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.

March 27 (UPI) — A U.S. Secret Service agent on former first lady Jill Biden‘s detail shot himself in the leg by mistake Friday in Philadelphia, the agency announced.

Around 8:30 a.m., the agent sustained “a non-life-threatening injury following a negligent discharge while handling a service weapon at the Philadelphia International Airport during a protective assignment,” a Secret Service statement issued to ABC News said.

“There were no reported injuries to any other individuals and the special agent is being evaluated at an area hospital in stable condition.”

Doctors at Penn Presbyterian Medical Center were evaluating the agent, who was listed in stable condition.

The Secret Service’s Office of Professional Responsibility expects to investigate the incident, CNN reported.

Secret Service spokesman Anthony Guglielmi said Biden was at the airport when the shooting happened, but wasn’t in the agent’s presence.

SALT LAKE CITY — Nick Schmaltz scored his second goal of the game at 1:46 of overtime to give the Utah Mammoth a 4-3 victory over the Kings on Sunday night.

Schmaltz carried the puck in on a two-on-one rush with defenseman Mikhail Sergachev on his left and fired a snap shot between goalie Darcy Kuemper‘s legs.

After the Kings controlled play in the three-on-three overtime and nearly ended it on Alex Laferriere’s shot that went off the right post, Kevin Stenlund won a faceoff against Quinton Byfield to set up Schmaltz’s seventh winning goal of the season.

Artemi Panarin tied it for the Kings with 3:30 left in regulation with his 25th goal of the season. His shot from deep on the far right side eluded goalie Karel Vejmelka.

Schmaltz pushed his career-high goals total to 26 and reached 63 points to match his career high set in 2024-25. Lawson Crouse scored twice in the first period and added an assist, and Vejmelka made 33 saves to help Utah end a four-game home losing streak. The Mammoth hold the first wild card in the Western Conference, five points ahead of Nashville.

Byfield had a goal and an assist, and Laferriere also scored for the Kings. Kuemper stopped 30 shots.

The Kings are two points behind Nashville for the final wild-card spot.

Former Ryanair flight attendant Eleanor has shared her top seating recommendations for passengers, including the best rows for extra space and which seats to avoid on your next flight

When reserving a flight with Ryanair, many of us will steer clear of selecting our own seat, primarily due to the extra charge. However, a former cabin crew member with the budget carrier has identified the best row to reserve if you’re seeking optimal space and comfort for a specific journey.

Eleanor was based in Marseille, France, and logged countless hours traversing the globe alongside her cabin crew colleagues. She has now highlighted the seats that could enhance your trip considerably.

Speaking to us about her top travel tips, she explained: “I would say usually it’s better to sit at the emergency exits in the middle of the aircraft, usually around row 17 for safety reasons.

“You have more space and also because children under 16 can’t sit at the emergency exits and infants under two can’t even be in the two rows before and ahead of the emergency exits. So these and row 1 are basically the only seats where you can be sure you won’t be spending your flight with crying babies next to you.”

Nevertheless, while row 17 might be the most tranquil, according to Eleanor, there are particular seats passengers may also want to steer clear of.

The content creator, 25, revealed to us: “I can only say to avoid 11A. That’s supposed to be a window seat – but it doesn’t have a window! You won’t be able to see outside.”

This seat has previously been labelled “Europe’s most hated” because it’s notorious for being the sole ‘A’ seat on a Boeing 747 that lacks a window to peer through. And having urged travellers to reserve row 17, she also pointed out the row that might be worth avoiding.

She elaborated: “Also avoid row 32 on the 737 MAX, an aircraft that Ryanair has only in some bases. That has emergency exits at the wings, and a crew seat near them that faces the passengers.

“So, if you sit in that row, you’ll have the flight attendant stare at you during take off and landing, and you’ll have to move every time they have to pass. It was very uncomfortable as a flight attendant, I imagine it is as a passenger also.”

She emphasised that securing your seat on Ryanair wasn’t absolutely critical, especially since flights are generally brief and there’s no complimentary meal service, which means your location won’t determine whether you’re served first or last, as it might on other carriers.

The Italian ex-Ryanair employee said it ultimately boiled down to individual preference but she did provide one final recommendation.

She stated: “Another thing I can say is to avoid sitting at the rear of the aircraft, mostly because sometimes, although not often with Ryanair, only in some airports, you will have a bridge from the front and you’ll be the last one to disembark if you’re sitting at the back.

“And also because in case of ditching (controlled emergency landing onto water), that’s the first part that goes in the water, and you won’t be able to open the doors at the back, so you’re less likely to make it in case of a landing in water.”

Billy Porter says a poorly treated urinary infection nearly killed him.

On Wednesday, the 56-year-old Broadway icon appeared on “Today” to promote his new children’s book, “Songbird in the Light,” and discussed a recent health scare that’s given the actor a new outlook on life.

“I am on the road to complete recovery,” he said, tearing up. “It is a gift to be alive. It’s still emotional to talk about it.”

Last year, Porter crossed the pond and made his West End debut starring as the Emcee in the musical “Cabaret,” which ran Jan. 28 through May 24 at London’s Playhouse Theatre. The Tony-winning actor said he was having a ball and living his purpose, but then he got a urinary infection.

“The medicine in the U.K. is trash,” he told “Outlaws” podcast host TS Madison earlier this month. “Four rounds of antibiotics and 10 to 12 weeks later, it’s a kidney infection with kidney stones.”

Porter eventually thought the infection had cleared up and returned to New York, where last fall he was gearing up for a Broadway revival of the musical starring as the production’s first Black Emcee, but his history-making run was cut short.

“I go into rehearsals for ‘Cabaret’ on Broadway … and everything seems fine, and a month in, the kidney stone pain comes back,” he told Madison.

On a Tuesday in September, Porter checked himself into the hospital due to debilitating pain, and then the “Pose” star subsequently fell into a coma and woke up days later on a Saturday evening.

“They went in to do a routine check. They saw that the kidney stone was trapped in my urethra, and they went in to put a stent in, redirect the urine, blast me with real antibiotics — not U.K. antibiotics — and blow up the kidney stones. When they got in there, there was so much pus and bile and infection behind the stone, it bubbled up and I went uroseptic in minutes.”

“I was dead for three days,” Porter said.

Porter said he was placed on an ECMO (extracorporeal membrane oxygenation) machine, which, according to Mayo Clinic, pumps blood outside of the body to a heart-lung machine, removes carbon dioxide from the blood and sends oxygen-rich blood back to the body. It’s essentially a life-support system.

While Porter was in a coma, he said, one of his legs went into compartment syndrome, which happens when there’s too much pressure around your muscles, causing reduced blood and oxygen flow and possibly leading to necrosis. “They had to cut me open on either side of my leg while I was in a coma, from my knee to my hip, and leave it open for two days so they could save my leg,” he told Madison, visibly choked up over the ordeal.

Porter told “Today” that the experience was mind-altering yet also inspiring. “My work here on this earth is not done, and that gives me hope.”

His new children’s book, “Songbird in the Light,” which follows a young boy who grapples with bullying while learning to embrace his talent and love himself, hit bookshop shelves this week.