Ho, ho, ho! Gather ’round, my merry friends, for a tale not of elves and reindeer, but of the importance of exercise in managing a condition known as lower extremity peripheral artery disease (PAD). Just as we prepare all year for that magical night of delivering presents, patients with PAD must embrace exercise as a cornerstone of their care.

In this jolly consensus paper, designed like a map to guide clinicians through the snowy path of PAD management, we unwrap the gift of knowledge on how to set up comprehensive exercise programs. These aren’t just any exercises, but special, structured programs tailored like a custom suit from Mrs. Claus, ensuring the best outcomes for those with symptomatic chronic PAD.

Imagine, if you will, a workshop not for toys, but for crafting the perfect exercise regimen, with protocols as specific and unique as the snowflakes at the North Pole. This narrative sleigh ride through the data presents the best evidence on assessing patients and measuring their progress, much like checking the list twice to see who’s naughty or nice.

But alas, not all is merry and bright. Our story takes a turn to reveal the disparities in access to these supervised exercise programs across Europe, much like how some chimneys are harder to navigate than others. And, as we reach the end of our tale, we’re reminded of the gaps in evidence, like missing pieces in a puzzle, that require further research to fill.

So, as we close the book on this festive narrative, let’s not forget the importance of exercise in managing PAD, and the work that lies ahead to ensure all patients can access the care they need. Merry fitness to all, and to all a good night!