A combined peripheral arterial Doppler ultrasound and Ankle Brachial Pressure Index (ABPI) assessment to investigate leg pain, cramping, cold feet, poor circulation and suspected Peripheral Artery Disease (PAD). This private leg circulation test checks both the structure and flow pattern of the leg arteries and compares ankle-to-arm pressure readings to support a clearer PAD assessment. Performed by experienced vascular specialists at London Private Ultrasound.
Peripheral Arterial Doppler Ultrasound + ABPI combines detailed ultrasound imaging of the leg arteries with blood-pressure ratio testing at the ankle and arm. It helps detect reduced blood flow, arterial narrowing, blockage patterns and signs of Peripheral Artery Disease, especially in patients with leg pain on walking, cold feet, diabetes, high blood pressure, high cholesterol, smoking history or slow-healing wounds.
Written by Dr Pedram Aghaei, Medical Writer. Clinically reviewed by Dr Babak Soleimanpour, Medical Director. Patient information only; your clinician will explain findings and next steps after the scan.
| Price | £299 for one limb · £449 for two limbs |
|---|---|
| What it checks | Leg arteries, Doppler waveforms, and ankle-to-arm blood-pressure ratios |
| Duration | 30–40 minutes |
| Results | Written report usually within 24 hours |
| Referral | No GP referral required |
| Locations | 27 Welbeck Street, London W1G 8EN · 54–56 Victoria Street, St Albans AL1 3HZ |
| Eligibility | Adults aged 18 and over |
| Preparation | Wear comfortable clothing and bring relevant previous reports and medication details |
This page is written to answer the key patient questions clearly: what the scan checks, who it is for, how much it costs, where it is available, and what happens after abnormal results.
A Peripheral Arterial Doppler Ultrasound + ABPI scan is used to assess whether enough blood is reaching the legs and feet. It can help identify arterial narrowing, reduced flow, abnormal Doppler waveforms and pressure differences between the arms and ankles.
London Private Ultrasound provides this vascular assessment for patients from Harley Street, Marylebone, Mayfair, Fitzrovia, Central London, St Albans, Hertfordshire and surrounding areas.
Select one limb or two limbs, choose your preferred clinic and book the earliest suitable appointment using the secure calendar below.
Secure online booking
Choose a time that suits you — we search every eligible specialist and confirm your appointment instantly.
Select any available day in the next 60 days.
Choosing a specialist re-draws the calendar to show only their available dates.
All fields are required unless marked optional.
Use the secure Stripe tabs below to select Card, Google Pay, Apple Pay or Klarna when available.
Payment methods shown depend on your device and the options enabled in Semble Pay. Card details are handled securely by Stripe and are not stored by this website.
Thank you, — a confirmation email has been sent to .
Your scan is booked. Anything selected below will be attached to the same booking and can be paid for at the clinic.
Choose one limb for a focused assessment, or two limbs when symptoms affect both legs or you need a side-to-side circulation comparison.
Includes arterial Doppler imaging of one leg, waveform assessment and ABPI pressure measurement.
Book an appointmentIncludes both legs for comparison of blood flow, pressure ratios and arterial waveform changes.
Book an appointmentAssessment of key leg arteries including femoral, popliteal, tibial and pedal artery flow where clinically appropriate.
Blood pressure comparison at the ankle and arm to quantify circulation and support PAD screening.
Real-time Doppler waveform assessment to help identify reduced flow, stenosis or obstruction patterns.
Your clinician explains the main findings after the scan and advises whether GP, vascular or urgent follow-up is required.
A clear report is usually provided within 24 hours and can be shared with your GP, consultant or insurer.
You can self-refer and book directly online. We also welcome GP and consultant referrals.
A Peripheral Arterial Doppler Ultrasound + ABPI scan can be useful when symptoms or risk factors suggest reduced blood flow to the legs or feet. The scan helps assess whether arterial narrowing, blockage or poor circulation may be contributing to your symptoms.
Cramping, aching, tightness or heaviness in the calf, thigh or buttock that improves with rest can be a circulation-related symptom known as intermittent claudication.
Feet or toes that feel unusually cold, look pale, blue or mottled, or show reduced warmth compared with the other side may need vascular assessment.
Reduced circulation can sometimes contribute to altered sensation, weakness, fatigue or reduced walking distance, especially in patients with vascular risk factors.
Foot ulcers, toe wounds, skin breaks or infections that are slow to heal may need assessment of blood supply before treatment planning.
People with diabetes, previous or current smoking, high cholesterol, high blood pressure or heart disease have a higher risk of Peripheral Artery Disease.
This scan may be advised when pulses feel reduced, ABPI has been abnormal, PAD is suspected, or follow-up is needed after previous vascular findings.
Sudden severe leg pain, a cold pale foot, new weakness, loss of sensation, or sudden colour change can be urgent. If symptoms are sudden or severe, seek urgent medical advice or emergency care rather than waiting for a routine scan appointment.
If your circulation assessment is reassuring, your clinician will explain the result and advise when routine GP review or lifestyle risk-factor management may still be appropriate.
If the scan suggests arterial narrowing or PAD, your report can support GP, vascular clinic or specialist referral and guide further management.
If symptoms suggest sudden severe loss of blood supply, such as a cold painful pale foot, new severe pain or absent pulses, urgent medical assessment may be required rather than routine booking.
ABPI gives a useful pressure ratio, while Doppler ultrasound shows where and how blood is moving through the arteries. Combining both gives a stronger clinical picture than either test alone.
| Assessment | What it checks | Why it matters |
|---|---|---|
| ABPI | Compares ankle pressure with arm pressure. | Helps screen for reduced leg circulation and supports PAD risk assessment. |
| Arterial Doppler ultrasound | Assesses arteries, flow direction, waveform shape and areas of narrowing or obstruction. | Helps localise vascular disease and provides anatomical information for onward care. |
| Combined package | Uses both pressure measurement and real-time ultrasound imaging. | Provides a more complete assessment for leg pain, cold feet, cramping and vascular risk factors. |
Confirm your clinic, appointment time and whether one or both limbs are being assessed.
Choose clothing that allows easy access to your legs and arms for the ultrasound and pressure measurements.
Bring previous scan reports and your medication details so the clinician can understand your history.
Check your appointment confirmation for any individual preparation advice.
Convenient for Harley Street, Marylebone, Mayfair, Fitzrovia and Central London patients.
Useful for patients from St Albans, Hatfield, Harpenden, Watford and Hertfordshire.
Your Peripheral Arterial Doppler + ABPI assessment is performed by experienced clinicians, with clear reporting and onward guidance when follow-up is needed.
Medical Writer
Co-founder · Medical Writer
Medical writer for this page, supporting clear patient information and content governance.
Doctor
Doctor · Radiology & Ultrasound Interest
Supports patient assessment pathways and clinical communication for imaging-led care.
Governance
Medical Director · GP
Provides clinical oversight, governance and patient safety support across diagnostic services.
CQC
CQC Champion · Nurse Prescriber
Supports care standards, patient safety processes and clinical governance across the clinic.
Medication
Pharmacist Prescriber
Supports medication review and cardiovascular risk-factor pathways where clinically relevant.
Reports are written clearly for patients, GPs, consultants and insurers, with onward referral advice where results suggest PAD, reduced arterial flow or urgent red-flag findings.
Yes. Pain, tightness or cramping in the calf, thigh or buttock that comes on with walking and improves with rest can be a sign of reduced arterial blood flow and is a common reason to book this assessment.
ABPI is a useful pressure screen, but Doppler ultrasound provides more detail about the arteries and blood-flow pattern. The combined package is more suitable when symptoms, risk factors or previous results suggest a fuller vascular assessment is needed.
Yes. You can self-refer and book directly. Your written report can be shared with your GP, consultant, vascular specialist or insurer if follow-up is needed.
The service is available at London Private Ultrasound in Central London and St Albans, with booking buttons available for both clinic location cards on this page.
Medical Writer: Dr Pedram Aghaei
Clinical review: Dr Babak Soleimanpour, Medical Director
This page provides patient information. Your clinician will explain your findings and advise on any next steps.
