First, consult a vascular specialist to discuss the problems. A venous duplex ultrasound and compression stockings will be the next step in the evaluation of leg swelling.

Published on Jul 11, 2012

You should see a vein specialist for a full venous evaluation, including a venous ultrasound to look for underlying malfunctioning of the saphenous or deep system valves. There are many causes of leg swelling and the veins may not be the cause even if the valves are refluxing.

Published on Jul 11, 2012

Vein disease can potentially be a cause of your swelling, but other things like heart issues, kidney and liver disease to name a few can also do it. From a vein treatment standpoint, it depends on what you have. This is why we do free consults at our office. We will do a quick ultrasound of your legs and then educate you about vein disease and what you have.

Published on Jul 11, 2012

A diagnostic venous ultrasound will tell if your veins are functioning properly or not. Based on the results of the ultrasound, a treatment plan would be recommended. They are all office-based procedures and are done under local anesthesia if the ultrasound shows that the vein is broken.

Published on Jul 11, 2012

You may have vein disease, but only a full examination by a vein specialist can determine that. Treatments are quite easy and low risk so I advise you to set an appointment up with your local vein center.

Published on Jul 11, 2012

The most important question to be asked is whether or not the swelling goes away overnight when you go to bed. If the answer is yes, vein surgery may be beneficial. If the answer is no, vein surgery is less likely to help. Either way you should see a vascular surgeon specializing in treating vein disease. He can perform an ultrasound to help to determine the reason your leg swells.

Published on Jul 11, 2012

What the foot doctor is referring to is an ultrasound of your veins (venous reflux study) which is painless. We do the testing in our office and it takes about 20 minutes to do, but will tell you how your veins are functioning. You can try elevating your legs, that may help with the swelling – it will not correct the problem but could help temporarily.

Published on Jul 11, 2012

Find a vein specialist in your area.

Published on Jul 11, 2012

A duplex ultrasound can help sort this out. It is a painless procedure done in the office. It can quickly determine if you have a vein problem. Swelling (edema) has many causes such as arthritis, chronic knee or ankle injuries or heart failure. In the meantime, an 18-20mm Hg knee compression hose can help with the swelling regardless of the cause.

Published on Jul 11, 2012

An ultrasound exam at a vein center would be the best approach. You may have lymphedema, which can be diagnosed at the same center. Treatment would be different than for vein disease. Sounds like you should at least find out what's going on.

Published on Jul 11, 2012

You should see a specialist, a physician exclusively taking care of venous circulation, for full evaluation and appropriate treatment. If veins are responsible for your condition, the correct approach these days should never involve open surgery, but might require a minimally invasive procedure. Something that is performed through a needle under local anesthesia right in the office. Hope this helps.

Published on Jul 11, 2012

Foot swelling and leg swelling can be caused by many things such as liver, kidney, heart and hormone issues, as well as vein disease. Your internist or primary care doctor should be your next visit, before seeing a vein specialist.

Published on Jul 11, 2012

Complex question. It depends on exact condition and vein anatomy. I would get several opinions from vein specialists.

Published on Jul 11, 2012

You may need to be evaluated for venous insufficiency or reflux disease. This would be done with an ultrasound. I would seek out someone who specializes in treating veins.

Published on Jul 11, 2012

Not all swelling in the lower legs is caused by venous insufficiency. You should see your family doctor to check blood pressure,etc.
You should also undergo a venous ultrasound to rule out a blood clot, especially if the swelling is limited to one leg. If all of this is negative, a venous mapping ultrasound by an experienced surgeon who specializes in treating veins to check for venous reflux (backflow) is recommended.

You should have a medical compression hose measured and fitted and of at least 20-30 mmHg.

Published on Jul 11, 2012