Is better to examine reflux on VSM when the patient is standing (vertical position) or when patient is lying (horizontal position)?

What does it mean when reflux to VSM is there when patient was standing (in vertical position) and the reflux is not there when the patient is lying (horizontal position)?

Answers from doctors (1)


Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

Published on Jul 27, 2017

If there is no reflux in the supine position, symptomatic patients should be studied in the upright position for venous insufficiency.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7743_1538076833.jpg
Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

If there is no reflux in the supine position, symptomatic patients should be studied in the upright position for venous insufficiency.

Published on Jul 11, 2012


Related Questions for DVT Ultrasounds

DVT Ultrasounds -6 answers
I had an ultrasound that says the bilateral greater saphenous veins are closed, and the lesser saphenous veins are closed. Findings are the GSVs and LSVs are bilaterally closed, no perforator veins are visible, all deep veins of BLE appear patent and compressible. What is the treatment for this?
See More
DVT Ultrasounds -3 answers
I had leg varicose surgery. Two days later, I had an ultrasound and my bandages were removed. Afterwards, I developed a very uncomfortable rash that started spreading more and more. What should I do?
See More
DVT Ultrasounds -2 answers
Could the Doppler from 7 days ago be accurate even though I am still having weird sensations?
See More
DVT Ultrasounds -1 answer
And also stated on paperwork “ultrasound shows old right gastrocnemius blood clot, treatment guidelines are very controversial.” He injured his leg four weeks ago and two weeks ago tremendous pain started. It’s weaned but he had his ultrasound today and the clot was found. No blood thinners prescribed. Bloodwork was ordered. But he was told he could travel for business on Sunday. I am very concerned. Is this a normal timeline of treatment?
See More
DVT Ultrasounds -1 answer
I am 31 yrs old and had a C-section on Dec 25th, 2017. For the last 2 months I've been experiencing pain in my left hip and back of the upper-thigh in the morning when I wake up. It subsides after a few hours. I also experience a tingling sensation in my foot. I am overweight and I used to breastfeed my baby mostly lying on my left side. Can this be the reason or is it something else? I am worried.
See More
DVT Ultrasounds -2 answers
I have a superficial clot. I've been on blood thinners a week & redness is spreading up my thigh. What could be causing this?
See More
DVT Ultrasounds -1 answer
The swelling looks about the same. I’m just experiencing more pain. There's no redness or tenderness on the leg, and no warmth either.
See More
DVT Ultrasounds -1 answer
I had a bump on my neck. I squeezed it, not thinking about the area I was squeezing. Ever since, the vein which I believe is the Internal Jugular Vein hurts. Should I ask for an ultrasound to rule out issues?
See More

Related Articles

Have specific questions?
ASK A DOCTOR