More and more people are suffering from chronic venous disease and needing to seek treatment from a vein doctor New Jersey for the problems that are affecting their legs. The valves that usher the blood in and out of the veins no longer function correctly and blood starts to collect and expand the veins. Blood starts to pool further down the legs and as so much pressure is put in each vein, it is likely that you will need to see a vascular doctor in NJ.
It is not always a drastic turn of events, but as the problems get worse it is more likely that there will be the need for treatment. This can range from fairly basic and hardly invasive to full on surgery and removal of the damaged veins. Symptoms can range from mild to severe with the milder ones being aching legs and clearly bulging veins and the more severe being ulcers and infection. Chronic venous insufficiency is the name given to the condition when the symptoms are very severe, but they can be treated by a vein doctor New Jersey.
Causes of chronic venous disease
The leg veins are prone to widen when there is increased pressure put on them. It seems to be a vicious circle as damaged valves cause pressure and the pressure causes further damage to the valves. As the damage get worse, the ability of the veins to function correctly is diminished. There are several reasons for the increased pressure in the veins and they include:
- Clots – If there is a clot then blood cannot get past it. There is the risk that there will be damage caused and it will not improve even when the clot has been dispersed.
- Injury and the need for an operation – If there is damage to a vein, the blood cannot work its way through normally. A vein doctor New Jersey will determine if this is necessary.
- Weight – Whether it is through pregnancy or permanent weight, the heavier you are the more likely it is that there will be damage caused to the valves and therefore the veins will not work properly.
- Position – Sitting or standing for too long can be a problem and you should try and alternate between the two. As the blood will be slower to move around the body, it can stay in veins too long and cause them to expand. If the leg muscles are not moving, the blood is not being pumped.
Symptoms of chronic venous disease
While you may now be aware of the causes of chronic venous disease, you also need to know what to look out for and take advice from a vascular doctor in NJ.
- There will be visual as well as physical signs. When it comes to the visual ones they are rashes, skin discoloration, ulcers, large rope-like veins and swelling. The ones that you can feel are ulcers, heavy and tired legs and irritation of the skin near to the vein.
- When veins become dilated, there are two levels that they can reach – finer lines will be classed as spider veins, while ones that are larger and more noticeable are varicose veins. Spider veins can be inconspicuous, but you cannot miss varicose veins once they take hold.
- Swelling – The longer the veins are in existence, the worse the swelling can become. It tends to be more on the lower legs and ankles. If the legs are raised, it will reduce the swelling for a while and while this will give some relief, it will return when the legs are lowered again. The vascular doctor in NJ will show you how to help reduce swelling.
- Discoloration – Blood will pool and the skin will change to red or tan. Again, it will be around the ankles at first, but can eventually cover the entire foot. A vein doctor New Jersey will tell you how to treat it.
- Inflammation – This is another result of the blood pooling near to the ankles. The skin can become dry as well, and when it becomes hard it can be very painful.
- Venous Ulcers – The lower ankle will be the first place to be affected and the open wounds will be painful. Once one appears it is very likely that there will be others and while they may only be little when they first appear, they do grow to be quite large. If they start to ooze, they should be treated and unfortunately, they can take quite a long time to heal. It is not unheard of it to be stuck with them for years.
Diagnosis of chronic venous disease
There will be a double pronged attack as there will be a physical examination and you will need to give a full medical history. Even though they may be sure of the problem due to what they see and hear, they could ask for extra tests such as an ultrasound that will determine if the issue is with the shallow or deep veins and the vascular doctor in NJ will determine the treatment once they have the results.
Management of chronic venous disease
Initially the idea will be for the vein doctor New Jersey to deal with the symptoms such as reducing the swelling and treating the ulcers. There also must be a check made that the blood is still flowing correctly. Regarding leg elevation, it will be best to do this a few times a day and for half an hour a time if possible. Exercise will help especially ones where the feet are moved a lot. Walking will be recommended by a doctor as it will help prevent ulcers appearing or reappearing.
Compression stockings can also help as they will take the pressure of the veins and let the blood flow more readily. The lower range ones will be bought over the counter but if it is determined that others are needed, then there will need to be a prescription provided. It will be advisable to check if full length, knee length or open or closed toe stockings are needed and the vascular doctor in NJ will know what you need to ask for.
Intermittent pneumatic compression pumps (IPC pumps) can be more effective if the sufferer is overweight. There is a sleeve of plastic that surrounds the leg and it is systematically inflated and deflated. It can be painful as it must be used regularly; however, if used along with compression bandages it will work to combat ulcers. It is important to have the bandages changed regularly. Dressings can be put in place to help absorb the fluid coming from the ulcer and a vein doctor New Jersey will know whether this is needed or not.
Medication from a varicose vein doctor NJ
There are a few forms of medication that can be tried and the vein doctor New Jersey that you see will make a recommendation. They can include:
- Aspirin will help to heal the ulcers. Check the dosage that you are required to take.
- Antibiotics will be needed if the ulcers become infected. Topical ones should be avoided at all cost.
- Horse chestnut extraction can help reduce the swelling. There is no prescription needed and may be preferable to compression.
- Hydroxyethylrutoside can be used if your vein doctor New Jersey prescribes it, but it is not available everywhere.
- Dietary supplements such as micronized purified flavonoid fraction will enhance compression therapy. Seek advice from your vascular doctor in NJ before taking, though.
- Moisturizer will deal with the dry skin that appears, although it could be that steroid cream is needed. Remember to avoid scented lotions.
A vascular doctor in NJ will tell you that there needs to be lifestyle changes and they may prevent you needing further treatment. If you want medical intervention you need to remember that you can get rid of varicose veins but not prevent others from forming.
Procedures via a Vascular Doctor in NJ
A vein doctor New Jersey will need to decide if they want to takeout the vein or shut them down. It could depend upon the vascular doctor in NJ you choose as there are many good ones. Trained at Yale, Dr Faisal Siddiqi treats varicose veins and spider veins and is considered to be a good vascular doctor in NJ. He uses minimally invasive techniques and always looks for new and innovative procedures. Among the treatment provided are VenaSeal, Ultrasound, Laser Vein Ablation, Sclerotherapy and Radiofrequency ablation.
Dr Caroline Novak believes that a good doctor/patient relationship will help with treatment and recovery. An honors graduate from the University of Chicago, Dr Novak won many awards during her residency at Northwestern Memorial Hospital. Moving to Memorial Sloan Kettering Cancer Center, she worked to develop pain management. To treat varicose veins, she uses VenaSeal, Sclerotherapy and Radiofrequency Ablation and will be a great choice when you want a vein doctor New Jersey.
Medical treatment techniques
· Sclerotherapy – The vein will be closed as a liquid chemical is pumped into it. The vein will fade over time and blood will not be able to enter it. It works best on spider veins or smaller varicose veins and one treatment may not be enough. The second will be needed about a month after the first.
· Micro sclerotherapy- This is just for spider veins and small varicose ones and your doctor will decide of this is suitable. Again, the liquid chemical will close the vein and the blood will find another way back to the heart.
· Laser Surgery- Light is used to reduce the swelling and the vein fades and is no longer used. It is non-invasive and great for small veins.
· Endovenous Ablation Therapy from a vascular doctor in NJ-The vein will be closed off, but this time due to lasers heating up the vein. This is invasive as a cut will be made and a catheter passed through to the damaged vein. There is no need to visit a hospital and you can have this in your vascular doctor in NJ surgery with just the area numbed.
· Endoscopic Vein Surgery- A cut is made by your vascular doctor in NJ, close to the relevant vein and through a camera can locate the vein and closes it. Your doctor will normally carry out this procedure when the veins are at risk of ulceration. It may take a little longer than other procedures to heal but you can be back to normal in a matter of weeks.
Things to remember
- The veins that carry blood back to the heart can become damaged and when this happens, it is known as chronic venous disease. The blood that should go upwards cannot and falls back towards the feet.
- The symptoms tend to be heavy legs that can ache quite a lot. It affects people who are in the one position a lot of the time and this can be sitting or standing. Swollen ankles will be noticed as the day goes on and movement can help to reduce it.
- Skin infections occur, and rashes can take a time to get better. If ulcers form, it can take years before they have gone. It is vital that treatment is sort from a vein doctor New Jersey.
- A vascular doctor in NJ will aim to bring down swelling and stop infection.
- Putting the feet up will help, as will compression aids and movement.
- Ulcers need to be covered and antibiotics can help when they become infected. Check with the doctor that varicose veins are the cause of the ulcers.
- Certain creams will be beneficial but scented ones need to be avoided due to the risk of a reaction.
- Medical treatment can include radiofrequency ablation, sclerotherapy or vein stripping.
Whatever the diagnosis is, there will be a vein doctor New Jersey who can assist and cure you. Treatment does not have to take a lot of your time – if any – away from work. You will however need to check what is covered by insurance and what is not.