'Not enough is known about condition that led to my leg amputations'

Rob Sissons,East Midlands health correspondentand
Ben Carr,East Midlands
News imageBBC Fiona has her hands on Nic's shoulder. They are both elderly, Nic has short grey hair and Fiona has long brown hair. He is wearing a checkered shirt and she is wearing a grey cardigan. BBC
Nic and Fiona Olsen said they have had their lives "turned upside down" following his double amputation

Nic Olsen was the picture of health.

The 80-year-old was a keen walker and cyclist, but began experiencing leg pain over several years, which had become "unbearable" by January 2021.

Nic and his wife Fiona searched for answers, visiting various health professionals until he was diagnosed with a common condition called peripheral arterial disease (PAD) in October 2024.

But by then, the disease - caused by the narrowing or blockage of arteries in the legs - had progressed to the point that both legs eventually had to be amputated.

Nic, who is supporting a campaign for greater awareness of the condition, said: "I had the same symptoms all the time, but nobody took any notice."

News imageNic is in a wheelchair while Fiona is stood behind him holding it. They are in the garden of the home with a shed next to them.
The family believe an earlier diagnosis of PAD could have prevented Nic's amputations

Nic, from Tugby in Leicestershire, explained he had suffered from ulcers and cuts on his foot that would not heal.

He also experienced thickening toenails and the loss of hair on his feet, which are all symptoms of PAD.

Fiona, 68, said the pain was described by Nic as being like "somebody stabbing me in my toes".

Nic said: "First of all I found I was dragging my foot, then it progressively became more and more painful.

"It was very unpleasant and I didn't really know why."

News imageSupplied Nic on a beach on holiday in the past. He is wearing a white t shirt and some shorts. Supplied
Nic was healthy and active, Fiona said

The Olsens said they visited health professionals including GPs, podiatrists, and orthopaedic specialists, more than 20 times.

Eventually, a Doppler scan - a non-invasive ultrasound test commonly used in pregnancy - revealed there was no detectable blood flow in his feet.

Fiona said a podiatrist suggested the test after a wound on Nic's foot had not healed.

Nic said his feet were not examined prior to this and that the theory from professionals was that his spine was causing the pain, linked to a "very old back problem".

"They said, 'you are too healthy, you have got nothing else wrong with you, it must be your spine'. And it wasn't," Nic said.

"I don't know that many of the professionals knew about peripheral arterial disease.

"It was never mentioned, my feet were never examined - except by podiatry - and this is how it got missed."

News imageSupplied Nic and Fiona in Venice a decade ago. They are stood on a bridge with a canal behind them and buildings. Supplied
Fiona said Nic's amputations had been "life-changing"

In March 2025, Nic underwent an angioplasty on his right leg to try and treat the condition.

Surgeons attempted to insert a catheter through his groin as part of the procedure, but it was blocked at his knee.

A leg artery bypass procedure also failed and caused "agony" for Nic as the blood pooled in his feet and the wounds would not heal, Fiona said.

As a result, his right leg was amputated below the knee in April 2025.

A second angioplasty on his left leg and a similar bypass procedure followed shortly after, but again both failed, leading to the amputation of his other leg through the knee in July that year.

Nic said he had "a lot of black, dark days" after this.

He added: "You don't sleep very well in hospital and I used to think, 'what on earth am I going to do?'"

Fiona said the amputations had been "life-changing".

"I was just... I think worse than Nic, because he became pain-free," she said.

"Overnight I became a carer and we had so many plans.

"We still [had] a young daughter, we loved travelling, we loved bike riding, [we were] fit and healthy people who had looked after ourselves."

'Rapid action'

Researchers at the University of Leicester are raising awareness of PAD with the campaign called Are Your Legs Killing You?

Athanasios Saratzis, a research professor of vascular surgery at the university and a vascular and endovascular surgeon based at Glenfield Hospital, said amputations were often preventable.

"PAD affects about one in five people above the age of 55," Saratzis said.

"Most people who have got PAD don't get symptoms until late down the line.

"So unfortunately, diagnosing PAD is not as common as we would like it to be."

The Olsens want to warn others of the symptoms and hope more people can be diagnosed earlier.

A Department of Health and Social Care spokesperson said: "Our thoughts are with Nic, and everyone impacted by peripheral arterial disease. All NHS professionals should consider every possible diagnosis to ensure serious conditions don't go untreated.

"We have taken rapid action to strengthen patient safety, including rolling out Jess's Rule so patients can get a fresh clinical review if they present three times with the same symptoms or concerns."

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