Circulation problems behind the pain According to Dr Malik, the warning signals point towards two vascular conditions that can cause recurring nighttime pain: ⦿ Peripheral Artery Disease (PAD): In this condition, arteries supplying blood to leg muscles are narrowed, which results in decreased oxygen flow in the muscles. Cramping and pain is caused when muscles are starved of oxygen. ⦿ Venous Insufficiency: This condition is caused when the veins are incapable of pumping blood back into the heart, leading to the blood pooling up in the lower leg region. This builds up pressure resulting in intense cramps and aching, especially when lying down. Ignorance could lead to chronic pain Dr Malik warns, "Ignoring this is not a benign choice." She says what starts as occasional cramping can easily progress into chronic pain, constant heaviness, dangerous clots, non-healing wounds, and ultimately lead to a severe loss of mobility. These conditions can negatively impact quality of life and independence when left untreated. Modern care offers hope According to Dr Malik, "The good news: This is NOT a life sentence." Despite the severity of these symptoms, they are not untreatable, especially because modern vascular care is incredibly advanced, she says. Vascular experts can effortlessly diagnose the root cause using painless methods like ultrasounds and most forms of treatments are minimally invasive procedures performed right in the clinic. However, addressing these issues instead of ignoring and putting them off for later is the key. Dr Malik stresses families to not overlook these warning signs in their aging loved ones, emphasizing the importance of recognizing and addressing the symptoms before they escalate. The doctor advises, "Starting this conversation could change the entire trajectory of their health," because dismissing these symptoms in older adults could delay life-saving care.