Swollen Leg
Swollen Leg
Edema in Venous insufficiency
Many patients have a swollen legs without visible veins on the surface of skin but evidently shows signs of vein disease affecting one’s quality of life.
The venous system in the lower limb is composed of a subcutaneous superficial system, a deep system within the muscular compartment, and connecting perforating veins. Dysfunction, mainly of the valves, may occur in each system and in combination. The great variability in venous anatomy and function makes pathophysiological understanding rather complex.
A thorough history, including a review of medications, assessment of obesity and comorbidities, and an inquiry into ambulatory status versus sedentary lifestyle, is paramount to formulating successful treatment plans.
Causes of Swollen leg with Underlying Venous insufficiency
- Superficial Vein and perforator vein dysfunction
- Combined superficial vein, perforator vein, and deep vein dysfunction.
- Past History of Deep Vein Thrombosis
- Deep Venous Outflow obstruction
- Calf and foot Muscle pump dysfunction
Determining which system to treat to achieve adequate symptom control is important to recognise based on presence of Edema below knee level or thigh edema. Often, patients presents with Advanced venous disease such as Recurrent Venous leg Ulcer with progressive lipodermatosclerosis , Ezcema.
Education of patients and Increasing awareness will allow patients to advocate on their own behalf and Access appropriate care at right time.
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Non Venous Causes of Swollen Leg
A good history, physical exam, and differential diagnosis are critical to avoid treating patients whose symptoms are from nonvenous causes.
Patients whose symptoms are not related to venous disease (e.g., leg pain caused by an underlying orthopedic issue). Even if the leg swelling is due to underlying venous disease, some patients have lymphatic dysfunction due to chronic venous hypertension, which may be irreversible.
Like venous disease, different factors contribute to the cause of lymphedema. Studies have shown that, with any type of edema, the lymphatic system can also be compromised. Thus, pneumatic pumps, leg elevation, massage, and compression can help with limb swelling attributable to primary or secondary lymphedema.
In addition, the evaluation of lymphedema requires at least a one-time assessment for deep venous obstruction.
The treatment strategy in Vein and Foot clinic is individualized, keeping in mind special needs, comorbidities, and the etiology of the phlebolymphedema (venous or lymphatic) in each patient.
Treatments for Swollen Leg
Swollen Leg Varicose Vein Treatment
- The treatments must be personalized for each unique patient. This ensures the doctor can provide the most effective care, tailored to individual needs, leading to the best possible outcomes for every patient.
Vein Check-up
At the Vein and Foot Clinic, we offer an early detection service for the potential risk of developing thread veins, varicose veins, pelvic varicose veins, and deep vein thrombosis (DVT).
Conditions We Treat
- Varicose veins
- Superficial Venous Thrombosis Phlebitis
- Thread / spider veins
- Swollen leg
- Deep vein thrombosis (DVT)
- May turners syndrome
- Varicose veins in pregnancy
- Varicose veins in obese patients
- Restless leg syndrome
- Varicose veins of the testicles
- Recurrent Varicose Veins
- Hidden Varicose Veins
- Hemosiderin Brown Stains
- Lipo dermatosclerosis (LDS)
- Venous Eczema
- Leg Ulcers
- Vaginal and Vulval Varicose Veins
- Pelvic Congestion Syndrome (PCS)
