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Suggest Treatment For Redness And Knotted Veins
I have a 45 year old male that has had issues with his right lower extremity veins and finds that they are knotted in areas. He had an ultrasound in January,15 and was referred to vascular physician for ablation in 2 weeks in Denver. He notes an increase in redness moving up his interior thigh and it is less painful with use of compression stockings. He was advised by his doctor to take ibuprofen and use compression stockings which have helped. He is flying back to Denver Tuesday. I shared with him to call his vascular surgeon tomorrow and ask for an appointment earlier than 2 weeks and describe his symptoms to Vascular staff. He may need to be seen in ER in Mpls if symptoms worsen. Do you have any other recommendations? He is at a cabin 3 hours from Mpls and leaves cabin tomorrow.
Wed, 24 Jun 2020
Hi,
The redness in the lower limb is called superficial thrombophlebitis and the knotting of the veins is varicose veins. The problem affects the lower limbs and in people who have to stay standing for long durations. The blood which is supplied to the leg starts accumulating in the lower limbs and causes the blow outs of the valves of the veins of lower limbs which causes knotted veins.
The presence of superficial thrombophlebitis shows that the process is still progressive. If it is associated with calf pain, then deeper veins are also involved and it needs admission to a medical facility and emergency management of deep vein thrombosis. If only light pain and redness is present, then still the phenomenon is superficial and can be managed with conservative approach like applying proper size crape bandage or tight vascular stockings over the full lower limb.
Application of ice over the red area to reduce inflammation, while sleeping the legs should be raised with pillows under it, taking up of anti-inflammatory medications like ibuprofen and avoiding long duration of standing. For further management, Doppler ultrasound of the lower limb should be done with plan of ablation or stripping of the varicose veins by a vascular surgeon.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Manish Kumar Gupta, General Surgeon
The redness in the lower limb is called superficial thrombophlebitis and the knotting of the veins is varicose veins. The problem affects the lower limbs and in people who have to stay standing for long durations. The blood which is supplied to the leg starts accumulating in the lower limbs and causes the blow outs of the valves of the veins of lower limbs which causes knotted veins.
The presence of superficial thrombophlebitis shows that the process is still progressive. If it is associated with calf pain, then deeper veins are also involved and it needs admission to a medical facility and emergency management of deep vein thrombosis. If only light pain and redness is present, then still the phenomenon is superficial and can be managed with conservative approach like applying proper size crape bandage or tight vascular stockings over the full lower limb.
Application of ice over the red area to reduce inflammation, while sleeping the legs should be raised with pillows under it, taking up of anti-inflammatory medications like ibuprofen and avoiding long duration of standing. For further management, Doppler ultrasound of the lower limb should be done with plan of ablation or stripping of the varicose veins by a vascular surgeon.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Manish Kumar Gupta, General Surgeon
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