Other Spider & Varicose Leg Vein Conditons
A vein specialist must be able to diagnose and treat a variety of conditions and unusual presentations. Occasionally, a patient will come in with symptoms such as leg aching without any visible signs of abnormality. Often, the source of the symptoms is leaking vein valves or reticular veins and can be easily treated. Other conditions such as leg swelling may or may not be caused by vein disease. The cause of the swelling must be carefully diagnosed to determine the appropriate vein treatment. More advanced conditions such as skin changes and ulcers must also be diagnosed correctly to determine the best treatment. A dedicated vein specialist is most qualified to diagnose the underlying conditions and design a custom treatment plan.
Reticular veins are flat blue veins often visible just beneath the skin. These veins collect the blood from the skin and empty into larger, deeper veins. Most spider veins are connected to abnormal reticular veins. The Abnormal reticular vein must be treated to achieve good long-term results.
Reticular veins can be the source of discomfort and may also be cosmetically undesirable. Reticular veins respond very well to Tumescent Enhanced Sclerotherapy.
Leg swelling or edema can be caused by a number of factors. If the source of the swelling is from fluid retention from diet, heart or kidney problems, the swelling tends to be equal in both legs.
Advanced leg swelling or unequal swelling can be caused by vein disease or lymphatic disease or lymphedema. A comprehensive physical examination and diagnostic testing will be required to make the diagnosis. Leg swelling can be managed medically: with medications, compression, massage or mechanical compression devices. Varicose vein surgery may also be required.
Skin changes & ulcers
Untreated vein disease and leg vein disorders may progress to complications. Often the first sign is pigmentation or darkening of the skin. This usually occurs on the inside of the ankle. Pigmentation may progress to skin thickening and eventually to open wounds or ulcers.
Leg ulcers may be caused by vein disease and varicose veins but may also be caused by poor flow in the arteries leading to the foot or my nerve damage related to diabetes. A careful examination by an experienced vein doctor and diagnostic testing may be required to make the diagnosis.
Ulcers caused by veins can be treated by compression bandages and skin grafts. The best long-term results are obtained when combined with surgical correction of the vein problems.