if you go beyond your limits, you know, your muscles really start to hurt. It’s a similar thing. The pain is called claudication, but it’s that kind of pain. And typically, if you rest, it’ll go away again. So, that’s the that’s the kind of pain, but there are other changes that you can look for as well.”

He said people might see changes in their legs which could indicate the problem. Dr Xand said: “If you do look at your legs, you may see some changes if you don’t have a good enough blood supply. So, things like loss of hair on your legs would be an examples. The hair the hair can’t grow anymore because you’re not getting enough nutrients to your leg.

“Cold feet, the warm blood from the middle of your body is no longer reaching your feet. Ulcers or cuts are not healing because your immune system carried in your bloodstream is not reaching those and so you’re getting skin breakdown. You’re not getting antibodies and white blood cells and things like that. Changes in skin tone. So, your skin may look kind of mottled and gray as if it’s not getting enough blood. And then your toenails, you may think, I haven’t cut my toenails in a while. Well, are they just simply growing because they’re not getting the nutrients from the bloodstream that they need. So, those are things that might be a clue.”

Tackling the problem

A main cause is smoking, Dr Xand said, and also making sure people get cholesterol, blood pressure measured and check if you have diabetes. He said exercise is a good way of trying to improve the situation: “This may sound a bit a bit paradoxical, may sound like it’s hard to exercise, you’re getting pain when you exercise, but doing some exercise can stimulate the growth of new blood vessels. It can help those blood vessels open up.

“It will lower your cholesterol. It will lower your blood pressure. It will lower your stress. It will improve your blood sugar. You get so many wins from doing a bit of exercise.”

More information from the NHS here.

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