Supervised Exercise Therapy (SET) for Peripheral Artery Disease

Peripheral Artery Disease, also known as PAD, is the buildup of plaque in the arteries of your extremities restricting blood flow to the supporting muscles. Cramping, or claudication, is mostly commonly felt when blood flow is being restricted and usually occurs while walking or during other activities and is relieved by rest. Other symptoms include coldness in the feet (especially if one is colder than the other), weakness, thinning hair or even complete hair loss in the extremities, or color change in the extremities. 

Peripheral Artery Disease (PAD) is treatable. With medication management, regular exercise, healthy diet, cholesterol and blood pressure, and complete tobacco/smoking cessation your PAD can be managed and your quality of life improved. You will be able to walk longer without cramping and have more energy throughout the day.

What is the Supervised Exercise Therapy for PAD Program?

  • Supervised Exercise Therapy (SET) for Peripheral Artery Disease is a physician referred exercise and education based program for those diagnosed with symptomatic PAD. It is designed to help people walk longer without pain in the hope of improving their overall quality of life.
  • Our program is staffed by skilled and experienced registered nurses, respiratory therapists, clinical exercise specialists, and is under medical direction of a physician specializing in vascular surgery.
  • “Research has shown that SET is an effective, minimally invasive method to alleviate claudication (the most common symptom of PAD) and may also prevent the progression of PAD and lower the risk of other cardiovascular events in these patients.” -Center for Medicare and Medicaid Services

What Does the Program Include?

  • For 12 weeks maximum, weekly exercise sessions occur 3 days per week lasting up to one hour with intermittent rest breaks and include education on risk factors for PAD, nutrition and smoking cessation (if needed).
  • Medically Monitored Exercise: Exercise is an important way to help keep your cardiovascular system and mind healthy. We offer SET sessions 3 days a week or more where a Clinical Exercise Specialist will help design a personalized exercise program to help you achieve your fitness goals. Nurses are present daily to supervise and nourish a safe exercise environment and in emergencies medical direction is accompanied by a Physician as necessary.
  • Nutrition: A healthy diet for PAD is identical to heart healthy diet and can help improve your blood pressure, cholesterol, glucose levels and overall health. Our Heart Healthy Nutrition series is taught by a Registered Dietician prepared to provide helpful tips in making any diet adjustments necessary.
  • Risk Factors: Our goal is that every person has the knowledge necessary to understand their disease and understand what they can do to manage it. PAD development is discussed in detail and the variety of risk factors changes for each person.
  • Smoking Cessation: The biggest way to improve your PAD health is to quit smoking tobacco. Our program will guide you on your journey to better health.
  • Home Exercise: You will learn the importance and benefits of regular exercise. Our Clinical Exercise Specialists will design a home program for your continuing improvement of your health.

Are You Eligible?

  • You must be diagnosed with symptomatic PAD by your Physician at a one-on-one visit, can walk on a Treadmill, and have been cleared for exercise by your Physician.
  • It is recommended to participate in SET prior to having any procedures done to help relieve claudication.

How to Get Started

Get referred by a Physician for Supervised Exercise Therapy (SET) for PAD and contact our offices about scheduling your first one on one evaluation appointment. The program is usually covered by Medicare and any private insurance plans should be contacted prior to your first scheduled visit to understand your coverage.

Program Locations

MultiCare Auburn Medical Center
Cardiac and Pulmonary Rehabilitation Department

202 N Division Plaza One
Auburn, WA 98001
Phone: 253-545-2559
Fax: 253-333-2607

MultiCare Good Samaritan Hospital
1450 5th Street SE, Suite 2500
Puyallup, WA 98372
Phone: 253-545-2559
Fax: 253-333-2607

MultiCare Deaconess Health and Education Center
Pulse Heart Institute

Suite 900
910 W 5th Ave
Spokane, WA 99204
Phone: 509-755-5500

Fax: 509-473-2309

MultiCare Tacoma General Hospital
Preventive Cardiology Department

4th Floor Philip Pavilion
1003 5th Street
Tacoma, WA 98402
Phone: 253-403-1058
Fax: 253-403-4386

Supervised Exercise Therapy Referral Form (PDF)