What to Expect When Consulting with a Vein Doctor about Varicose Veins
Posted: Monday, August 19, 2013 | Revised: August 12, 2013
What to Expect When Consulting with a Vein Doctor about Varicose Veins
The Vascular Disease Foundation says that varicose veins are “probably among the most common chronic conditions in North America and Western Europe.” Most of these people have problems limited to the circulation in their legs. Some, however, have less common vein problems. The most qualified vein doctor performs a thorough examination to detect any underlying problems that may have caused varicose veins.
Many patients are startled when their vascular surgeons take a “whole body” approach during consultation instead of just focusing on the blue, bulging veins in their lower legs. The best vein clinics record a detailed personal and family history, review medications, perform thorough physical exams, and use the latest technology to assess vein problems and create effective treatment plans. Physicians may suggest further testing with x-rays and laboratory tests, if indicated.
The “Normal” Varicose Vein
Blood flows from the heart to the lungs then back to the heart again. The heart then pumps this oxygen-rich blood to the rest of the body, including the lower extremities. The elastic walls of veins help the heart pump blood back up to the heart, aiding in the fight against the forces of gravity. Valves keep blood from flowing backwards, a condition known as reflux.
In some cases, the walls of veins lose their elasticity and allow blood to pool in the individual’s calf, ankle, or foot. In other cases, a valve fails, allowing blood to reflux downward. Pooling blood pushes against the weakened walls of veins, causing part of the wall to bulge outward, creating a varicose vein.
While painful and unsightly, most varicose veins do not develop into a more serious medical condition. Doctors typically recommend lifestyle changes. Sometimes a vein doctor will suggest medical procedures to shrink enlarged veins.
The Consultation
Not all varicose veins are created equally and it is up to the vein doctor to distinguish between a “normal” varicose vein and a more significant medical problem.
Doctors or nurses at a vein clinic will review the patient’s symptoms to make sure they are consistent with varicose veins. The healthcare professionals will then gather a detailed family and personal history to learn if there is a tendency to develop blood clots. Lastly, the clinician will review the patient’s medications, as some drugs may cause symptoms or interfere with treatment.
The physician will conduct a physical examination, usually starting with the patient’s head, neck, lungs, and heart to discover if an underlying heart problem led to leg swelling. The clinician will palpate the patient’s abdomen to feel for any masses or large bulges in arteries. The vein doctor will check the patient’s pulse for signs of Peripheral Artery Disease, a dangerous condition worsened by compression hose usually prescribed for varicose veins. The surgeon will also evaluate the patient for kidney problems that can cause swelling in the lower extremities.
Michigan vein treatment specialists use the latest tools and techniques to ensure your varicose veins are not something more serious. Consult with your local Michigan vein doctors to learn more.