PAD is usually a chronic condition. Finding PAD in someone who is in their thirties is concerning. If this was found incidentally, a thorough medical evaluation should be done focusing on history of familial hypercholesterolemia, diabetes, HTN and smoking. If there is a smoking abuse history, in a young male in their thirties, the concern for Buerger's disease should be entertained and ruled out by exam, history and, sometimes, an angiogram. As mentioned above, PAD is not common in young people. Medical management and aggressive lifestyle modification is recommended reserving interventions for debilitating and limb-threatening conditions. Finally, the best way to halt progression of disease is through lifestyle
modification and compliance.