Discussion: From the results it is evident that the advanced methods of assessment can provide more reliable and more useful results than many of the currently used methods. Specifically, the use of age-adjusted centile charts to be used when assessing vibration perception thresholds using the neurothesiometer would prove invaluable in making the appropriate diagnosis. With vascular Consultants moving away from ABPI scores being useful in diagnosis, the pulse volume recorder provides an accurate, useful and easy vascular assessment alternative for use in the community prior to referral. Current cost implications of the Vascular Assist which houses the PVR would limit accessibility and therefore its use. The results of this study indicate the usefulness of a dedicated pulse volume recorder to be manufactured.