Peripheral artery disease (PAD) can significantly impact your sleep. PAD occurs when narrowed blood vessels reduce blood flow to your limbs, often causing leg pain and other symptoms that can make it hard to sleep. The most common cause of PAD is atherosclerosis, where fats and other debris build up inside your arteries. This condition usually affects the legs but can also involve the arms. Symptoms of PAD can range from mild to severe and may include claudication (leg pain during exercise), sores or ulcers on the toes and feet, and even tissue damage in severe cases. Severe PAD can cause pain even when you're not moving, which can wake you up at night. Tingling in your foot or toes may also disturb your sleep. Standing up or hanging your legs over the side of the bed can help because it forces blood to flow into your lower limbs. PAD is also linked to sleep apnea, a condition where you have frequent awakening periods at night due to breathing interruptions. This can further disrupt your sleep. Restless legs syndrome, another condition associated with PAD, can also wake you up at night. It's important to address sleep issues related to PAD because long-term sleep deprivation is linked to several serious health conditions, including heart disease, diabetes, and stroke. If leg pain or restless legs are keeping you awake, it's crucial to consult your doctor. They can assess your condition and recommend appropriate treatment. Mild cases of PAD may be managed with exercise, such as walking, which can improve blood flow and help you sleep better. Your doctor may suggest a supervised exercise program to help you push through discomfort and develop alternative pathways for blood flow, leading to better sleep.