Sadly though, for other patients the progression from non-critical ischaemia to CLI happens all too soon
The reasons for this are manifold including: (non-exhaustive list)
being referred too late to a vascular management team.
having difficulty participating in exercise components of a vascular programme due to other comorbidities, mental health or significant barriers to participation
having difficulty or poor compliance to CVD medication
being subject to a poor provision of behavioural modification programmes –i.e. a failure of the system to adapt to meet the needs of patients. This group of individuals really benefit from Cognitive Behavioural Therapy (CBT), clinical psychological input, neither of which are routinely available services
poor compliance of the individual to an exercise programme and to behavioural modification despite excellent provision
