Restless syndrom..it's hard to walk without my legs giving out
I have real bad veins under my legs. Some times they bleed and I have restless syndrome. It's hard to walk without my legs giving out. Can you help me?
The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice,
diagnosis or treatment by a qualified health care provider.
Replied on 3/22/2011
By: Nu Vela Esthetica | Raffi Dishakjian, M.D.
Porter Ranch, CA
It sounds like you need a vein consultation for advanced vein disease.
There are many minimally invasive treatment options that could be helpful
in treating the underlying causes of your vein disease. An accurate
diagnosis is essential, though , before coming up with a treatment plan.
Replied on 3/21/2011
By: Vein Specialists | Joseph G. Magnant, M.D., F.A.C.S.
Fort Myers, FL
The legs "giving out" is a difficult one to answer. In regards to the
bleeding veins and restless legs, these are often completely improved after
treatment of the underlying insufficiency or leaky veins. If your legs give
out because of pain or aching, these symptoms may very well be directly
related to your insufficiency if you have serum building up in your skin,
fat and muscles in the legs. If your legs feel better in the morning and
are smaller in size in the morning and your legs feel progressively worse by
the end of the day this pattern of symptoms is also consistent with leaky
veins or venous insufficiency. I would suggest you find a well trained
qualified vein specialist and schedule a consult with them. You should be
asked to wear shorts or be offered a pair of shorts for your exam. Odd as
it may seem, just today 3 of the 15 new patients seen in my practice for the
above symptoms had seen other vein specialists and had never had their "legs
examined" before they were told they did not have a vein problem. All 3 had
severe venous insufficiency on my exam and I am confident ultrasound
evaluation will further define their anatomy and we will have >95% chance of
Replied on 3/21/2011
Replied on 3/21/2011
By: Vein Specialties of St. Louis | Norman Bein, M.D.,FACS,RVT
Creve Coeur, MO
If you have bad veins combined with feelings of restless leg, you should be evaluated by a surgeon specializing in vein disease. Often there can be underlying valve insufficiency in the saphenous system which causes blood to "pool" in the lower legs. When you elevate your legs at night they legs "drain" and the nerves and muscles can be twitchy, painful and restless.
We find, in our practice, that wearing medical grade compression (20-30mmHg or above) can alleviate this symptom. These should be prescription, measure by a certified fitter early in the day.
The most important thing is to get a full evaluation including ultrasound examination. Insurance will pay for this with symptoms.
Norman N. Bein MD FACS
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