Thromboangitis obliterans is a chronic disease seen predominantly in young male patients who smoke; it involves an inflammatory reaction of the arteries to nicotine. Initially, it becomes evident in the small arteries of the feet and hands and progresses proximally. It results in vasoconstriction, decreased arterial circulation to the extremities, ischemia, and eventual ulceration and necrosis of soft tissues. The inflammatory reaction and resulting signs and symptoms can be controlled if the patient stops smoking. PT(Physiotherapy) Management of Chronic Arterial Insufficiency Plan of Care maybe include, To teach the patient how to minimize or prevent potential impairments and correct functional impairments or limitations which currently affect functional capabilities. Communicate with health professionals from other disciplines which are suitable for patient consultation. Improve exercise tolerance for ADL, and reduce intermittent claudication incidence. Reli