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Understanding Varicose Veins

Living with varicose veins can be both uncomfortable and concerning. As these swollen, twisted veins become more visible beneath your skin, you might wonder about the best treatment options available. Today, let’s explore how a vascular hospital can help you regain your confidence and health through modern treatment approaches.

Avis Vascular Center, Hyderabad stands at the forefront of vein care in India, offering comprehensive treatment solutions for patients suffering from vascular conditions. With state-of-the-art facilities and experienced specialists, this premier vascular hospital has established itself as a trusted name in vascular healthcare.

Varicose veins affect nearly 30% of adults, with women being more prone to developing this condition than men. While some might consider them merely a cosmetic issue, varicose veins can lead to serious health complications if left untreated. That’s why finding the best doctor for veins is crucial for your vascular health journey.

At a reputable vascular hospital, specialists understand that each patient’s condition is unique. The comprehensive evaluation process typically includes ultrasound scanning and detailed physical examination to determine the severity of your condition. Modern facilities are equipped with state-of-the-art technology that enables minimally invasive treatments with faster recovery times.

When seeking the best doctor for veins, look for board-certified physicians who specialize in vascular medicine. These experts stay current with the latest treatment modalities and offer personalized care plans. Leading medical centers have impressive track records of successful treatments and positive patient outcomes.

One of the most significant advantages of seeking treatment at a specialized center is the range of available options. Whether you’re dealing with mild varicose veins or more severe cases, today’s treatments are far less invasive than traditional vein stripping. From sclerotherapy to endovenous laser treatment, the best doctor for veins can recommend the most appropriate procedure for your specific condition.

The key to successful treatment lies in early intervention. While some people might postpone treatment due to concerns about recovery time or procedure costs, modern techniques typically allow patients to return to their daily activities within days.

It’s important to note that vein issues aren’t just a cosmetic concern. They can cause various symptoms, including:

  • Aching and heavy legs
  • Swelling in the ankles and feet
  • Skin changes and discoloration
  • Night cramps
  • Restless legs

Prevention plays a crucial role in managing this condition. Regular exercise, maintaining a healthy weight, and avoiding prolonged standing or sitting can help reduce your risk. However, if you already have symptoms, professional medical intervention might be necessary to prevent complications and alleviate discomfort. 

Remember, choosing the right healthcare provider is essential for optimal results. Look for a facility that combines experienced professionals with advanced technology. At Avis Vascular center, Hyderabad the right treatment is offered with comprehensive care, from initial consultation through post-procedure follow-up, ensuring the best possible outcome for your vascular health.

Don’t let vein problems impact your quality of life. With the right medical team and treatment approach, you can address this common condition effectively and safely. Schedule a consultation with a vascular specialist today to discuss your treatment options and take the first step toward better health.

Recognizing the Signs of Venous Disease

Vein health is often overlooked, but our veins play an essential role in circulating blood back to the heart. When the veins in our legs stop working efficiently, blood can pool, leading to conditions collectively known as venous disease. Recognizing the signs of venous disease early is crucial for avoiding serious complications and ensuring timely treatment. This article highlights the common signs of venous disease and provides guidance on when to seek medical help.

Understanding Venous Disease

Venous disease encompasses a range of conditions that affect the veins, particularly in the legs. The most common conditions include varicose veins, chronic venous insufficiency (CVI), deep vein thrombosis (DVT), and venous ulcers. These conditions arise when veins become damaged, causing blood to flow poorly or pool, which leads to a variety of symptoms. Early detection can prevent further complications, such as skin ulcers, blood clots, or even life-threatening pulmonary embolisms.

Common Signs of Venous Disease

Swelling in the Legs and Ankles

Swelling, especially after long periods of standing or sitting, can be an early indication of venous disease. Blood pooling in the lower legs increases pressure in the veins, causing fluid to leak into the surrounding tissues. This often leads to discomfort and a sensation of heaviness in the legs.

Leg Pain and Cramping

Leg pain is common in those with venous disease and can range from mild discomfort to severe aching or throbbing pain. The pain often worsens after extended periods of inactivity. Some individuals may also experience cramping, particularly at night, which can interfere with restful sleep.

Varicose Veins and Spider Veins

Varicose veins are large, swollen, twisted veins that are visible under the skin and often appear blue or purple. Spider veins are smaller, red or blue veins that spread like a web. Although these may seem primarily cosmetic, they can be a sign of poor vein function and may progress into more serious conditions if left untreated.

Skin Discoloration or Texture Changes

Chronic venous insufficiency can lead to skin changes, including darkening, redness, or a leathery texture. The skin around the ankles and lower legs may become thickened or develop a reddish-brown discoloration. These changes are often early indicators of venous disease and can eventually lead to painful skin ulcers if not addressed.

Heaviness and Fatigue in the Legs

People with venous disease frequently describe a feeling of heaviness in their legs, especially toward the end of the day. This sensation often correlates with the pooling of blood in the legs and worsens with prolonged standing or sitting.

Non-Healing Sores or Ulcers

Venous ulcers are open sores that develop on the skin, usually around the ankles. They result from prolonged venous insufficiency and can be difficult to heal. These ulcers may become infected, leading to more severe health issues.

Itching and Skin Irritation

Itchy skin around the veins or ankles may seem like a minor annoyance, but it’s a sign that blood flow is compromised. This irritation can lead to dermatitis or eczema, further complicating vein health.

When to Seek Medical Help

If you experience any of these symptoms, particularly if they are persistent or worsening, it’s wise to consult a healthcare professional. Some of the symptoms, like varicose veins or mild swelling, may initially seem like minor issues. However, these symptoms can worsen over time, leading to more severe complications such as venous ulcers or deep vein thrombosis.

Seek immediate medical attention if you experience:

  • Sudden, severe swelling in one leg.
  • Intense pain or tenderness in the calf or thigh.
  • Redness, warmth, or changes in skin color on the leg.
  • Any sign of a non-healing sore, especially around the ankle.

These symptoms could indicate DVT, a potentially life-threatening condition that requires prompt intervention.

Treatment Options for Venous Disease

Treatment for venous disease varies depending on its severity. Early-stage venous issues can often be managed with lifestyle changes, such as exercising regularly, elevating the legs, and wearing compression stockings. For more advanced cases, minimally invasive options like sclerotherapy, radiofrequency ablation (RFA), and endovenous laser treatment (EVLT) can effectively manage symptoms and prevent further damage. These modern treatments offer effective alternatives to surgery and can significantly improve quality of life.

Vein health is essential to overall well-being, and recognizing the signs of venous disease early can prevent serious complications. Don’t ignore symptoms like leg swelling, pain, or skin changes—seeking timely help can lead to better treatment outcomes. With the right care and intervention, it’s possible to maintain healthy veins and a higher quality of life. If you notice any of these warning signs, make an appointment with a vein specialist to discuss your symptoms and explore treatment options tailored to your needs.

Understanding Venous Thromboembolism

Venous thromboembolism (VTE) is a condition that encompasses two related issues: deep vein thrombosis (DVT) and pulmonary embolism (PE). This condition is a significant health concern due to its potential severity and the complications that can arise if not properly managed.

What is an Embolism?

An embolism occurs when a blood clot, air bubble, fat globule, or other substance travels through the bloodstream and lodges within a blood vessel, obstructing blood flow. This can lead to tissue damage or even life-threatening conditions depending on the location and size of the blockage.

What is Venous Thromboembolism?

Venous thromboembolism refers specifically to the formation of blood clots within the veins. There are two main types of VTE:

  • Deep Vein Thrombosis (DVT): This occurs when a blood clot forms in a deep vein, typically in the legs. Symptoms might include swelling, pain, redness, and warmth in the affected area.
  • Pulmonary Embolism (PE): If a part of the clot breaks off and travels to the lungs, it can cause a pulmonary embolism. Symptoms of PE include sudden shortness of breath, chest pain, rapid heart rate, and coughing up blood. PE is a medical emergency and requires immediate attention.

How Does Venous Thromboembolism Occur?

VTE can occur due to various factors that affect blood flow, blood clotting, and the structure of blood vessels. 

Key risk factors include:

Prolonged Immobility: Sitting for extended periods, such as during long flights or bed rest, can slow blood flow, increasing the risk of clot formation.

Surgery and Trauma: Surgical procedures and physical injuries can damage blood vessels and increase clotting tendencies.

Medical Conditions: Certain medical conditions, like cancer or heart disease, can elevate the risk of VTE.

Genetic Factors: Inherited conditions like Factor V Leiden or prothrombin gene mutation can predispose individuals to clotting.

Lifestyle Factors: Smoking, obesity, and certain medications (e.g., hormone replacement therapy, birth control pills) can also contribute to the risk.

The Importance of Treating Vein Disorders

Properly treating vein disorders is crucial in avoiding embolism. Untreated or poorly managed vein issues can lead to the formation of blood clots, increasing the risk of VTE. For example:

  • Varicose Veins: These swollen, twisted veins can lead to poor blood flow and clot formation. Addressing varicose veins through lifestyle changes, compression therapy, or medical procedures can reduce this risk.
  • Chronic Venous Insufficiency (CVI): This condition, where veins cannot efficiently return blood to the heart, can lead to blood pooling and clot formation. Proper management of CVI with compression therapy, exercise, and sometimes surgical interventions is vital.

Vein problems can lead to embolism through various mechanisms:

  • Blood Stasis: When blood flow slows down or stagnates, such as in the case of varicose veins or chronic venous insufficiency, it increases the likelihood of clot formation. Blood that pools in the veins has a higher chance of forming clots, especially in areas where the blood vessel wall is damaged or inflamed.
  • Endothelial Damage: Conditions like varicose veins or trauma to the veins can cause damage to the endothelium, the inner lining of blood vessels. This damage can trigger a cascade of events that lead to clot formation, as the body attempts to repair the injured area by forming a blood clot.
  • Hypercoagulable States: Certain medical conditions or genetic factors can increase the blood’s clotting tendency, making individuals more susceptible to clot formation. This hypercoagulable state, combined with factors like immobility or dehydration, can significantly raise the risk of developing blood clots within the veins.

 

Preventing VTE involves addressing modifiable risk factors and using medical interventions when necessary. Key prevention strategies include:

  • Regular Movement: For those at risk, especially during long trips or periods of inactivity, regular movement and exercises to stimulate blood flow in the legs are crucial.
  • Compression Stockings: These can help maintain blood flow in the legs and reduce the risk of clot formation.
  • Medication: Anticoagulants or blood thinners may be prescribed to individuals at high risk to prevent clot formation.
  • Lifestyle Modifications: Maintaining a healthy weight, quitting smoking, and staying hydrated are essential preventive measures.

Recurrence of Venous Thromboembolism

Venous thromboembolism is a serious medical condition with potentially life-threatening consequences if not properly diagnosed and managed. VTE can recur, especially if underlying risk factors remain unaddressed. Long-term management often includes continued use of anticoagulants and regular follow-ups with healthcare providers to monitor and manage risk factors. Lifestyle changes and adherence to preventive measures play a crucial role in reducing the likelihood of recurrence.

Deciphering Peripheral Artery Disease

Peripheral Artery Disease (PAD) is a vascular condition that affects millions of people worldwide, yet it often remains underdiagnosed and misunderstood. This blog aims to shed light on PAD by exploring its symptoms, causes, and available treatment options.

Understanding Peripheral Artery Disease (PAD):

PAD occurs when plaque buildup narrows the arteries, reducing blood flow to the limbs, most commonly the legs. This buildup, known as atherosclerosis, restricts the supply of oxygen and nutrients to the muscles and tissues, leading to symptoms such as leg pain, numbness, and non-healing wounds or ulcers. PAD is a progressive condition that, if left untreated, can increase the risk of complications such as heart attack, stroke, and limb amputation.

Symptoms of PAD:

The hallmark symptom of PAD is intermittent claudication, characterized by leg pain or discomfort that occurs during physical activity and improves with rest. Other symptoms may include:

Numbness or weakness in the legs.

Coldness or discoloration of the legs or feet.

Poor wound healing, particularly in the lower extremities.

Erectile dysfunction in men, which may indicate underlying vascular issues.

Causes and Risk Factors:

The primary cause of PAD is atherosclerosis, a process in which cholesterol, fat, and other substances accumulate in the arterial walls, forming plaque. Several factors contribute to the development of PAD, including:

Smoking: Tobacco use is one of the most significant risk factors for PAD, as it damages the lining of the arteries and accelerates plaque buildup.

Diabetes: Individuals with diabetes are at increased risk of developing PAD due to elevated blood sugar levels that can damage blood vessels and nerves.

High Blood Pressure: Hypertension puts added strain on the arterial walls, increasing the likelihood of plaque formation and narrowing of the arteries.

High Cholesterol: Elevated levels of LDL (“bad”) cholesterol can contribute to the buildup of plaque in the arteries, reducing blood flow.

Age and Genetics: PAD becomes more common with age, and individuals with a family history of vascular disease are at higher risk.

Treatment Options for PAD:

Early detection and intervention are crucial in managing PAD and preventing complications. Treatment strategies for PAD aim to alleviate symptoms, improve quality of life, and reduce the risk of cardiovascular events. These may include:

Lifestyle Modifications: Quitting smoking, adopting a healthy diet low in saturated fats and cholesterol, engaging in regular exercise, and maintaining a healthy weight can help improve PAD symptoms and slow disease progression.

Medications: Medications such as antiplatelet agents (e.g., aspirin), statins to lower cholesterol, and medications to control blood pressure and blood sugar levels may be prescribed to reduce the risk of complications.

Interventional Procedures: In cases where lifestyle changes and medications are not sufficient, minimally invasive procedures such as angioplasty, stenting, or atherectomy may be performed to restore blood flow to the affected arteries.

Surgery: In severe cases of PAD, bypass surgery may be necessary to reroute blood flow around blocked or narrowed arteries, improving circulation to the legs and feet.

By recognizing the symptoms of PAD, understanding the underlying causes, and exploring the available treatment options, individuals can take proactive steps to manage PAD and improve their vascular health. Early intervention, lifestyle modifications, and adherence to medical treatment are essential in reducing the risk of complications and optimizing outcomes for individuals living with PAD. If you experience symptoms suggestive of PAD, such as leg pain or poor wound healing, consult a healthcare professional for evaluation and personalized management.

Varicose veins and Inflammation

Varicose veins are a common vascular condition characterized by twisted, swollen veins that often appear blue or purple beneath the skin’s surface. While many people associate varicose veins with cosmetic concerns, they can also be indicative of underlying vascular issues and may lead to complications such as inflammation and phlebitis. In this blog, we will explore the connection between varicose veins and inflammation, and also into the risks of phlebitis, and discuss effective treatment options for managing venous complications.

Connection between Varicose Veins and Inflammation:

Varicose veins develop when the valves within the veins become weakened or damaged, causing blood to pool and the veins to become enlarged and twisted. This stagnation of blood flow can lead to inflammation in the affected veins and surrounding tissues. Chronic inflammation in varicose veins may contribute to symptoms such as pain, swelling, and discomfort, exacerbating the cosmetic and functional concerns associated with the condition.

Phlebitis: A Potential Complication:

Inflammation of the vein, known as phlebitis, though can occur in any vein, it is particularly common in varicose veins due to the underlying venous insufficiency. It can occasionally result in the formation of a lump within a varicose vein. When inflammation occurs in varicose veins, it can lead to the formation of a clot within the affected vein, a condition known as superficial thrombophlebitis. This can cause pain, redness, warmth, and swelling along the course of the affected vein, and may increase the risk of more serious complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE) if the clot dislodges and travels to the lungs.

Treatment Options for Varicose Veins and Phlebitis:

Effective management of varicose veins and associated complications such as phlebitis typically involves a combination of conservative measures and medical interventions. Some common treatment options include:

Compression Therapy: Wearing compression stockings or bandages can help improve blood flow in the legs, reduce swelling, and alleviate symptoms associated with varicose veins and phlebitis. Compression therapy can also help prevent the formation of blood clots and reduce the risk of complications.

Anti-inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin may be prescribed to reduce inflammation and relieve pain associated with varicose veins and phlebitis. These medications can help alleviate discomfort and improve overall comfort levels.

Elevation: Elevating the legs above the level of the heart can help reduce swelling and promote venous return, aiding in the management of varicose veins and phlebitis. Elevating the legs for periods of rest or during sleep can help improve symptoms and prevent exacerbation of inflammation.

Sclerotherapy: Sclerotherapy is a minimally invasive procedure used to treat varicose veins and associated inflammation. During sclerotherapy, a sclerosing agent is injected into the affected veins, causing them to collapse and eventually fade from view. This can improve both the cosmetic appearance and the symptoms associated with varicose veins and phlebitis.

Vein Ablation: In cases where varicose veins are causing significant symptoms or complications such as phlebitis, vein ablation procedures may be recommended. These minimally invasive techniques involve the use of heat energy (such as laser or radiofrequency) to seal off the affected veins, redirecting blood flow to healthier veins and reducing symptoms.

It is important to understand that Varicose veins are not merely a cosmetic concern but can also lead to inflammation and complications such as phlebitis. Understanding the connection between varicose veins, inflammation, and phlebitis is crucial for effective management and prevention of complications. 

If you are experiencing symptoms of varicose veins or phlebitis, it is essential to consult with a healthcare professional for proper evaluation and personalized treatment recommendations.

Venous Insufficiency

Venous insufficiency is a condition that occurs when the veins in the legs fail to efficiently return blood to the heart. This dysfunction leads to poor circulation, causing blood to pool in the lower extremities. One of the significant consequences of venous insufficiency is its impact on the skin, resulting in various dermatological manifestations. Understanding these skin conditions and their interventional treatments is crucial for effectively managing venous insufficiency.

Understanding Venous Insufficiency:

Venous insufficiency often arises due to damaged or weakened valves in the leg veins. These valves normally prevent blood from flowing backward, ensuring it moves towards the heart. However, when these valves malfunction, blood refluxes and accumulates in the lower limbs. This leads to increased pressure in the veins, causing them to expand and become tortuous, a condition known as varicose veins.

Skin Conditions Associated with Venous Insufficiency:

The stagnant blood in the legs due to venous insufficiency can lead to several skin changes and conditions:

Varicose Eczema (Stasis Dermatitis): This condition results from the accumulation of fluid and blood in the lower limbs. It typically presents as red, itchy, and inflamed skin, often affecting the lower legs and ankles. Over time, the skin may become thickened, discolored, and prone to ulceration.

Venous Stasis Ulcers: Prolonged venous insufficiency can lead to the development of venous ulcers. These are open wounds that commonly occur around the ankles and are often painful. Venous ulcers result from sustained high pressure in the veins, which damages the skin and underlying tissues, impairing their ability to heal.

Hyperpigmentation: Chronic venous insufficiency can cause skin discoloration, typically presenting as brownish or reddish patches on the lower legs. This hyperpigmentation occurs due to the deposition of hemosiderin, a pigment derived from the breakdown of red blood cells, in the skin tissues.

Interventional Treatment for Venous Insufficiency-Related Skin Conditions:

While managing venous insufficiency involves addressing the underlying circulatory issues, treating associated skin conditions requires a multifaceted approach:

Compression Therapy: Compression stockings or bandages are commonly used to alleviate symptoms and improve circulation in patients with venous insufficiency. Compression helps to reduce swelling, prevent blood pooling, and promote venous return, thus aiding in the healing of skin ulcers and preventing their recurrence.

Topical Treatments: Emollients and moisturizers can help alleviate the dryness and itchiness associated with varicose eczema. Topical corticosteroids may be prescribed to reduce inflammation and relieve symptoms. Additionally, wound dressings containing antimicrobial agents may be used to facilitate the healing of venous ulcers.

Endovenous Ablation: For patients with severe venous insufficiency and recurrent skin ulceration, minimally invasive procedures such as endovenous laser ablation or radiofrequency ablation may be recommended. These techniques involve the closure of faulty veins using heat energy, redirecting blood flow to healthier veins and reducing venous hypertension.

Sclerotherapy: Sclerotherapy is another minimally invasive procedure used to treat varicose veins and associated skin changes. It involves the injection of a sclerosing agent into the affected veins, causing them to collapse and eventually fade from view. Sclerotherapy can improve both the cosmetic appearance and the symptoms associated with varicose veins and venous insufficiency.

Early recognition and intervention are essential for preventing complications such as venous ulcers and minimizing the progression of the disease. With a combination of conservative measures and interventional treatments, healthcare providers can effectively manage venous insufficiency-related skin conditions, improving patients’ outcomes and overall well-being.

Restless Leg Syndrome

Restless Leg Syndrome (RLS) is a neurological disorder characterized by an irresistible urge to move the legs, often accompanied by uncomfortable sensations such as tingling, crawling, or itching. While the exact cause of RLS is not fully understood, there is growing evidence suggesting a potential link between RLS and venous insufficiency, a condition where the veins have difficulty returning blood from the legs to the heart. In this medical blog, we will delve into the intricacies of RLS, explore its potential association with venous insufficiency, and discuss management strategies for individuals affected by these conditions.

Understanding Restless Leg Syndrome (RLS):

Restless Leg Syndrome is a common neurological disorder that affects the quality of sleep and overall quality of life for millions of individuals worldwide. The hallmark symptoms of RLS include:

An urge to move the legs, often triggered by rest or inactivity.

Uncomfortable sensations in the legs, such as tingling, crawling, itching, or aching.

Symptoms that worsen in the evening or at night, leading to difficulty falling asleep or staying asleep.

Temporary relief from symptoms with movement, such as walking or stretching.

While the exact cause of RLS remains elusive, research suggests that abnormalities in the brain’s dopamine system, iron deficiency, genetics, and certain medical conditions may contribute to its development.

Exploring the Connection with Venous Insufficiency:

Venous insufficiency occurs when the veins in the legs fail to efficiently return blood to the heart, leading to symptoms such as swelling, varicose veins, and leg discomfort. Emerging evidence suggests a potential association between venous insufficiency and RLS. It is hypothesized that venous congestion and reduced blood flow in the legs may exacerbate symptoms of RLS, particularly during periods of inactivity or at night.

Several research studies have demonstrated a higher prevalence of RLS among individuals with venous insufficiency compared to the general population. Some studies have reported a higher prevalence of RLS among individuals with venous insufficiency compared to the general population. For example, a study published in the Journal of Vascular Surgery found that 32% of patients with chronic venous insufficiency also had RLS, indicating a potential association between the two conditions.

Additionally, some research suggests that treatments aimed at improving venous circulation, such as compression therapy, may alleviate symptoms of RLS in individuals with coexisting venous insufficiency.

Management Strategies:

Management of RLS focuses on relieving symptoms and improving quality of life. Treatment options may include:

Lifestyle Modifications: Engaging in regular exercise, maintaining a healthy sleep routine, and avoiding caffeine and alcohol can help alleviate symptoms of RLS.

Medications: Dopamine agonists, benzodiazepines, and certain anticonvulsant medications may be prescribed to reduce symptoms and improve sleep quality in individuals with RLS.

Compression Therapy: For individuals with venous insufficiency and RLS, wearing compression stockings or using compression devices may help improve venous circulation and alleviate symptoms.

Iron Supplementation: In cases where iron deficiency is suspected or confirmed, iron supplementation may be beneficial in reducing symptoms of RLS.

Restless Leg Syndrome is a complex neurological disorder characterized by an urge to move the legs and uncomfortable sensations, often worsened by rest or inactivity. While the exact cause of RLS remains uncertain, emerging evidence suggests a potential association between RLS and venous insufficiency.

Understanding this relationship is crucial for optimizing management strategies and improving outcomes for individuals affected by these conditions. If you experience symptoms of RLS or venous insufficiency, it is essential to consult a healthcare professional for evaluation and personalized treatment recommendations.

5 Early Signs of DVT

Deep Vein Thrombosis (DVT) is a serious medical condition characterized by the formation of blood clots in deep veins, typically in the legs. Deep veins are a crucial component of the circulatory system, responsible for returning blood from the body’s extremities, such as the arms and legs, back to the heart. Unlike superficial veins that lie closer to the skin’s surface, deep veins are located deep within the muscles and tissues of the body.

If left untreated, DVT can lead to life-threatening complications such as pulmonary embolism. If the blood clots break loose from the vein wall, they can travel through the bloodstream and lodge in the lungs, leading to a condition known as pulmonary embolism (PE). 

Hence, recognizing the early signs and symptoms of DVT is crucial for timely diagnosis and treatment. In this blog post, we will explore five early signs and symptoms of DVT that everyone should be aware of.

Swelling: One of the most common signs of DVT is swelling, particularly in one leg. The affected leg may appear noticeably larger or swollen compared to the other leg. This swelling usually occurs without any apparent injury and may worsen over time. It is essential to pay attention to any unexplained swelling, especially if it is accompanied by pain or tenderness.

Pain or Tenderness: Pain and tenderness in the affected leg are also common symptoms of DVT. The pain may feel like cramping or soreness and is often more pronounced when standing or walking. In some cases, the pain may be persistent and worsen with movement. If you experience unexplained leg pain or tenderness, particularly in conjunction with swelling, it is essential to seek medical attention promptly.

Warmth and Redness: DVT can cause the skin over the affected area to feel warm to the touch and appear red or discolored. This warmth and redness typically occur in the area surrounding the blood clot. It is important not to dismiss these symptoms as they may indicate an underlying vascular issue such as DVT. If you notice any unusual warmth or redness in your leg, especially if it is accompanied by other symptoms, consult a healthcare professional immediately.

Visible Veins: In some cases of DVT, the affected veins may become more visible or prominent beneath the skin’s surface. This may manifest as a bulging or rope like appearance of the veins in the affected leg. While not all cases of visible veins indicate DVT, it is essential to be vigilant and consult a healthcare provider if you notice any sudden changes in your veins’ appearance.

Difficulty Walking or Standing: As DVT progresses, it can impair blood flow in the affected leg, leading to difficulty walking or standing. You may experience discomfort or heaviness in the leg, making it challenging to move normally. If you notice any changes in your mobility or find it increasingly difficult to walk or stand, it is crucial to seek medical attention promptly.

Thus, Deep Vein Thrombosis (DVT) is a serious medical condition that requires prompt recognition and treatment. Being aware of the early signs and symptoms of DVT can help individuals seek timely medical care and prevent potentially life-threatening complications. 

If you experience any of the symptoms mentioned above, particularly if they occur suddenly or persistently, do not hesitate to consult a healthcare professional. At Avis Vascular Center, we offer several interventional treatments to manage DVT, aiming to prevent clot propagation, reduce the risk of pulmonary embolism, alleviate symptoms, and minimize long-term complications.  Remember, early detection and intervention are key to managing DVT effectively and reducing the risk of complications.

Understanding Venous Ulcers: Causes, and Complications

Venous ulcers, also known as venous stasis ulcers or varicose ulcers, are wounds that occur on the lower legs due to poor circulation of blood in the veins. These ulcers can be painful, slow to heal, and significantly affect a person’s quality of life. In this blog, we’ll explore the causes and complications of venous ulcers, discuss the impact of smoking on the condition, and delve into how interventional treatments can help patients.

How are Venous Ulcers formed?

Venous ulcers typically develop when there is a malfunction in the valves of the veins in the legs, leading to a condition called venous insufficiency. Normally, these valves help prevent blood from flowing backward, but when they fail, blood pools in the veins, causing increased pressure. Over time, this pressure can damage the surrounding tissues, resulting in the formation of ulcers.

Common risk factors for venous ulcers include:

Varicose Veins: Enlarged, twisted veins near the surface of the skin.

Obesity: Excess weight puts added pressure on the veins.

Sedentary Lifestyle: Lack of physical activity can impair circulation.

History of Deep Vein Thrombosis (DVT): Blood clots in the deep veins of the legs.

Age: Venous ulcers are more common in older individuals.

Family History: Genetics may predispose some individuals to venous insufficiency.

Complications of Venous Ulcers:

Venous ulcers can lead to various complications, including:

Infection: Open wounds increase the risk of bacterial infection, which can lead to cellulitis or even sepsis if left untreated.

Pain and Discomfort: Ulcers can cause significant pain, especially when walking or standing.

Reduced Mobility: Pain and discomfort may limit mobility, affecting daily activities and quality of life.

Delayed Healing: Poor circulation and underlying vein issues can impede the healing process, leading to chronic wounds.

Is there an Impact of Smoking on Ulcers?

Smoking is known to have detrimental effects on cardiovascular health, including impairing blood circulation. Individuals who smoke are at higher risk of developing venous ulcers and experiencing complications. Smoking restricts blood flow and decreases oxygen levels in the blood, exacerbating the already compromised circulation in individuals with venous insufficiency. Moreover, smoking delays wound healing and increases the likelihood of infection, making it harder for venous ulcers to heal.

Interventional Treatment Options:

Interventional treatments aim to address the underlying causes of venous ulcers and promote wound healing. These may include:

Compression Therapy: Applying compression stockings or bandages helps improve blood flow and reduce swelling in the legs, aiding in ulcer healing.

Endovenous Ablation: A minimally invasive procedure that uses heat or laser energy to close off malfunctioning veins, redirecting blood flow to healthier vessels.

Sclerotherapy: Injection of a special solution into the affected veins, causing them to collapse and eventually disappear.

Surgical Repair: In severe cases or when other treatments are ineffective, surgery may be necessary to repair or remove damaged veins.

If you or someone you know is experiencing symptoms of venous ulcers, it’s essential to seek medical attention promptly to prevent complications and improve quality of life. Call us today, and talk to our expert doctors.

Varicose Veins & Risk of Deadly Blood Clots

Varicose veins, those twisted, bulging veins often found in the legs, are commonly seen as a cosmetic concern. However, recent research has shed light on a more alarming connection: varicose veins could potentially indicate the presence of a deadly blood clot. Understanding this link is crucial, as untreated varicose veins and blood clots pose significant health risks. Let’s delve into the consequences of not treating varicose veins and the dangers associated with blood clots.

Varicose veins develop when the valves within the veins weaken or fail, causing blood to pool and the veins to enlarge. While they may initially seem harmless, varicose veins can progress and lead to various complications if left untreated. These complications include:

  1. Chronic Pain and Discomfort: Varicose veins often cause aching, throbbing, and heaviness in the legs, especially after prolonged periods of standing or sitting. This chronic discomfort can significantly impair one’s quality of life and daily activities.
  2. Skin Changes and Ulcers: Over time, untreated varicose veins can lead to skin changes such as discoloration, inflammation, and thickening. In severe cases, the lack of proper blood flow can result in venous ulcers, open sores that are challenging to heal and prone to infection.
  3. Bleeding: Varicose veins close to the skin’s surface are more susceptible to injury. Even minor trauma, such as a bump or scratch, can lead to bleeding. While usually not life-threatening, persistent bleeding requires medical attention to prevent complications.
  4. Superficial Thrombophlebitis: This condition occurs when a blood clot forms in a superficial vein, causing inflammation and pain. While usually not dangerous, it can lead to complications if the clot extends into deeper veins.

While these complications are concerning, perhaps the most alarming risk associated with varicose veins is their potential to indicate the presence of a blood clot, specifically deep vein thrombosis (DVT). DVT occurs when a blood clot forms in a deep vein, typically in the legs. If a piece of the clot breaks off and travels to the lungs, it can cause a life-threatening condition known as pulmonary embolism (PE). The consequences of untreated DVT and PE can be severe and include:

  1. Pulmonary Embolism (PE): When a blood clot travels to the lungs, it can block blood flow, leading to difficulty breathing, chest pain, rapid heart rate, and even sudden death. PE requires immediate medical attention and can be fatal if not treated promptly.
  2. Chronic Venous Insufficiency (CVI): Untreated DVT can damage the valves in the veins, leading to chronic venous insufficiency. This condition causes swelling, skin changes, and leg ulcers, significantly impacting mobility and quality of life.
  3. Post-thrombotic Syndrome (PTS): PTS occurs in some individuals after experiencing DVT. It is characterized by chronic pain, swelling, and skin changes in the affected leg, often leading to long-term disability and reduced quality of life.

Varicose veins are not merely a cosmetic concern but can indicate underlying vascular issues that warrant attention. Beyond the discomfort and cosmetic implications, untreated varicose veins can lead to serious complications, including the development of deadly blood clots such as DVT and PE. 

Recognizing the potential risks and seeking appropriate treatment is essential for preventing complications and maintaining overall health and well-being. If you are experiencing symptoms of varicose veins or are concerned about your vascular health, consult with a qualified healthcare professional for an evaluation and personalized treatment plan.

Lymphedema: Causes, Problems, and Treatments

Lymphedema, a chronic condition characterized by the swelling of body parts due to a blockage in the lymphatic system, presents a significant health concern in India. This condition can arise from primary (congenital) causes or secondary (acquired) factors, such as surgery, infection, or cancer treatments. The prevalence of lymphedema in India is notably high, particularly in regions where filariasis, a leading secondary cause, is endemic. Understanding the causes, problems, treatments, and the critical nature of timely intervention is essential for managing lymphedema effectively.

Causes of Lymphedema

Primary Lymphedema is less common and is due to developmental issues with the lymphatic vessels, often present from birth or manifesting in early adulthood. 

Secondary Lymphedema, however, is more prevalent in India, largely attributed to lymphatic filariasis. This condition is caused by parasitic worms transmitted through mosquito bites, leading to severe swelling in the limbs. Other secondary causes include cancer treatments that involve lymph node removal or radiation therapy, which can damage the lymphatic system.

The Burden of Lymphedema in India

Lymphedema poses significant healthcare challenges in India, affecting millions. The socio-economic impact is profound, with many patients experiencing decreased work capacity, stigma, and reduced quality of life. The psychological burden is also considerable, as the visible swelling leads to social isolation and emotional distress.

Problems Associated with Lymphedema

The problems stemming from lymphedema extend beyond physical discomfort and swelling. Chronic lymphedema increases the risk of infections like cellulitis and lymphangitis. Skin changes, including thickening and hardening (lymphostatic elephantiasis), are common, further complicating the condition. The lack of awareness and limited access to effective treatment exacerbate these issues, making management and prevention critical challenges.

Treatments for Lymphedema

While there is no cure for lymphedema, several treatments can help manage symptoms and prevent progression. In India, the approach to treatment often includes:

  • Manual Lymphatic Drainage (MLD): A specialized form of massage that helps move lymph fluid out of the swollen limb towards functioning lymph nodes.
  • Compression Therapy: The use of bandages or garments to reduce swelling and support lymph flow.
  • Exercise: Specific exercises can encourage lymph fluid drainage and improve limb mobility.
  • Skin Care: Maintaining skin integrity to prevent infections is crucial for lymphedema patients.
  • Surgical Options: In severe cases, procedures like lymphatic bypass or lymph node transfer may be considered.

The Importance of Treatment

Effective management of lymphedema is crucial to prevent complications, such as infections and worsening swelling. Early intervention can significantly improve quality of life, reduce physical discomfort, and mitigate the social and psychological impact. In areas endemic with filariasis, community-based programs focusing on prevention, early detection, and treatment are vital.

Lymphedema remains a significant public health issue in India, with a high burden due to both primary and secondary causes. Awareness, early diagnosis, and access to comprehensive treatment are key to managing this condition effectively. By addressing the challenges associated with lymphedema, healthcare providers can improve outcomes for patients, reduce the socio-economic impact, and enhance the overall quality of life for those affected. As research continues and treatments advance, there is hope for better management and support for individuals living with lymphedema in India and around the world.

Recognizing the Signs of DVT Blood Cloths

Blood clots are a significant health issue, and Deep Vein Thrombosis (DVT) is a common and dangerous type. This article delves into the vein problems causing blood clots, focusing on DVT, its potential risks, and preventive measures.

What is Deep Vein Thrombosis?

Deep Vein Thrombosis (DVT) occurs when a blood clot forms in a deep vein, usually in the lower leg, thigh, or pelvis, though they can also occur in other areas. DVT is particularly concerning because it can lead to severe complications, including death.

Causes and Risk Factors of DVT

DVT results from a combination of factors that affect blood flow, vein health, and blood clotting:

Venous Stasis: Extended periods of inactivity, such as bed rest or long flights, can slow blood flow in the legs, increasing the risk of clotting.

Vein Damage: Injury or surgery can damage the inner lining of veins, contributing to clot formation.

Hypercoagulability: Certain medical conditions and lifestyle choices can make blood more prone to clotting.

Additional risk factors include obesity, Pregnancy, Cancer and its treatments. Smoking, hormonal birth control or hormone replacement therapy are other risk factors.  

Recognizing DVT symptoms is crucial for timely treatment.

Identifying when a blood clot develops in your body, particularly in cases of Deep Vein Thrombosis (DVT), involves being aware of specific symptoms. However, it’s important to note that in some cases, blood clots can occur without any obvious symptoms. Here are key signs and symptoms to watch out for:

Swelling: This usually occurs in one limb and is a common sign of DVT. The swelling can be sudden and may be accompanied by pain or tenderness.

Pain or Tenderness: The pain often starts in your calf and can feel like cramping or soreness. It might become more noticeable when you stand or walk.

Red or Discolored Skin: The skin around the painful area may become red or discolored.

Warmth: The area around the clot may feel warm to the touch.

Leg Weakness: In some cases, there might be a feeling of weakness in the leg where the clot is located.

Complications of DVT

  • Pulmonary Embolism (PE): A life-threatening condition where a part of the clot breaks off and travels to the lungs. Shortness of breath, coughing up blood, and chest pain that becomes intense while you breathe, or cough are symptoms of PE and will need immediate attention.
  • Post-Thrombotic Syndrome (PTS): Chronic leg pain, swelling, and skin changes after a DVT.
  • Venous Ulcers: Long-standing DVT can lead to painful ulcers on the affected limb.

Prevention and Management of DVT

Lifestyle Changes: Regular exercise, maintaining a healthy weight, and staying hydrated can significantly reduce the risk.

Avoid Prolonged Immobility: During long travels, take breaks to walk and stretch your legs.

Compression Stockings: These can be effective in preventing DVT, especially after surgery.

Medications: Anticoagulants, or blood thinners, are often prescribed to prevent or treat DVT.

Once a clot has formed or if you have risk factors for DVT, it is important to work closely with a healthcare provider to develop a personalized plan of treatment.  

Post-Thrombotic Syndrome: Risks & Prevention

Post-thrombotic syndrome (PTS) is a chronic condition that can develop after a deep vein thrombosis (DVT), a blood clot that forms in a deep vein, typically in the leg. While DVTs themselves can be serious, PTS can cast a long shadow, causing persistent symptoms and potentially life-threatening complications. Understanding these dangers is crucial for early intervention and preventing the worst.

The Lingering Shadow: From DVT to PTS

Imagine a dam blocking a flowing river. The water backs up, creating a stagnant pool. Similarly, a DVT acts like a dam in a vein, obstructing blood flow and leading to fluid buildup. This stagnant fluid, in turn, can damage the vein walls and surrounding tissues, paving the way for PTS.

While not everyone who experiences a DVT develops PTS, the risk is significant, affecting up to 50% of individuals within two years. The severity of PTS can vary, with some experiencing mild symptoms like swelling, pain, and fatigue, while others face debilitating complications that can impact their daily lives.

The Hidden Dangers: Unveiling the Potential Consequences of PTS

Beyond the immediate discomfort, PTS can silently harbor potential dangers. Let’s understand some of the most serious:

  • Chronic Venous Insufficiency (CVI): This condition develops when the valves in the affected vein become damaged, leading to persistent swelling, skin discoloration, and even leg ulcers.
  • Pulmonary Embolism (PE): Although rare, a DVT can dislodge and travel to the lungs, causing a potentially fatal PE.
  • Lipedema: This chronic fat disorder can develop in individuals with PTS, causing disproportionate fat accumulation in the legs and arms.
  • Depression and Anxiety: The physical limitations and social stigma associated with PTS can lead to significant mental health challenges.

The Grim Reality: How PTS Can Lead to Death

While PTS itself is not directly fatal, its complications can pose a significant threat to life. For instance, a PE can be life-threatening if not treated promptly. Additionally, severe CVI can lead to cellulitis, a serious bacterial infection that requires hospitalization and antibiotics.

Furthermore, the psychological distress associated with PTS can lead to unhealthy coping mechanisms, such as smoking or sedentary lifestyles, further increasing the risk of cardiovascular complications.

Taking Control: Early Intervention and Proactive Management

The good news is that PTS is a manageable condition. Early diagnosis and proactive management can significantly improve symptoms and prevent complications. Here are some key steps:

Seek medical attention: If you have experienced a DVT or suspect PTS, consult a healthcare professional immediately.

Compression therapy: Wearing compression stockings can help reduce swelling and improve circulation.

Exercise: Regular physical activity can promote lymphatic drainage and improve overall health.

Lifestyle modifications: Maintaining a healthy weight, managing stress, and avoiding smoking can further reduce the risk of complications.

While PTS can be a daunting diagnosis, it’s important to remember that it is not a death sentence. With proper management and a positive attitude, individuals living with PTS can lead fulfilling lives.

The Importance of Vascular Health

What is the vascular system?

The vascular system refers to the network of vessels that carry blood and oxygen to all different body parts. There are three different types of blood vessels namely – arteries, veins, and capillaries.

To avoid a vascular disease, it is essential to protect this network and keep it running smoothly. Any hindrance in the blood flow can damage vital body organs such as the heart, arms, legs, lungs, and brain.

What is the impact of vascular disease?

Due to numerous reasons, plaque may develop in the arteries. This causes the arteries to become narrow and thus restricts the supply of blood and oxygen to various body parts. This is the primary cause of a vascular disease.

Limited blood supply causes blood vessels to become hard. This condition can further lead to serious health conditions such as heart attack, amputation, and stroke.

Vascular diseases can take many forms. The most common venous disorders are Coronary Artery Disease (CAD) and Peripheral Artery Disease(PAD). In CAD, the plague is known to form in the blood vessels that are responsible for supplying blood to the heart. In PAD, the plague formation is reported in the arteries that carry blood to the limbs.  

Even though cardiovascular diseases such as PAD and CAD are the leading cause of death across the World, vascular health is still misunderstood, ignored, and often left undiagnosed and untreated.

Thus, it is essential to understand the early signs and risk factors of vascular diseases. This will not only help in timely diagnosis and efficient treatment but also lead to early recovery of the patient while also preventing any other major health complications.

Another important thing to understand is that even with regular preventive measures, plague can still develop in the blood vessels and it is thus vital for a patient to have his vascular health consistently addressed and managed.

How to reduce the risk of a vascular disease?

Vascular diseases are known to be either genetic or caused due to a poor lifestyle. Although there is nothing that we can do to reduce the likelihood of vascular disease in a patient who has a family history of venous disorders, there are numerous small things that we can do to correct our lifestyle and decrease the overall chance of a vascular disease.

As a primary task, you should focus on eating nutritious food and performing some form of physical activity every day. Eating balanced meals and forming a daily habit of exercise is known to promote healthy blood circulation in the body. This helps prevent vascular disorders in people of all age groups.

On the other hand, smoking and excessive intake of alcohol is known to have adverse effects on our vascular health. You must inculcate good habits, avoid any form of stress, and get enough sleep in order to take care of your vascular system and keep it working well.

How is a vascular disease diagnosed?

Diagnosis of vascular disease is tricky in asymptomatic patients (those who do not have any signs of pain or discomfort). In case of any pain or swelling in the limbs, the doctor will begin the diagnosis with a physical examination of the affected area.

The doctor will also ask you questions about the medical history of your family to check for the genetic cause of vascular disease. He/she is also likely to request you to get done blood work and undergo an ultrasound scan where he/she can check for the presence of damaged blood vessels.

How is a vascular disease treated?

Treatment for a venous disease depends upon the current health condition of the patient. Doctors usually advise lifestyle changes with oral medications for most patients. Some patients are also advised to use compression garments. However, in some extreme cases, vascular surgery may become absolutely necessary.

These days, non-surgical removal of damaged blood vessels is also possible through a painless and minimally invasive procedure. In this process, the body automatically re-routes the blood to neighbouring healthier vessels after the damaged ones are removed and re-absorbed by the body.

This procedure is performed by an interventional radiologist under the influence of local anaesthesia. It is a brief procedure and the patient can go back home on the same day. It does not require any cuts or stitches and does not leave any scar marks. Patients can go back home on the same day.

If you are contemplating undergoing a medical check-up to rule out the possibility of vascular disease, visit none other than the best interventional radiologist and an experienced vascular surgeon Dr. Rajah V Koppala at Avis Vascular Centre. He has over two decades of medical experience and has treated 40,000+ patients.

Schedule your appointment for world-class treatment at the most affordable prices at Avis Vascular Centre. We have special arrangements for non-local patients and offer quick friendly support for Mediclaim settlements. Book your consultation today!

Venous Insufficiency / Superficial Venous Reflux

Venous insufficiency, also known as venous reflux is a prevalent medical complication across the World, especially in India. This medical disorder is characterized by restricted blood circulation in the superficial veins (not so common in the deep veins) and is thus also referred to as superficial venous reflux.

The valves of certain veins in the lower extremities (legs and feet) become weak due to old age and other health factors. The malfunctioning valves do not function as desired and fail to prevent blood from flowing backward while travelling upward to the heart through the veins of the lower body.

Symptoms and Causes

Over time, poor venous circulation results in excessive pooling of blood in the legs and feet. This further leads to swollen and enlarged veins that appear as red, blue or purple lines on the skin surface. The damaged veins not only look ugly but also cause uncomfortable symptoms such as pain, itching, a feeling of heaviness, extreme pressure, skin discoloration, rashes, frequent throbbing, eczema, and even venous ulcers.

Most people become aware of their venous insufficiency condition due to the appearance of spider veins or varicose veins on their legs and feet. Of the numerous causes of venous insufficiency, obesity, lack of physical activity, standing for long durations at a stretch, and pregnancy are the leading ones.

In severe cases or for people who delay or lack treatment, the chronic superficial venous insufficiency can begin to develop in the deep veins and the condition can further worsen to result in Deep Vein Thrombosis (DVT) that refers to the formation of a blood clot in the deep veins.

The blood clot in deep veins can break-free and travel to other parts of the body. DVT can become life-threatening if the blood clot moves to the lungs as it can lead to pulmonary embolism and result in loss of life.

Impact on Life

Although most people choose to opt for treatment of venous insufficiency due to cosmetic reasons, varicose veins can be truly discomforting in one or more of the below mentioned ways :

  1. Trouble standing or sitting for long durations at a time
  2. Difficulty in walking due to extreme swelling
  3. Sleep disturbances due to pain and feeling of heaviness
  4. Reduced ability to perform everyday routine tasks and normal activities
  5. Low self-esteem and lack of confidence due to the unpleasant sight of varicose veins

Treatment and Cure

After making a note of the symptoms, doctors inquire about any other health issues and past treatment procedures that the patient may have undergone. As vascular disorders can also be hereditary, doctors also request for details about the family’s medical history.

Healthcare practitioners, especially the vascular experts are usually able to diagnose venous reflux by physical examination but prefer to verify with the diagnosis with the help of diagnostic examination. The duplex ultrasound scan facilitates the doctor to examine the extent of venous insufficiency and helps identify the precise location of the damaged veins.

Below mentioned are the available treatment options for superficial venous reflux:

  1. Phlebectomy – This process involves making numerous small cuts to remove the varicose veins.
  2. Radiofrequency ablation – In this minimally invasive process, vascular experts use radiofrequency to treat venous reflux.
  3. Venaseal – This procedure makes use of the medical glue to close and seal-off the affected veins.
  4. Sclerotherapy – A fluid is injected into the damaged veins to seal and close them permanently.
  5. Endovenous laser ablation – This is the most-effective minimally invasive treatment procedure where heat from the laser light is used to close-off the trouble-causing veins.

Conclusion

At Avis Vascular Centre, Dr. Rajah V Koppala helps eliminate the displeasing varicose veins and offers painless treatment for the cure of superficial venous reflux. Dr. Rajah V Koppala specializes in the minimally invasive endovenous laser ablation treatment that immediately alleviates the symptoms and removes all varicose veins in a single session.

As laser ablation is performed as an outpatient procedure, the patients can go back home on the same day. Popular as the no-cut, no-stitch, and no-scar treatment procedure with zero downtime, patients are able to resume work and perform their everyday tasks from the very next of the treatment. The laser treatment is very effective and highly efficient. It does not have any major side-effects and significantly reduces the chances of recurrence of varicose veins.

Dr. Rajah is an eminent vascular surgeon and a trained interventional radiologist. In his over 25 years long medical career, he has successfully completed 40,000+ procedures. He follows the protocols from the American College of Phlebology and performs only USFDA approved procedures. His top-priority remains to be customer satisfaction and he leaves no stone unturned to ensure a hassle-free medical experience for his patients.

If you have superficial venous insufficiency and feel shy or embarrassed in flaunting your dresses, skirts, shorts, swimming wear or similar types of garments due to the unsightly varicose veins, schedule your appointment with Dr. Rajah V Koppala for world-class treatment at the most affordable prices. Book now!

Varicose Eczema Causes and Treatment

Varicose eczema is a prevalent medical condition that affects a large number of people in their old age especially those who are overweight or have a sedentary lifestyle.

What is worrisome is that even though venous eczema is a common disorder yet most people are unaware of it and tend to make this serious mistake that troubles them in the long run.

In this blog, let us understand more about varicose eczema and learn about the one common serious mistake in order to avoid repeating it. Stay with us until the end of this blog.

The Common Mistake

A majority of the people believe that varicose eczema is a skin condition and visit a dermatologist for its treatment. Yes, it is true that varicose eczema is indeed associated with inflammation and some doctors prescribe steroid creams and ointments to cure it but this isn’t the right treatment for it.

Applying creams to the affected area will only mask the problem. These creams are known to ease the itching and reduce the redness of the affected area. Initially, you might also feel that your condition is getting better with these creams but in the long run, these steroid ointments are likely to do more harm than any good.

These creams and ointments are known to damage the skin surface, make it thin, and even more vulnerable to infections. Thus, if you have varicose eczema and have been recommended ointments to treat it, you must consult a vein specialist to undergo proper treatment.

Cause of Varicose Eczema

The underlying cause of varicose eczema is a superficial vein reflux. This is a medical condition of the vascular system where the valves of the superficial veins do not function as desired and prevent the deoxygenated blood from flowing back to the heart. These veins instead make the blood flow in the opposite direction.

The malfunctioning valves of the leg veins lead to poor blood circulation and result in excessive blood pooling in the lower legs. Over time, the condition tends to get even worse and causes swelling and itching in the affected area.

In an event of a delay or lack in the treatment of superficial vein reflux, the patient begins to develop skin discoloration and the skin also becomes hardened. In the damaged area, the skin appears to be deeply pigmented and flaky. Further complications can arise in the form of cracks in the damaged area that make it possible for a bacterial infection to enter the skin.

In some cases, this can further lead to Cellulitis which is a serious condition that affects the deeper body tissues. All this while, the application of steroid ointments can make the skin of the affected area to become extremely sensitive and painful to touch.

Treatment for Varicose Eczema

It is important for you to know that delay in diagnosis and treatment of varicose eczema can cause extreme discomfort in the form of severe medical complications. Thus, if diagnosed at an early stage, varicose eczema can be completely cured.

To treat varicose eczema, we need to fix the blood circulation disorder i.e. varicose veins and superficial vein reflux. The best non-surgical treatment for venous disorders is the Endovenous Laser Ablation procedure. In this process, a laser fibre is used to remove all damaged veins and restore blood circulation in the legs.

Dr. Rajah V Koppala at Avis Vascular Centre is an internationally qualified and highly skilled interventional radiologist. He has more than two decades of experience in treating patients through this painless and minimally invasive laser procedure for the removal of varicose veins.

If you are looking for a no-cut, no-stitch, and no-scar treatment for venous disorders, schedule your appointment with Dr. Rajah V Koppala at Avis Vascular Centre today!

Types of Venous Disorders

Veins are an integral part of the circulatory system as they carry deoxgenated blood from all different parts of the body back to the heart. Thus, vascular health is of prime importance for the overall wellbeing of an individual.

In this blog today, we will explain about the different medical disorders of the veins and associated health complications of the venous system.

  1. Spider Veins – These are the red, blue or purple-coloured tiny veins that are visible right below the skin surface of the legs, chest, face, etc in the shape of a spiderweb-like formation.

    Spider veins are usually painless and do not cause any swelling. Although these do not pose an immediate threat to life, spider veins must not be ignored as they are caused due to pooling of blood and indicate a blood circulation issue in the veins.

  2. Varicose Veins – Varicose veins are larger than spider veins. These are caused when the valves of the leg veins restrict the blood flow back to the heart and lead to swelling accompanied by pain and irritation in the affected area.

    Varicose veins are clearly visible to the naked eye. Varicose veins patients also often complain of a feeling of heaviness in the legs. If painless, varicose veins may not be treated immediately. But delay in treatment can worsen the symptoms and lead to other complications as detailed below.

  3. Venous Ulcers – Blood pooling leads to excessive additional pressure as a result of which the walls of the varicose veins stretch and cause the protein from the blood cells to reach the subcutaneous tissues. The subcutaneous tissues eventually break-down and lead to ulceration.

    Venous ulcers are open sores visible on the skin surface of the legs and feet. The skin around the ulcer usually turns hard and brown in colour. Patients may also complain of a tingling sensation. These are extremely slow to heal and must be treated on time.

  4. Blood Clots – Blood clots are clumps of blood that restrict the righteous blood flow. These can occur anywhere in the body such as arms, legs, lungs, abdomen, etc and either stay at one place (Thrombosis) or travel to other parts of the body (Embolism).

    In the presence of blood clots, the affected area feels warmer and the skin surface looks visibly red. There may be numbness along with swelling and pain. Some patients may even find it difficult to walk.

  5. Deep Vein Thrombosis – DVT refers to the medical condition where a blood clot develops in the deep veins. This is a life-threatening disorder as the blood clot can travel to other parts of the body and affect the heart, brain, and even the lungs.

    DVT is triggered due to chronic blood pooling in the leg veins. DVT patients may complain of unexplained pain in the ankle and feet accompanied by swelling. The affected area feels warmer and turns pale red in colour.

  6. Chronic Venous Insufficiency – When a vascular impairment such as varicose veins is left untreated for a long period of time, the condition becomes chronic and the symptoms become worse, thus leading to Chronic Venous Insufficiency (CVI).

    CVI is characterized by changes in the skin colour of the lower legs, constant itching on the legs, and swelling around the ankle. In this medical complication, the patients experience unusually high blood pressure levels in the legs.

If you have signs or symptoms of a venous disorder, do not worry as the best medical aid is available at Avis Vascular Centre, the leading medical institute for the painless and minimally invasive laser treatment of varicose veins.

Avis Vascular Centre is trusted by 12000+ happy patients who are completely satisfied with its healthcare services. All treatment procedures performed at Avis Vascular Centre are USFDA approved and performed in strict accordance with the protocols from the American College of Phlebology.

We always ensure that you have a pleasant medical experience at Avis Vascular Centre. For more details about our treatment procedures, medical check-up, diagnosis, treatment, Mediclaim assistance or outpatient registration, get in touch with Avis Vascular Centre today!

Deep Vein Thrombosis and Its Health Complications

What is DVT?

Deep Vein Thrombosis, abbreviated as DVT and also referred to as venous embolism, thrombophlebitis, or phlebothrombosis is a medical condition where blood clots (thrombus) develop in the deep veins of the legs.

DVT occurs as a result of blood pooling in the veins and the neighbouring tissues which act as a trigger for the blood clotting mechanism. Although DVT can occur in the veins of other body parts as well, these have been commonly observed in the lower legs, usually between the ankle and upper calf.

Blood clots in the deep vein thrombosis condition may partially or completely hinder the blood flow. These may also travel deep within the veins of the pelvis, arms, heart, brain, lungs, etc and lead to life-threatening medical conditions.

Both Deep Vein Thrombosis (DVT) and Superficial Vein Thrombosis (SVT) are types of thrombophlebitis but SVT is less dangerous as blood clots are formed in the superficial veins and not the deep veins. As opposed to SVT which is not related to any serious complications, DVT requires immediate medical attention or can lead to death.

What causes DVT?

The most common cause of Deep Vein Thrombosis is inactivity. The lesser you move, the poorer is your blood circulation and this increases the chances of blood clotting by multi-fold.

Blood clots often develop in extended periods of inactivity. If you sit for long periods at your office desk or undertake elongated travel trips in a flight or car, or frequently binge-watch movies or web series, you are at a higher risk of developing clumps or blood clots in your legs.

People who are bedridden, paralyzed, or confined to a wheelchair are also highly likely to develop blood clots due to their inability to move their legs.

At times, any accident or surgery that causes damage to blood vessels may also lead to blood clots. Patients who have had orthopaedic surgery, pelvic surgery or abdominal surgery have also been reported to be suffering from DVT. In some cases, DVT has been diagnosed to be genetic or because of cancer.

How to diagnose DVT?

DVT is considered dangerous because it is a silent medical condition and difficult to diagnose by external examination. In most cases, especially when the blood clot is too small in size, there are no visible symptoms. DVT progresses too fast, thus making it even more difficult for the patient to identify the symptoms.

The most prominent signs of DVT are swelling, pain, and redness in the affected area. There may also be a prickly sensation in the legs. These symptoms are usually felt in a single leg.

The damaged area may feel warm and tender, it may also ache more when touched or pressed. The patient may suffer from shortness of breath accompanied by extreme pain that worsens after walking or standing.

As the visible symptoms develop only in about 50% of patients, it is wise for patients with a family history of blood clots to monitor their situation and keep a close eye on the symptoms, if any.

Is DVT a serious condition?

DVT is a very serious medical condition and often leads to the post-thrombotic syndrome which causes irreversible damage to the veins and the leg. As many as 25% of DVT patients have been reported to have suffered from permanent damage to their legs due to blood clotting.

Blood clots in the deep veins can grow bigger, break free, and travel through the bloodstream to other body parts such as the heart, brain, etc. Thus, DVT can also turn out to be fatal for a few patients.

As the deoxygenated blood from the veins is returning to the lungs for oxygenation, blood clots in the deep veins may be pushed to the lungs and can result in pulmonary embolism where the blood supply to the lungs is partially or fully restricted. This medical condition can lead to death.

Pulmonary embolism is characterized by chest pain that becomes worse with coughing or deep breathing, dizziness or fainting, increased pulse rate, and unexplained shortness of breath. If you notice one or more of these symptoms, you must immediately rush to the nearest hospital.

How to reduce in-flight risk of DVT?

The risk of developing a blood clot increases substantially during a long flight. This is because there is limited leg space and your legs usually remain in a cramped position for an extended duration. Inactivity in a flight restricts the blood flow and thus increases the likelihood of DVT.

Whenever in a flight, you must move your legs as frequently as feasible. Always opt for an aisle seat as that has a little extra leg space and allows you to get up and walk around the cabin as many times as you want. You can also stretch your legs once a while.

You must also try and stand occasionally to flex your leg muscles and improve the blood circulation in the leg veins. If for some reason you are unable to get up, raise and lower your heels and keep your toes on the floor to exercise your calf muscles.

Always wear loose-fitting clothes and keep your legs uncrossed during your flight. You can also buy ergonomic devices that stimulate blood flow when body movement is not feasible. Those who have already been diagnosed with a venous disorder must use compression stockings to improve blood flow during long flights or car rides.

How to prevent DVT?

Deep vein thrombosis can be easily prevented by being physically active. By performing moderate exercises every day or going for a brisk walk, you can maintain good blood circulation and that can help in preventing blood clots.

Getting up from your office desk once every hour or so will also help the blood to constantly pump through the body. If at all you are unable to get up, keeping legs elevated will also improve the blood flow.

You must give up on caffeine and alcohol and instead consume plenty of fluids. Keep your blood pressure under control. Also, consult your medical practitioner about the suggested use of compression stockings and any blood-thinning drugs that will help regulate your blood flow.

Always eat clean and maintain a healthy weight. Pickup an outdoor sport and team with your friends and/or family for an everyday evening session. Walk down the road instead of taking a cab and always prefer the staircase instead of the escalator or the lift. These are small steps but make a huge difference to your overall health.

How to treat DVT?

As opposed to the ancient times when surgical procedures were the only feasible way to treat varicose veins and other venous disorders like DVT, today there are available minimally invasive and painless procedures that efficiently remove the deep vein thrombus and offer instant relief from symptoms like swelling and pain.

Dr. Rajah V Koppala at Avis Vascular Centre specializes in the endovenous laser treatment which is performed as an outpatient procedure under the guidance of a doppler ultrasound scan. Enjoying a high success rate and a negligible rate of recurrence, this procedure is a highly efficient and safe treatment for a large variety of venous disorders.

If you have a family history of deep vein clots or have visible symptoms of DVT, do not hesitate or delay the treatment as it can lead to other medical complications. At Avis Vascular Centre, we treat 45000+ patients every year and have huge experience in curing even the most critical cases.

We offer 100% price assurance at the time of admission and have partnered with all major insurance agencies of India to offer easy Mediclaim assistance to our patients. Even if you reside outside of Hyderabad, our outstation patient care team can help you with your travel and accommodation bookings and thus ease your procedure.

Get treated by distinguished interventional radiologists at Avis Vascular Centre, book your consultation today!

4 Dangers Associated With Varicose Veins

Most of us wrongly believe varicose veins to just be a cosmetic issue. Varicose veins, however, refer to a medical condition where malfunctioning valves of certain veins restrict the blood flow back to the heart and result in the undesired pooling of blood.

Characterized by swelling in the damaged area, pain, itching, and a feeling of heaviness, varicose veins do not only affect the elderly but are becoming increasingly popular in young adults as well.

Visible as swollen and enlarged bluish-purple veins, varicose veins can most often be seen as bulging out from the surface of the skin. Varicose veins are known to lead to other medical complications in cases where the treatment is delayed. Let us learn more about the dangers of varicose veins:

  1. Blood Clots – These are fairly common for all varicose veins patients. Although blood clots in the superficial veins do not pose a serious threat to life, blood clots in the deep veins (Deep Vein Thrombosis or DVT) can travel to other parts of the body such as the heart, brain, and even to the lungs and cause pulmonary embolism which is a fatal medical condition.

    Blood clots can also lead to the health disorder called thrombophlebitis where the blood clots block one or more veins, usually in the legs. The affected area feels warm. The veins are painful and turn red in colour.

  2. Leg Ulcers – Varicose veins cause excessive swelling and hyperpigmentation where the skin around the affected area turns darker than the surrounding area. At this time, you will begin to notice open sores on the skin surface of the legs and these are commonly known as ulcers.

    The ulcers usually develop on the inner leg slightly above the ankle and are termed as the last stage of the venous disorder. Lack in treatment can cause chronic ulceration when while you try to heal one ulcer, another ulcer forms up at a different location on your legs.

  3. Bleeding – As varicose veins are usually the superficial veins, they are situated right under the surface of the skin. Even a small cut on the skin or a minor injury can cause excessive bleeding. Also, because the varicose veins result in the pooling of blood in the affected area, it can become very difficult to stop bleeding and there are high chances of it resulting in heavy blood loss!
  4. Chronic Venous Insufficiency (CVI) – When blood remains pooled in the varicose veins and the surrounding tissues, the blood pressure in the affected area rises and stays elevated for longer periods. This leads to the medical conditioned known as CVI.

    Chronic venous insufficiency is common for people who have blood clots in the deep veins and suffer from DVT. The skin around the affected area becomes to look leathery. It looks flaky and there is a lot of itching. CVI can further lead to venous eczema and venous stasis ulcers.

Home Remedies

Varicose veins have been classified as a lifestyle disorder. There are certain precautionary steps that you can take to improve your lifestyle and thus decrease the chances of occurrence of varicose veins and also reduce the intensity of the symptoms.

  • Maintain a healthy weight
  • Eat a nutritious diet that is low in fats and sugars
  • Make an exercise routine
  • Remain active throughout the day
  • Avoid sitting or standing for too long at a stretch
  • Use pillows to elevate your legs above the level of your heart while lying down on a bed
  • Wear compression stockings to improve the blood flow in your legs and prevent pooling of blood
  • Keep exercising your legs and ankles during long flights or car journeys

Treatment

Opposed to ancient times, today the varicose veins can be easily and efficiently treated by the painless and minimally invasive laser treatment process. In the endovenous laser ablation technique, the doctor makes a small incision in your skin and inserts a laser fiber along with a catheter to the damaged area.

The affected veins are then closed off and the body automatically re-routes the blood to the other neighbouring healthy veins. This procedure is performed with local anaesthesia and monitored with the help of a duplex ultrasound scan. It is a 100% safe procedure and does not lead to any major side-effects.

The endovenous laser treatment is a comparatively cost-effective and fairly quick procedure as compared to the surgical procedures and radio-frequency ablation techniques. Performed commonly as an outpatient procedure at the doctor’s clinic, it allows the patient to go back home on the same day and resume everyday work routine from the next day itself. The laser treatment for varicose veins is popular for being the no-cut, no-stitch, and no-scar treatment.

Conclusion

At Avis Vascular Centre, our all treatment procedures are USFDA approved. We strictly adhere to the protocols of the American College of Phlebology and ensure that all patients have a convenient and satisfactory medical experience.

We offer 100% price assurance at the time of admission along with free duplex scan facility to all deserving patients with 100% assistance for Mediclaim approvals from all leading national insurance providers.

We treat over 40000+ patients every year and have a cent percent success rate. We ensure that the chances of recurrence of varicose veins are reduced to a negligible minimum. We have an array of satisfied patients who speak highly of our professionalism and medical care.

Our doctor panel is headed by the extremely qualified and supremely talented Dr. Rajah V Koppala who has 24+ years of experience as an interventional radiologist. Having successfully cured patients with the worst cases of varicose veins, he is the best medical care practitioner for varicose veins not just in Hyderabad but in Telangana as well as all of India.

We are eager to make India, a nation free of venous disorders. If you want to know more about our treatment services or are eager to get your medical check-up for varicose veins done from Dr. Rajah V Koppala, schedule a consultation at Avis Vascular Centre today!

Varicose Veins versus Spider Veins

What are varicose veins? How do we get spider veins? Are varicose veins any different from spider veins? These are the most common questions that a majority of the people have when they are experiencing what they think might be varicose veins or spider veins.

Varicose veins and spider veins are both similar vascular disorders. However, when we pay close attention, there are prominent differences in the symptoms and treatment of both these medical conditions.

Let us understand the similarities and differences in varicose veins and spider veins in the blog today.

What are varicose veins?

Varicose veins are the swollen, enlarged, and twisted veins that turn bluish-purple in colour. These abnormal and dilated veins are commonly found on the legs and are clearly visible to the naked eye.

Varicose veins can be easily felt right under the surface of the skin. Varicose veins cause a feeling of heaviness and discomfort in the legs. The patient also feels itching and irritation on the damaged area accompanied by a burning, throbbing or tingling sensation.

Varicose veins, when left untreated, can lead to severe health issues like blood clots, DVT, and active venous ulcers. It is vital to get the varicose veins treated to prevent them from worsening and for improving the look and feel of your legs.

What are spider veins?

Comparatively smaller in size than varicose veins, spider veins are red, purple, and blue blood vessels that are visible on the skin of the legs, chest, and face in the form of branches or spider web like structure.

These veins are tiny, mostly less than 1mm in diameter and visible just below the surface of the skin. Spider veins are usually painless and do not cause swelling in the affected area. Spider veins generally do not lead to any other critical health problems.

Spider veins may be caused due to the faulty one-way valves or may occur due to chronic venous insufficiency. A patient may have both varicose veins and spider veins at the same time but not all spider veins turn

What causes varicose veins and spider veins?

Both these are vascular disorders that occur due to malfunctioning valves of the veins that restrict the blood from flowing back to the heart and instead result in the pooling of the blood in the veins and the surrounding tissues.

This causes additional pressure on the veins and makes them enlarged and bulging out from the surface of the skin. The below-mentioned factors are the leading risk factors for varicose veins and spider veins:

  1. Hereditary
  2. Obesity
  3. Lack of physical exercise
  4. Use of birth control pills
  5. History of blood clots
  6. Hormonal replacement after menopause
  7. Hormonal influence during pregnancy, puberty, menopause
  8. Occupations that require extended hours of standing or sitting in the same position (nurses, teachers, factory workers, hair stylists, etc)
  9. Conditions that increase the pressure in the abdomen area (tumours, constipation, certain garments, etc)
  • Any previous vein surgery
  • Trauma or injury to the leg
  • Exposure to UV rays

Similarities between varicose veins and spider veins

  1. Varicose veins and spider veins are very common. As many as 50% of people over 50 years of age suffer from varicose veins.
  2. Both these medical conditions are hereditary disorders. If anyone in your family has had varicose veins or spider veins, it is not uncommon for you to also have them.
  3. Spider veins, as well as varicose veins, are related to body weight. Obese people have a higher tendency of suffering from one or both of these venous disorders
  4. Spider veins and varicose veins are related to the age as older people more are more likely to suffer from them
  5. Both these are also related to the gender as a large number of women have been reported to suffer from varicose veins and spider veins as opposed to their male counterparts

Differences between varicose veins and spider veins

  1. Varicose veins usually occur on the legs while spider veins can occur on the legs, face, and chest also
  2. Spider veins are oftentimes just a cosmetic issue but varicose veins deteriorate the quality of the life and hinder with the everyday activities
  3. Varicose vein symptoms are much worse and lead to extreme swelling, pain, itching, and discomfort in the legs
  4. Spider veins hardly result in any extreme condition while varicose veins always have a high chance of getting worse in cases when the treatment is delayed
  5. A few women may develop varicose veins during pregnancy which may go away on its own in about 3 months after delivery. Spider veins have no link to pregnancy.

Treatment for spider veins may only be needed for cosmetic purposes but is it essential to get varicose veins treated to prevent further worsening of the condition. Untreated varicose veins can lead to Deep Vein Thrombosis (DVT), chronic venous insufficiency, venous ulcers, etc.

Today, with enormous advancements in medical science and technology, painless and minimally invasive laser treatment options are available for varicose veins. Referred to as the Endovenous Laser Treatment, it is a quick procedure and has proven to deliver successful results for even the most critical cases.

Dr. Rajah V Koppala is an internationally qualified and extensively trained interventional radiologist with over 24 years of experience. He has successfully treated over 12000 patients, not only from India, but also from Bangladesh, Sri Lanka, Middle East, Europe, and America.

At Avis Hospitals, Dr. Rajah V Koppala only employs the USFDA approved treatment procedure for varicose veins. This endovenous laser ablation technique is suitable for people of all age groups and has a success rate of 95% with zero downtime.

Avis Hospitals offer 100% price assurance at the time of admission and also offer free colour doppler examination for all patients. Avis Hospitals also offers round the clock services for outstation patients along with 100% assistance for Mediclaim requests as well. We are your one-stop medical institution for the most genuine treatment of varicose veins. Schedule an appointment with Dr. Rajah V Koppala at Avis Hospitals today!

Six Things to Know About Varicose Veins

In India, as many as 20% of the adults suffer from varicose veins. Although more prevalent in adults, especially women who are over 50 years of age, numerous cases of varicose veins have already been reported in youngsters as well.

For a few patients, varicose veins may just only be an ugly sight, but for most others, these turn out to be truly painful and extremely discomforting. Let us learn more about varicose veins below:

1. All leg veins are not the same

Veins are vascular structures that are responsible for carrying the used and deoxygenated blood from all different body parts back to the heart. When valves of certain veins deteriorate and do not promote, rather hinder, the blood flow back to the heart, it causes pooling of blood and results in varicose veins.

Veins lose their elasticity and become dilated thus leading to swollen and painful veins that are often seen bulging out from the skin surface of the legs. These are clearly visible to the naked eye and are accompanied by irritation and itching in the damaged area.

Varicose veins are largely different from spider veins. Spider veins are smaller and tubular blood vessels that are usually seen in treelike or spiderweb like form on the legs. Spider veins do not have severe symptoms and do not usually lead to any medical complications.

2. Some symptoms should not be ignored

If your varicose veins are not causing any discomfort or pain, you may not necessarily get them treated immediately, but there are a few symptoms which must be reported to the doctor as soon as possible. Please make a note of them below:

    1. Itchy and dry skin around the affected area
    2. Redness on the damaged skin surface
    3. Hyperpigmentation on the lower leg and/or ankle
    4. Thickening and/or hardening of the skin of the affected area
    5. Skin ulcer that is an open sore and is not caused by an injury. It may or may not have pus fluid drainage.

All these are severe symptoms of varicose veins and you must seek medical care and treatment in a priority. In a few cases, varicose veins also develop due to Deep Vein Thrombosis (clots in the deep rooted veins) that may not have any symptoms for some people or may occur with severe leg pain and swelling in some other cases.

Another prominent symptom in cases of DVT is the pain in the calf of one leg that is usually accompanied by cramps and soreness. Your legs may also feel warm when you touch them. If you notice one or more of the above mentioned symptoms, you must not delay visiting a vascular expert.

3. You will need an ultrasound

  1. If you have any early symptoms of varicose veins or doubt that you might be suffering from a venous disorder, you must visit a vascular expert and get an ultrasound done. The Doppler ultrasound scan will help the medical practitioner analyse and evaluate your condition and its severity.

    With the help of the doppler ultrasound scan, the vascular expert will be able to measure the amount of blood flow in your leg veins. These help the doctor to examine any abnormalities that may require treatment.

After the ultrasound scan reports, the vascular expert will suggest the best treatment option to cure the underlying medical condition.
The doctor will advise whether the affected veins can be treated by the latest laser ablation procedure or will necessarily require surgery.

4. Painless treatment option is available

About 15 years ago, the only way to treat varicose veins was a surgery where the patient was given general anaesthesia and operated in an operation theatre. The surgical procedures are quite painful and require massive post-operative care. The patient is usually advised complete bed rest after the surgery.

With humungous advancements in medical technology, varicose veins can be effectively treated by the painless and minimally invasive laser technique. This process is quick and requires only local anaesthesia. Usually performed in the doctor’s office itself, there is minimal post-operative care and the patient can go back home on the very same day.

5. Diet and exercise can help

As we age, most of us will have ugly looking, prominently visible, abnormal, and enlarged veins on our legs and feet. Obesity, smoking, lack of exercise, and a job that requires you to sit or stand for longer durations at a stretch are the major risk factors of varicose veins.

There is little that we can do to prevent venous disorders and diet and exercise play a major role in it. A nutritional diet and a moderate exercise routine may not be able to prevent varicose veins but can definitely assist in delaying its onset and reducing the probability of varicose veins turning into a critical condition.

6. Varicose veins caused due to pregnancy may go away on their own

 Some women develop varicose veins during pregnancy. The circulating blood volume increases in the woman’s body to take care of the foetus, hormonal changes also occur and cause dilation of the leg veins.

Women who suffer from varicose veins in their pregnancy term must wait for three to six months after delivery. If the varicose vein symptoms still persist, she must schedule an appointment with a vascular expert and seek expert medical assistance.

Varicose veins are not a very serious condition but can turn into a medical emergency if treatment is delayed. If you have visible but painless varicose veins in the lower leg region, immediate treatment may not be required but there are high chances of these varicose veins turning into highly painful and swollen veins in due course of time.

Thus, it is suggested to plan your medical check-up and treatment in a priority. Your search for a trusted and reliable vascular medical institution ends with Avis Hospitals. We have a team of internationally qualified and extensively trained interventional radiologists who specialize in the USFDA approved laser treatment of varicose veins.

The protocols that we follow are approved by the American College of Phlebology. We treat over 40,000+ patients every year and already have over 40,000+ happy and satisfied patients with a whopping success rate of 95%

We also offer complete assistance to outstation patients with 100% price assurance at the time of admission itself. We have tie-ups with all leading insurance agencies of India and assist in quick Mediclaim clearance for one and all.

For the most trusted, reliable and efficient treatment of your varicose veins, schedule an appointment with us today!

Venous Insufficiency Ulcers

Due to genetic factors and a poor lifestyle that is characterized by an unhealthy diet and lack of physical activity, some people develop varicose veins in their legs and feet. The one-way valves of these veins do not function as desired and hinder the flow of the deoxygenated blood back to the heart.

As the blood isn’t efficiently pumped back to the heart, excessive blood remains pooled in the varicose veins and leads to humungous pressure in the affected area. This medical condition is referred to as venous insufficiency.

The added pressure forces the walls of the varicose veins to stretch which causes the protein in the blood cells to reach the subcutaneous tissues. Further, due to the lack of oxygen and nutrients, these tissues eventually break down and result in ulceration.

Chronic venous insufficiency in most cases leads to venous ulcers that are open wounds or sores visible on the surface of the skin on the legs and feet. These require immediate medical assistance and are extremely slow to heal.

Causes

Varicose veins and most other venous disorders can be attributed to genetic reasons apart from a few other conditions. Following are the most prevalent risk factors for venous insufficiency and leg ulcers:

  1. Being female
  2. Old age
  3. Being tall
  4. Varicose veins
  5. History of blood clots in deep veins (DVT)
  6. Family history of venous disorders
  7. Blockage of lymph vessels
  8. Pregnancy
  9. Smoking
  10. Sitting or standing for long durations
  11. Injury to the leg, burns or muscle damage

Early Signs of Venous Insufficiency

Like most other medical conditions, our body gives us numerous hints about venous insufficiency as well. It is vital for us to be aware and keep an eye for the below-mentioned symptoms :

  1. The skin changes in the affected area accompanied by itching. This medical condition is also referred to as Stasis Dermatitis.
  2. The skin may also turn hard and brown or dark red in colour
  3. Pain and swelling in the leg along with a feeling of heaviness
  4. Tingling sensation in the damaged area

Symptoms of Venous Ulcers

If we fail to get ourselves treated after the early signs of venous insufficiency, the condition may worsen and lead to active venous ulcers. Below mentioned are the easiest to recognize symptoms of leg ulceration:

  1. Shallow sore with a red base that may be covered with a yellow tissue
  2. Uneven borders of the sore
  3. Pain in the leg
  4. Surrounding skin turns shiny, tight, warm, and also discoloured
  5. Infected sores may have a bad odour and pus drain from the wound

Wound Care

If you have developed leg ulcers, it is essential for you to take proper care as the open sore may get infected and lead to many other severe medical complications. We have made a to-do list, please make a note of the below tips:

  1. You must keep the wound clean and bandaged to prevent getting infected.
  2. You must change the dressing frequently. Always ensure to clean the wound before doing the dressing.
  3. Dressing and skin around the wound must always be kept dry.
  4. Always keep the skin around the wound moisturized to reduce itching and irritation
  5. Ask your venous expert if you must wear compression stockings above your dressing and/or bandage

Prevention

There are some easy tips and tricks to prevent varicose veins, venous insufficiency, and related disorders of the veins. Simply note down the below points and incorporate them in your day to day life:

  1. Eat healthy food
  2. Exercise everyday
  3. Quit smoking
  4. Blood sugar control for diabetic patients
  5. Plenty of sleep
  6. Regulate blood pressure and cholesterol levels
  7. Weight loss for obese or overweight people

Even if you have already been diagnosed with venous insufficiency, you can still reduce the chances of venous ulcers by following the below tips:

  1. Wear compression stockings as they are known to improve the blood flow in the affected area. They offer relief from the leg pains, help reduce the swelling and also assist with healing.
  2. As frequently as possible, place your feet above the level of your heart. Lie down on the bed and use one or more pillows to lift your feet higher. This will make it easier for the blood to move back to the heart and prevent blood pooling
  3. Ensure to eat a nutritious diet and perform moderate and low impact exercises every day.
  4. Ensure to take the medicines as prescribed by your medical practitioner.

Conclusion

Varicose veins, chronic venous insufficiency, leg ulcers, and other venous disorders have become fairly common due to the sedentary lifestyle of most people in urban cities. Although not serious, all venous medical conditions must be treated in a priority by trusted and reliable vascular specialists only.

Dr. Rajah V Koppala is a qualified and internationally trained vascular expert who specializes in the minimally invasive and painless laser treatment of varicose veins. At Avis Hospitals, we have the latest equipment and all modern amenities in-house for efficient treatment by the endovenous laser ablation technique.

If you or anyone in your family is suffering from vascular medical conditions, do not delay in scheduling a consultation with the renowned interventional radiologist Dr. Rajah V Koppala at Avis Hospitals. The laser treatment is suitable for people of all ages and we ensure quick recovery with minimal post-operative care. Book an appointment today!

Hidden Dangers If You Don’t Treat Varicose Veins

Most people believe varicose veins to just be a cosmetic issue, but in reality, they are a serious medical complication and pose a severe threat to your life! Not only do they make your legs look ugly but also negatively affect your body’s blood circulation, thus being the sole reason for many venous disorders and other health concerns.

Today, as many as 30% of the people suffer from these bulging and swollen veins that can be felt and seen right under the surface of the skin in the lower region of the legs. Caused when certain leg veins with a faulty valve become incapable of sending the deoxygenated blood back to the heart, these appear as bluish-purple veins and result in pooling of blood.

Varicose veins are a clear sign of some serious underlying health issues that must be addressed in a timely manner. Painful varicose veins must be immediately reported to your doctor as any delay in diagnosis and treatment can result in irreversible health conditions.

Below are the top 6 medical conditions that may crop up due to the lack of treatment of varicose veins:

  1. Leg Swelling – As the pressure builds up in the faulty veins, the blood fluid leaks into the surrounding tissues and causes swelling. Swelling can be felt like a tight sensation in your legs, the socks may begin to leave an impression on your legs, and in severe cases, the swelling can be to an extent that your shoes may not fit your feet anymore. Most times, elevating your legs with the help of a pillow will help reduce the swelling temporarily.


  2. Skin Ulcers – Open sores or wounds that are difficult to heal are called skin ulcers. Swelling in the legs for an extended duration of time can lead to skin colour changes in the affected area. The skin may also turn hard as the swollen tissues hamper the blood flow and restrict the nutrients and oxygen from reaching the involved tissues. Reducing the leg swelling is vital to healing these open sores.


  3. Skin Infection – As the tissues get stretched due to the swelling, the body loses its natural defense mechanism to fight against infections. The bacteria on the skin surface may get into the body and cause a bacterial infection referred to as cellulitis. The infected area becomes red and feels warm. This generally requires antibiotics for treatment. Reducing the swelling is also likely to help in the recovery process.


  4. Bleeding – Right below the surface of the skin, a large amount of blood remains pooled in the varicose veins and the surrounding tissues. If by any chance you get injured and hurt, cut or damage your veins, there is bound to be significantly more bleeding than usual. If the injury is very large, it will probably take you longer than normal to stop the bleeding.


  5. Thrombophlebitis – This refers to an inflammatory process where a blood clot is formed that blocks one or more of your veins, most commonly in the legs. It is highly probable for untreated varicose veins to cause blood clotting. The damaged area becomes very painful, it is warm to touch, and the veins also becomes quite hard.


  6. Deep Vein Thrombosis (DVT) – In about 25% cases where people have developed blood clots in their veins, the blood clots are formed in the deeper veins and this condition is referred to as DVT. The biggest risk in DVT is that of the blood clot breaking off and travelling to the lungs as that can result in the life-threatening disease called pulmonary embolism. DVT is a medical emergency and must be treated in a priority.

Varicose veins, whether painful or not, must be treated by a vascular expert to prevent further damage and unforeseen vein health complications. For the treatment of varicose veins, you need not undergo surgery as today, there are available minimally-invasive procedures that are painless and have zero downtime.

Avis Hospitals’ team of vascular specialists and interventional radiologists have expertise in treating the varicose veins with the latest endovenous laser ablation process that is a no-cut, no-scar, and no-stitch procedure. The process requires only local anaesthesia and the patient can go back home the same day to resume work and everyday activities from the next day itself!

If you are eager to know more about the endovenous laser treatment process, get your medical check-up done from experienced doctors, learn about the treatment expenses, and ask your queries regarding the available medical insurance assistance, feel free to schedule an appointment at https://avisvascularcentre.com/

Venous Skin Ulcers – Symptoms, Causes, Diagnosis, and Treatment

Skin ulcers are wounds or open sores that develop on the surface of the skin and take enormous time to heal. Venous skin ulcers are a type of skin ulcer that is caused due to a venous disorder like chronic venous insufficiency.

Venous skin ulcers, also commonly referred to as venous leg ulcers are shallow wounds that develop on the lower region of the legs, especially on the sides of the legs, above the ankle and below the calf.

The prevalent cause of venous skin ulcers is the failure of the leg veins to send the used and deoxygenated blood back to the heart. The blood remains pooled in the veins and the surrounding tissues of the lower leg region. This creates additional pressure in the legs and in cases where the treatment is delayed, the excessive fluid breaks out from the tissues and eventually causes an open sore or an ulcer in the affected area.

Also called Statis Legs Ulcers, these ulcers may take anywhere between a few weeks to a few years to heal due to poor blood circulation in the damaged area. A delay in treatment can, however, lead to other severe health complications as well. There are always high chances of recurrence if you do not take the desired precautions after the treatment.

What causes them?

Leg veins that become weak and incapable of sending the used blood back to the heart are the main cause of venous skin ulcers. Below mentioned are the most common causes of venous leg ulcers:

  • Varicose veins
  • Deep Vein Thrombosis (blood clot in the deep veins of the legs)
  • Old age, being tall, being a female
  • Obesity
  • Smoking 
  • Pregnancy
  • Lack of exercise
  • Sedentary lifestyle
  • Daily work that requires long hours of standing or sitting
  • Previous leg injuries
  • Family history of blood clots or venous insufficiency

What are the symptoms?

By being aware of the early signs and easy to recognize symptoms of venous leg ulcers, you can self-diagnose them and schedule an appointment with a vascular specialist for treatment and prevention.

Following are some of the early signs of venous leg ulcers:

  1. Itching or burning sensation on the skin of the affected area
  2. Dry skin accompanied by a rash
  3. Skin discoloration where the skin turns brown and looks pale
  4. A feeling of heaviness in the lower region of the legs
  5. The affected area may even become swollen

Below mentioned are the symptoms of an open sore that is actually a venous leg ulcer:

  1. Shallow sore that has a red base, may sometimes be covered by a yellow tissue
  2. Unevenly shaped borders of the ulcer
  3. The skin turns hard and tight around the ulcer
  4. The surrounded skin also turns red in colour
  5. The affected area feels warm and looks shinny

Some venous leg ulcers become infected and have the following signs and symptoms in addition to the above ones:

  1. Worsening pain
  2. Fever
  3. Pus drain from the wound
  4. A foul-smelling fluid oozing out from the open sore

How are they diagnosed?

If you have a wound on the leg that is not healing or has got infected, you must immediately visit a vascular expert. The specialist will physically examine the open sore and the skin around it, and will also ask some questions to learn about you and your family’s medical history.

The doctor will then conduct a Duplex Doppler Ultrasound Scan to find out the exact reason for the ulcer. This examination clearly shows how the blood is moving in the lower leg region and what is hindering its movement back to the heart.

The vascular expert may recommend a few other tests to check other problems related to varicose veins and to re-examine the ulcer to ensure it is healing properly.

What are the treatment options?

The most basic form of treatment and recovery involves improving the blood flow in the affected region as this will help repair the wound quickly.

There are a few things that you can do to treat the venous skin ulcers. Make a note of them below:

  1. Use compression stockings as they help prevent blood pooling and create additional pressure on the legs. This will in-turn improve blood circulation in the lower leg region thus enhancing the body’s ability to heal the ulcer.
  2. You must elevate your legs above your heart level as frequently as possible. Lie down on your bed and use a pillow or two to lift your legs up to the level of the heart. Vascular experts usually suggest a minimum of half-an-hour for at least 3 to 4 times a day.
  3. Make an everyday walk routine as walking enhances the blood circulation of the body. This clubbed with low impact exercises can also work wonders for the recovery process of your venous leg ulcers.
  4. If your ulcer has got infected, the doctor will prescribe some antibiotics to kill the infection. The vascular expert might also suggest a moist dressing on the wound to fasten its healing.
  5. In a few critical cases, doctors will immediately recommend surgery or endovenous laser ablation to treat the underlying cause of blood pooling as that may be preventing the wound from healing.

Usually, a venous leg ulcer requires 3-4 months to heal. A few may heal quicker while some may never clean-up.

As soon as you see the first signs of a statis leg ulcer, consult your vascular expert immediately to prevent the ulcer from forming or growing bigger in size, as smaller and new ulcers are easier to heal than the larger ones.

What to do next?

If you or someone you know has one or more of the above symptoms, you must not delay a medical check-up with the vascular experts at Avis Hospitals. All doctors at Avis Hospitals are through professionals, have years of experience, and believe in 100% customer satisfaction.

Avis Hospitals will not only guide you with the most genuine and authentic advise for your health but also take the extra steps to ensure your well-being. Pledge to take care of your vein health and book a timely treatment for your venous leg ulcers to prevent other medical complications. Schedule an appointment with Avis Hospitals today!

Everything You Want to Know About Deep Vein Thrombosis (DVT)

Deep Vein Thrombosis, abbreviated as DVT, refers to the medical emergency that occurs when a blood clot develops in a vein that is located deep inside the human body. Although the blood clot, which is a solidified clump of blood, can form anywhere inside the body, it is most commonly known to occur in the thighs or the lower leg region.

DVT is a serious condition that may turn fatal in case of delay or absence of immediate medical care. In medical terms, DVT is also referred to as thromboembolism, post-phlebitic syndrome, and post-thrombotic syndrome.

Symptoms of DVT

There are a few prevalent symptoms that you can use to self-diagnose DVT and visit a vascular expert for diagnosis and treatment. Following are the most common DVT symptoms:

  •   Swelling in the leg, ankle, or foot, generally on one side
  •   Severe pain in the affected area of the leg that mostly begins from the calf
  •   Unbearable and unexplained pain in the foot and/or ankle
  •   A section of the skin surface that feels warmer than the surroundings
  •   The skin of the affected area turns pale, reddish, or bluish in color

For patients who develop a blood clot in the upper half of the body, say for instance a blood clot in the arms, they may experience the below mentioned symptoms:

  • Extreme pain in the neck
  • Severe shoulder pain
  • Sudden swelling in the affected arm or the hand
  • Skin color changes to bluish-red
  • Pain that feels to move from the arm to the forearm
  • Weakness in the hand and inability to hold something firmly

Causes of DVT

The main cause of DVT is a blood clot in the bloodstream that restricts the desired blood circulation in the body. Blood clotting can occur due to one or more of the reasons detailed below:

  • Injury – An accident or injury that causes damage to the walls of a blood vessel or narrows it down thus leading to poor blood circulation. This can eventually lead to blood clots and DVT.
  • Surgery – At times, one or more blood vessel may get damaged during surgery and this can lead to the formation of a blood clot. For a few patients, suggested bed rest after surgery also leads to DVT.
  • Sedentary Lifestyle – Poor mobility or a state of inactivity for extended time durations can slow down the blood flow in the lower regions of the leg and this can cause deep vein blood clots.
  • Side-Effects of Medicines – Certain medications are known to increase the probability of blood clotting.

Risk Factors of DVT

Although people over 50 years of age are more probable to suffer from DVT, DVT can occur to people at any age. Any factors that hinder the blood flow and restrict the ideal blood circulation are high-risk factors of DVT. Let us address a few of them below:

  1. Any injury that damages the veins, like for instance a bone fracture
  2. Being overweight and/or obese as excessive body weight leads to additional pressure on the veins in the legs
  3. Hereditary blood clotting disorders
  4. Having a family history of blood clots or DVT
  5. Having a catheter placed inside a vein
  6. Consuming birth control pills
  7. Undergoing a hormone therapy
  8. Remaining seated during long flights, car journey, or at work
  9. Smoking
  10. Cancer
  11. Inflammatory bowel disease
  12. Heart failure as it makes it difficult for the heart to pump blood
  13. Varicose Veins

Treatment for DVT

The most basic form of treatment is blood thinning oral medications. These medicines restrict the blood from clotting and thus reduce the chances of new blood clot formations.

In a few cases of DVT, the doctor might advise the patient to get intravenous thrombolytic drugs that break up the existing blood clots. Wearing compression stockings also helps reduce the swelling and probability of developing new blood clots by regulating the blood flow.

Surgical procedures to remove a DVT clot from your arms or legs are suggested when the clot is too big and is causing serious medical issues like tissue damage, etc. In the surgical process, the vascular expert uses ultrasound scans to accurately locate the clot and then removes it by making an incision into the blood vessel.

Conclusion

If you have a family or personal history of blood clots, always be mindful of the above mentioned DVT symptoms. Maintain a healthy lifestyle, consume a nutritious diet, and perform basic physical activities every day.

In case of an early sign of DVT, schedule a consultation with a vascular expert. Avis Hospitals has a team of exceptionally trained and truly experienced vascular interventional radiologists at its Hyderabad as well as Bangalore branch. Schedule an appointment today!

Could You Spot Chronic Venous Insufficiency?

Vein disorders have become all the more popular in the 21st century. The most popular vein diseases namely varicose veins, blood clots, and chronic venous insufficiency were less heard of earlier.

This sudden increase in the number of people suffering from one or the other form of a vein disease can be majorly attributed to a poor lifestyle. Today, most people have a desk job that is mainly characterized by a sedentary lifestyle and this undoubtedly is the leading cause of most aged patients complaining of vein disorders.

It is only with the advancements in medical technology and the availability of new techniques, that vascular experts are now able to accurately treat a majority of these popular vein disorders through painless and non-invasive laser treatment.

Let us learn about the medical condition of chronic venous insufficiency, its causes, and most common symptoms.

What is Chronic Venous insufficiency?

For a few people, the valves of their legs and feet veins get ruptured and do not function as desired. This hinders the blood flow back to the heart and leads to swollen and enlarged veins that often ache and cause itching on the skin.

The malfunctioning veins lead to blood pooling as the blood remains stagnant in the veins. The patients also often have a constant heavy feeling in the affected area. This medical condition called varicose veins, when left untreated for a long tenure becomes chronic and has other major side effects on the overall health of the patient.

Chronic venous insufficiency forces the blood pressure in the legs to rise up to extreme levels and also exponentially increases the chances of stasis ulcers.

What are the Root Causes of Chronic Venous Insufficiency?

There are multiple factors that lead to chronic venous insufficiency in the due course of time. Let us become aware of the most common ones below:

  1. A family history of blood clots, varicose veins or chronic venous insufficiency
  2. A known medical condition of blood clots or Deep Vein Thrombosis (DVT)
  3. Being overweight or obese and having a sedentary lifestyle with a total lack of physical activity
  4. Hormonal changes in the body
  5. Suffering from high blood pressure
  6. A habit of excessive smoking on a daily basis
  7. Any form of damage during surgery or an accidental injury to the leg

Except for the genetic reasons of chronic venous insufficiency, most other causes of this medical condition can be repaired by consuming a low-fat diet, performing mild exercises that focus on the leg and the ankle, and avoiding to stand or sit for long tenures at a stretch.

What are the Main Symptoms of Chronic Venous Insufficiency?

The biggest sign and the most prominent symptom of chronic venous insufficiency is the appearance of the enlarged and bulging out bluish purple varicose veins.

There are, however, a few more easy to recognize symptoms that have been detailed below:

  1. A feeling of heaviness and extreme tightness in the lower area of the one or both legs
  2. Severe swelling in the legs and feet, especially around the ankle
  3. Cramping in the legs and acute pain in the feet
  4. Increased pain during walking
  5. Itching around the ankle and the affected area of legs and feet
  6. Skin tan or skin discoloration leading the reddish-brown skin
  7. Also, leg ulceration in some critical cases when treatment for varicose veins is delayed

It is supremely important to pay close attention to your body and identify the above signs of chronic venous insufficiency. If you notice either of the above symptoms, prioritize seeing a vascular expert.

Can Avis Hospitals treat your Chronic Venous Insufficiency?

Yes! Avis Hospitals is a trusted medical institute for the most genuine treatment of your vascular disorders. Based out of Hyderabad, Avis Hospitals has been catering to the requirements of vascular experts for patients from many different parts of India.

The vascular department at Avis Hospitals is led by Dr. Rajah V Koppala. He is not only highly qualified but also greatly experienced. In his over 24 years of medical career, he has successfully treated patients with the most severe cases of vascular diseases.

Dr. Rajah V Koppala is a vascular expert with expertise in the endovenous laser treatment of varicose veins. Whether you have early symptoms of varicose veins, have a history of blood clots in the veins, have DVT and are planning to travel abroad, have been diagnosed with chronic venous insufficiency or have an undiagnosed vein disorder, Dr. Rajah V Koppala will help you with accurate diagnosis and bona fide treatment.

He always ensures that the patients are well informed of their medical condition and the prescribed treatment. He also comforts the patients by answering their queries and making them feel confident about their recovery. Do not compromise with your health by delaying the treatment of your varicose veins, book a consultation with Dr. Rajah V Koppala today!

5 Common Causes of Varicose Veins

“Varicose Veins” is a prevalent medical condition for the aged, especially women. Owing to a poor lifestyle and with the growing age, the valves of certain veins in the leg and foot tend to break down. This hinders the blood flow back to the heart and adversely affects the circulatory system of the body.

Failure of the valves causes the blood in the affected veins to pool. These veins, called the varicose veins, are extremely painful and lead to severe swelling and itching in the legs and feet. Bluish purple in colour, enlarged in size, and clearly visible on the surface of the skin, varicose veins are not only uncomfortable but also have an unpleasant sight.

With the passage of time, these bulging varicose veins become the main reason for serious venous disorders and other acute complications of the circulatory system. If we make ourselves aware of the leading causes of varicose veins, we can surely delay their onset if not overrule the possibility of their occurrence. Let us learn about the root causes of varicose veins:

1. High Heels / Uncomfortable Footwear –

These days, it has become a common practice to wear high heels on a daily basis. Not just on festivities and parties, girls tend to wear uncomfortable footwear and stilettos to college and work every day. They may be able to look taller and smarter with the heels, but it causes extreme pain and has been proven to be immensely unfavourable for the legs and feet.

When in heels, the feet fail to land flat on the floor while standing or walking and this makes it difficult for the blood in the feet to travel up the legs and further to the heart. The veins tend to work harder to be able to efficiently send the blood back to the heart and this often results in the disruption of the valves in due course of time.

The vascular experts have sighted frequent use of high heels as one of the leading cause of varicose veins in women. They strongly recommend girls to wear heels only when it is absolutely necessary. At all other times, they must switch to flat footwear or flat heels called wedges.

2. Excessive Caffeine Intake –

Caffeine is present not only in coffee but also in tea, sodas and many other drinks as well. Caffeine consumption, in one form or the other, in excessive quantities and that too on a daily basis is a proven cause of varicose veins. It has been medically confirmed that caffeine intake massively increases the blood pressure and this restricts the movement of the blood through the blood vessels.

As a result, the people who drink black coffee, milk coffee, black tea, milk tea, lemon soda, flavoured sodas or other high on caffeine drinks, often complain of pain in the legs and a poor visual appeal. You must always consult your doctor to cross-confirm the amount of coffee that you can consume per day to reduce your chances of developing varicose veins.

3. Alcohol Consumption –

Drinking alcohol causes excessive urination and leads to dehydration. Water loss from the body causes the blood to thicken and this makes it tough for the blood to move, against the pull of the gravity, up from the feet and legs, back to the heart.

Any hindrance to the free movement of the blood in the circulatory system enhances the person’s probability of developing varicose veins. Faulty valves in the varicose veins also cause the blood to pool and may lead to worse ailments like ulcers, blood clots, deep vein thrombosis, and chronic venous insufficiency.

You must consult your doctor and discuss your alcohol intake limits based on your age, body type, and medical history of any other venous disorders. Always keep an eye on the visible signs of varicose veins and visit your vascular expert in case you witness a noticeable change.

4. Heredity and Genetics –

Varicose Veins have been discussed to be a genetic condition. If your parents, grandparents or siblings have had a history of spider veins or varicose veins, you are at high risk of developing them too.

This severe condition can be postponed if not totally avoided, by practicing a good lifestyle. You must always maintain a healthy body weight and exercise every day. Eating a balanced diet along with monitored intake of salt and sugar, and restricted fatty food intake can help keep the varicose vein condition under check.

By mentioning the family history of varicose veins, you can also consult your vascular expert about the suggested use of compressions stockings. These have been known to improve blood flow and prevent valve failures. Available in multiple sizes and shapes, you must choose the right one with the help of your doctor.

5. Your Occupation -

For a few people, varicose veins are also a conclusion of their harsh job routine. A person who has an occupation that demands him/her to keep sitting or standing for extended durations at a stretch on a daily basis develops a greater risk of varicose veins.

This rigid work routine stresses the veins and causes their valves to malfunction, thus leading to varicose veins. To reduce the chances of developing spider veins or varicose veins, you must take short strolls or sitting breaks once every while. Any form of mild exercise in between the hectic work schedule can also improve the condition.

Can Avis Hospitals Help?

With years of experience and a record of successfully treating over 4000 patients every year, Avis Hospitals is the most trusted vascular center of Hyderabad. Dr. Rajah V Koppala is an acclaimed vascular surgeon, highly trusted and respected for his services in his vast medical career.

If you are confused about the treatment options, charges and fees, risk factors or have any other queries, we will be happy to help you. Schedule an appointment with Dr. Rajah V Koppala at Avis Hospitals and we will ensure you are satisfied with our medical aid and care.

What Is Chronic Venous Insufficiency?

Blood is pumped from the heart to all body parts and limbs. The human body veins are responsible to carry the used and deoxygenated blood back from the body parts to the heart. All veins have one-way valves that direct the blood to flow to the heart and restrict its backward movement.

The blood in the leg veins must flow upward, against the pull of the gravity to reach the heart. Venous insufficiency occurs when the leg vein valves do not function as desired and restrict the blood’s movement to the heart. As a result of this, the blood flows back to the leg veins. These malfunctioning valves force the blood to remain collected in the leg veins thus causing blood pooling.

If this medical ailment is left untreated, the condition becomes chronic and the symptoms get worse leading to a disorder that is referred to as Chronic Venous Insufficiency (CVI) in medical terms. CVI is also accompanied by extremely high blood pressure in the affected leg veins which may also result in stasis ulcers and other severe health complications.

Causes of Chronic Venous Insufficiency

Women are more probable to suffer from CVI than men. It usually occurs in people over 50 years of age and there are more than a handful of reasons that can lead to chronic venous insufficiency. Let us have a look at the risk factors below:

  • Presence of blood clots in the deep veins of legs that cause Deep Vein Thrombosis (DVT) which is responsible for damaging the venous walls and the vein valves
  • Pelvic tumors and vascular malformations
  • Any leg injury
  • Pregnancy or being pregnant again with not enough time gap in between
  • A family history of CVI or varicose veins
  • A poor lifestyle that includes an absence of regular exercise and lack of a balanced diet
  • Excessive smoking or chewing tobacco
  • Being obese or inactive
  • Standing for prolonged hours at a stretch that raises the blood pressure in the leg veins and weakens the valves

Symptoms of Chronic Venous Insufficiency

There are subtle symptoms in the earlier stages of chronic venous insufficiency but if you pay attention to the appearance and sensation in your legs, it will not be very difficult for you to understand and evaluate the urgent need to visit a vascular specialist.

Given below are some of the major warning signs of CVI :

  • Constant itching on the legs
  • Lower leg skin color changing to brown and the skin looking dull
  • Leg cramps and restlessness
  • Severe leg pain when walking or resting
  • Swelling around the ankle and/or lower leg area
  • Wounds that do not heal and lead to leg ulcers
  • Tightening in calves
  • New development of varicose veins
  • Skin commences to look and feel like leather

Treatment for Chronic Venous Insufficiency

Chronic venous insufficiency is 100% treatable. If you notice any early symptoms, you must immediately consult a vascular expert as delayed treatment may have serious ill-consequences.

Following is a list of the feasible treatments that the vascular expert might undertake :

  • Antibiotic oral medicines to cure dermatitis or skin infections with steroid-based ointments for direct application on the skin. A medical wrap may also be suggested for the affected leg area
  • Medication to prevent the possibility of blood clots
  • Sclerotherapy – the medical procedure where a thin needle is used to inject medicines directly into the affected veins. These medicines disrupt the lining of the vein and completely shut it off. The dead vein is later absorbed by the body itself.
  • Endovenous ablation – this is an invasive process that uses laser light or laser fiber to dissolve the problematic veins
  • Surgery – this is comparatively a much more complicated process where the vein is either repaired or cut and tied off so that blood no longer flows through it.
  • Compression stockings – These stockings offer support to the legs and improve blood circulation. Available in multiple sizes, tightness, lengths, and style, your doctor will be able to guide you with the right pair of compression stockings as per your need
  • Lifestyle changes – This undoubtedly is the most important form of self-care and the most effective treatment for CVI. Regular exercise, weight loss, giving up on cigarettes, and not standing or sitting for too long will aid in the recovery of CVI

Though the treatment offered to a patient depends on the age, the severity of  the symptoms and a few other factors, all doctors will first attempt to curb the swelling in the legs and prevent the formation of leg ulcers.

Dr. Rajah V Koppala, the vascular specialist at Avis Vascular Centre has successfully treated thousands of patients suffering from varicose veins, leg ulcers, and CVI. Schedule a consultation to avail his expert medical assistance today!

What are Leg Ulcers and How You Can Get Rid of Them

If you have an open sore on your leg that doesn’t seem to be going away, you have probably developed a leg ulcer.

Don’t worry, you are not alone! Every year, thousands of people especially those who are over 50 years of age and have a family history of venous disorders develop leg ulcers.

Despite being so common and extremely painful, leg ulcers remain to be one of the most neglected health condition. You must know that any delay in the treatment of leg ulcers can worsen the condition and lead to other medical complications.

In this blog, we will discuss what causes leg ulcers and how you can get rid of them. Stay with us till the end as we will also share details about how you can get them treated through a painless and non-surgical procedure.

What Causes Leg Ulcers?

8 out of 10 times, leg ulcers are caused due to a problem in the leg veins. Leg ulcers that develop just above the ankle are usually caused due to a vascular disorder.

Leg veins are blood vessels that have one-way valves to transport blood from the legs to the heart. Due to growing age and various other risk factors, the one-way valves of some leg veins may begin to malfunction.

These damaged veins prevent blood from flowing back to the heart and cause extreme blood pooling due to reflux (backward flow of blood). This is the primary cause of active venous leg ulcers.

The area around the ulcer is usually swollen. The skin also becomes thickened and discoloured due to varicose eczema which is a clear sign of the development of a leg ulcer due to improper blood circulation in the affected area.

How to get rid of leg ulcers?

The treatment for leg ulcers is a 2 part process. At first, the doctor focuses on healing the ulcer as quickly as possible. The longer you have the ulcer the bigger it becomes and the tougher it is to cure it.

To be able to heal the ulcer, it is essential to get the blood flowing. Doctors are likely to recommend compression stockings that are tight around the ankle and lose around the knees. These support stockings help achieve graduated compression i.e. the pressure exerted by the bandage is highest at the ankles and progressively less as we move up the legs. This graduated compression helps regulate blood flow back to the heart and encourages the healing of the venous ulcer.

Once the ulcer is completely healed, in the second phase of the treatment process, the doctors aim to identify and treat the underlying cause of these leg ulcers in order to prevent the formation of any new ulcer.

Faulty leg veins are identified with the help of a colour doppler scan and surgery is done to remove the damaged veins permanently and restore blood circulation in the affected leg.

Nowadays, non-surgical laser treatment for venous disorders is feasible and has a high success rate. It is a painless and minimally invasive procedure that is performed as an out-patient procedure.

A small incision is made to pass a laser fibre along with a camera. The heat from this laser fibre is used to burn off the damaged veins. The body absorbs these dead veins and re-routes blood to neighbouring healthy veins.

How to get the best treatment for leg ulcers?

As soon as you have any early signs of a leg ulcer, you must seek medical assistance. Take all prescribed medicines and use compression garments as suggested by the doctor for the ulcer to heal.

Remember, leg ulcers once healed can re-appear on the same or a different spot. You must not stop treatment for venous ulcers as soon as it heals. It is essential to undergo the colour doppler scan and identify all damaged veins that need to be removed in order to achieve the desired blood flow.

Schedule your appointment with an interventional radiologist to undergo the endovenous laser treatment and get rid of all damaged veins. This will also help you prevent the formation of new leg ulcers.

To get your damaged veins removed through the painless laser treatment by the distinguished healthcare practitioner Dr. Rajah V Koppala, schedule your consultation at Avis Vascular Centre, the best vascular health centre in Hyderabad.

It has world-class medical amenities and the most experienced team of vascular surgeons that ensure appropriate treatment and faster recovery for patients of all age groups.

Avis Vascular Centre is also offering free colour doppler scan to all deserving patients, book your appointment for your first consultation today! Visit https://www.avisvascularcentre.com/ today!

5 Common Misconception On Varicose Veins

In India, a growing number of varicose vein cases are reported each year but there is still a lack of knowledge regarding its symptoms and cure. Most patients get scared on the sight of swollen or enlarged veins and are unaware of the fact that varicose veins are completely curable.

A poor understanding of this medical condition has made the people believe certain things about varicose veins that are not at all true. In this blog today, we will address some of the most common varicose vein myths and clear all misconceptions :

1. Varicose veins are caused due to a neurological disorder

This is undoubtedly the most common misconception related to varicose veins. A majority of the people believe that the visible varicose veins are actually nerves and seek medical advice from a neurologist instead of a vascular expert.

Varicose veins are not nerves and they do not need a neurological treatment. The “Pregabalin” medicine or any other neurological pain reliever that is prescribed by a neurologist will not offer any relief in case of varicose veins. These can only be treated by a vascular expert and a patient who has varicose vein symptoms must not think twice before booking an appointment with a vascular expert.

2. Varicose veins are treated by a dermatologist

Most patients who notice the skin below their knee joint turning darker due to varicose veins consult a dermatologist assuming it to be a skin allergy. They continue to consume medicines and use ointments as prescribed by the dermatologist without any significant improvement in their condition.

This is a clear case of stasis eczema, also called venous eczema which is secondary to varicose veins. For an accurate treatment of venous eczema, the patient must first cure its cause i.e. the varicose veins with the help of a vascular expert and then consult a dermatologist if the skin is still discoloured.

Using the dermatologist-prescribed steroid-based ointment isn’t suggested as it thins the skin causing a decrease in the local immunity which further increases the chances of infections and damage.

3. Venous ulcers can be treated by plastic surgery

Leg and foot ulcers are often confused with a mosquito bite, an injury or most commonly as a side effect of high blood sugar levels. These are ignored and left untreated until the patient witnesses severe pain and is unable to stand or walk.

Venous ulcers, the most popular type of leg and foot ulcers are actually caused due to varicose veins. Getting a skin graph or putting patches of artificial skin on these ulcers does not heal them. These procedures may rather cause more damage in the due course of time. The venous ulcers can only be treated if the varicose veins are also being simultaneously treated by preferably the same vascular expert.

4. Compression stockings will cure varicose veins

Another popular myth is that the compression stockings, also called support stockings are a perfect cure to varicose veins. This is not at all true. Compression stockings offer only temporary relief and that too only to a handful of patients who are at the initial stages of varicose veins.

These stockings are of little to no use for people with a long history of varicose veins. Using the compression stockings in a hot country like India may anyway lead to excessive sweating thus causing more damage than relief. You must never use support stockings without consulting your vascular expert.

5. Varicose veins surgery has a poor success rate

Even today, in this era of scientific growth and massive developments in the medical sector, a large number of people believe that there is no cure for varicose veins. This is far from the truth as varicose veins can be easily treated for patients of all age groups.

Though varicose veins have traditionally been always treated with surgical procedures, the endovenous laser treatments have also showcased a fair success rate for even the most severe cases of varicose veins.

At Avis Hospitals, under the guidance and support of Dr. Rajah V Koppala, we conduct approximately 5000 varicose procedures every year. With a booming success rate, we are proud to have become the leading hospital for the treatment of varicose veins in India. Book an appointment with us for quick relief and total cure of varicose veins!

Leg Ulcers – Types of Ulcers, Their Causes, Treatment Options and Means of Prevention

Ulcers are body sores that are caused due to breaks in the skin or the mucous lining. These take enormous time to heal and often keep returning back thus leading to chronic ulceration.

Ulcers can occur anywhere on the inside or outside of the body but leg ulcers are the most common, painful, and unpleasant form of ulcers found on the skin. These affect the lower region of the legs along with the feet and are caused due to poor blood circulation owing to injuries, infections, diabetes, certain skin diseases, tumours, or even vascular diseases like stroke, heart attack, angina, etc.

Types and Causes

  1. Diabetic Ulcers – Also called neuropathic ulcers, these are found on the under surface of the foot, under the fingers and under the toes. Patients with years of diabetic history develop poor blood circulation and loss of sensation due to nerve damage that leads to pressure ulcers.
  2. Arterial Ulcers – These occur on the tips of the fingers or the tips of the toes that become black, ugly, dry and edged out. Patients who have an arterial disease and get an injury that does not heal develop arterial ulcers over time.
  3. Venous Ulcers – These ulcers are very painful and occur around the medial or lateral part of the ankle. Most commonly found in patients with varicose veins, these are black in colour and are accompanied by massive fluid discharge.

Prevention

Leg ulcers are mainly caused due to improper blood circulation in the legs and feet. Hence, eating a balanced diet with low fat intake and regular exercise to enhance movement of the calf muscles is the best form of prevention.

Also, addressing any health issues like obesity, diabetes or varicose veins that are a leading cause of leg and foot ulcers can help in early detection of the symptoms and thus prevention of ulceration. In some patients with varicose veins, doctors may also recommend using the compression stockings on a daily basis to prevent leg ulcers.

Diagnosis

Patients can self-diagnose the case of leg ulceration if they notice redness or swelling on the skin around the ulcer, foul smell, ever-growing pain, green unpleasant discharge, and/or high temperature.

In most cases, doctors are able to rightly determine the type of the leg ulcer by merely analyzing its location and appearance. To evaluate the severity of restricted blood flow due to ulceration, doctors may compare blood pressure in legs to that in the patient’s arms. Furthermore, examinations like the Duplex Ultrasound can help bring to notice any medical issues of serious concern.

Treatment

The experienced team of doctors led by Dr. Rajah V Koppala at Avis hospitals has aided a record number of patients complaining of the most difficult types of leg ulcers. Before any form of treatment, they understand the cause of leg ulceration and treat not just the ulcers but also suggest the medical regime to cure the underlying cause.

While wound cleaning and anti-inflammatory drugs are prescribed to almost all patients, some may need to undergo vascular surgery as well. For irregular blood flow to the vessels in the leg, the doctors at Avis Hospitals perform angioplasty stent to repair it. There is also a cure for patients suffering from leg ulcers due to diabetes or varicose veins where blood is restricted from coming back.

Avis Hospitals cure an average of 75-80 leg ulceration patients every month and have a huge array of happy patients who are satisfied with the offered treatment. If you have early symptoms of leg ulcers or are already in pain, book an appointment with Dr. Rajah V Koppala for world-class treatment.