Varicose Vein And Vein Ulcres Vascular Expert Kolkata

 



WHAT ARE VARICOSE VEINS?

They are dilated elongated tortuous worm like veins of the lower limbs.

WHY DO THEY HAPPEN?

Veins take blood from foot upward towards heart against gravity. Due to weakness in the valve or vein blood leaks back downwards instead of going up. This causes excessive dilatation of veins- presenting as varicose veins.


WHY SHOULD I GET TREATED IF PAIN KILLERS GIVE ME RELIEF?

Any symptoms or presence of varicose veins should be evaluated and treated accordingly by a vascular surgeon.
Pain killers are dangerous as regular use have their own side effect of gastric ulcer and kidney damage. Pain killers do not remove the cause of varicose vein.

WHICH IS “THE TEST” FOR VARICOSE VEINS?

Doppler (Ultrasound- Duplex scanning) in standing posture.

WHAT IF I DON’T TREAT AT THIS STAGE OR WHAT ARE THE COMPLICATIONS?

Bleeding with recurrent episodes and Non healing venous ulcer of the leg are two most common complications in untreated varicose veins.


SHOULD WE STILL BELIEVE IN SURGERY OR UNDERGO THESE NEWER MODALITIES?

These newer modalities are standard of care world wide and have results no way inferior to surgery. Instead they can be done under local or regional anaesthesia with same day discharge. No rest or recovery is required. They are all pinhole or endovascular procedures. Surgery is meant for people who do have facility or access to these modalities.

WHAT FORM OF TREATMENT ARE AVAILABLE?

Medical laboratory and specialists services

Earlier surgery was offered to patients. These days treatment varies according to clinical state and severity and ranges from

  • Doing nothing and follow up.
  • Customised compression stockings
  • Customised leg wraps for elderly.
  • Injection Sclerotherapy
  • Thermal Ablation(Laser/Radiofrequency Ablation)
  • Glue Application.

Varicose Veins

Definition: Varicose veins are enlarged, twisted veins that often appear blue or dark purple on the legs. They occur when the valves in the veins do not function properly, causing blood to pool and veins to enlarge.

Symptoms:

  • Swollen, twisted veins visible under the skin
  • Aching or heavy feeling in the legs
  • Burning, throbbing, muscle cramping, and swelling in the lower legs
  • Worsened pain after sitting or standing for a long time
  • Itching around the veins
  • Skin discoloration around a varicose vein

Treatment Options:

  • Lifestyle Changes: Weight management, regular exercise, elevating the legs, and avoiding prolonged standing or sitting.
  • Compression Stockings: Improve circulation and reduce symptoms.
  • Sclerotherapy: Injection of a solution that closes the vein.
  • Laser Treatments: Use of light energy to close off the vein.
  • Catheter-assisted Procedures: Use of radiofrequency or laser energy to close the vein.
  • Vein Stripping: Surgical removal of the vein.
  • Ambulatory Phlebectomy: Removal of smaller varicose veins through tiny skin punctures.
  • Endoscopic Vein Surgery: Use of a camera to close veins and remove them through small cuts.

Vein Ulcers

Definition: Vein (or venous) ulcers are chronic sores on the leg, usually near the ankle, caused by poor blood circulation in the veins.

Symptoms:

  • Shallow sore with a red base, sometimes covered by yellow tissue
  • Unevenly shaped borders
  • Surrounding skin may be shiny, tight, warm, or discolored
  • Leg pain, itching, or swelling

Treatment Options:

  • Wound Care: Cleaning and dressing the ulcer to prevent infection.
  • Compression Therapy: Using bandages or stockings to improve blood flow.
  • Medications: Antibiotics for infection, pain relievers, and drugs to improve blood flow.
  • Surgery: To repair veins or remove blockages.
  • Skin Grafts: For large ulcers that do not heal with other treatments.
  • Hyperbaric Oxygen Therapy: To improve healing by increasing oxygen supply to the ulcer.

Vascular Experts in Kolkata

In Kolkata, vascular experts often work in specialized clinics or hospitals equipped with advanced technology for diagnosing and treating varicose veins and vein ulcers. These experts include vascular surgeons, interventional radiologists, and phlebologists who provide both medical and surgical treatments tailored to the patient's condition. They typically offer services like:

  • Diagnostic Services: Doppler ultrasound, venography, and other imaging techniques.
  • Minimally Invasive Treatments: Laser therapy, sclerotherapy, and radiofrequency ablation.
  • Surgical Interventions: For severe cases requiring more extensive treatment.
  • Comprehensive Wound Care: For managing vein ulcers, including infection control and advanced wound dressing techniques.

Finding a Specialist

To find a vascular expert in Kolkata:

  • Look for board-certified vascular surgeons or specialists in reputable hospitals.
  • Seek recommendations from general physicians or other healthcare professionals.
  • Consider specialists with good patient reviews and a history of successful treatments.

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