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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Venous Insufficiency Be Treated?

I have had an ultrasound on one leg yesterday and told that I have a faulty valve which is not closing as it should, permitting blood to trickle back down the vein when it should be closed. I have a referral to a Dr, but can t get an appointment for over a month. I have an appointment with my GP (referring Dr), but can t get an appointment for over a week. My question is: What is best treatment, what is best management (for me) i.e. should I exercise of not? should I keep it with compression bandage or not? If so, only during the day or 24 hrs? Should I keep leg elevated when possible or not? I have never had any issues with varicose veins in the past. Legs are prickling, cold/burning, uncomfortable but not really painful. I AM DISAPPOINTED THAT YOU WOULD ADVERTISE GET FREE AND THEN YOU GO TO PAY MONEY NOW I WONT DO IT.
Wed, 18 Oct 2017
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General Surgeon 's  Response
What the ultrasound examination shows is that you do have varicose veins of the lower limb. The valves of the veins do not function properly, leading to pooling of blood around the feet , ankles and sometimes the legs. Some do develop varicose ulcers on the medial aspect of the ankle which may bleed. The best temporary treatment, as you are waiting for the appointment with the surgeon is the use of graduated compression bandage, tight at the toes and gradually bandages with decreasing tightness till id thigh. You can also wear compression stockings from toes to mid thigh. These are to be worn in the morning, till night, and can be removed before going to bed.
The best surgical treatment is laser ablation of the dysfunctional long saphenous veins.
By the way, this advise to you is free. All the very best.
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How Can Chronic Venous Insufficiency Be Treated?

What the ultrasound examination shows is that you do have varicose veins of the lower limb. The valves of the veins do not function properly, leading to pooling of blood around the feet , ankles and sometimes the legs. Some do develop varicose ulcers on the medial aspect of the ankle which may bleed. The best temporary treatment, as you are waiting for the appointment with the surgeon is the use of graduated compression bandage, tight at the toes and gradually bandages with decreasing tightness till id thigh. You can also wear compression stockings from toes to mid thigh. These are to be worn in the morning, till night, and can be removed before going to bed. The best surgical treatment is laser ablation of the dysfunctional long saphenous veins. By the way, this advise to you is free. All the very best.