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What Causes Lower Leg Vasculitis After Flying?

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Posted on Tue, 5 Jul 2016
Question: Hi Dr. Savaskar,
I'm following up on our online conversation about lower leg vasculitis after flying from the USA to France 4 days ago without wearing my compression stockings.. I'm now wearing my compression stocking (knee-high) on the affected leg, elevating when possible, walking less, and taking Amoxicillin prescribed by the French pharmacist who looked at the leg.
My question is whether you think I should see the doctor here for a pain in the lower, back, left-side of thigh when bending ankle or when pressed on the same leg. I also have a mild, continuing head ache for a few days. I have never had deep vein thrombosis but I had large varicose veins by the knee removed by radiological surgery (not invasive) 3 years ago.
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Vascular Bump on leg above ankle / Under Follow up Evaluation

Detailed Answer:
Brief Ans-Vascular Bump on leg above ankle / Under Follow up Evaluation

Hi,Dear !! Thanks for your follow up query to HCM.
Read and reviewed your both the query facts in context to your health concerns of mild vascular bump/ swelling on lower leg.
I am pleased to hear that You are using suggestions given in last session.

More info please-
Dear, I reviewed both queries, but I could not find any information- which leg was treated for Varicose vein?Which leg had venous lump above the ankle?
How was the post-treatment progress after Endo-Venous -RFA(Radio-Frequency-Ablation)-treatment for Varicose Veins?Was there any swelling in lower legs/pain in calf etc?
Was there any increase in the lower leg girth -post-treatment?
How long You are without the Venous Stockings lately prior to this event?
Any pains in the lower post-thigh area/ or in calf area-in first 6 weeks post-treatment 3 yrs back ?
Since how long time, you observed pain in ankle on its ?Up or /?Down-movements ?
What you mean by-post thigh pain while bending ankle-please explain more?
Please update -how long you are there in France?

My Reply to your query-
Q-1-My question is whether you think I should see the doctor here for a pain in the lower, back, left-side of thigh when bending ankle or when pressed on the same leg?

Ans-1-As you have complaints of pain,while ?Dorsi-flexion(upward)/Plantar-flexion(downward) of ankle joint?, chances of chronic venous incompetency deep leg veins is suspected.
In this scenario I would suggest you to Consult Vascular Surgeon-as soon as possible-as suggested in last session.
And get the USG and Colour Doppler Study of the leg Veins on the side of the vascular swelling and of other legs-for comparative study-for any DVT after Radio-frequency Ablation of the Varicose Veins.

In absence of any more details,I can't assess the severity of this vascular swelling above the ankle,as this swelling could be from your Old or new progressive DVT(Deep Vein Thrombosis).

-Whether to Show it to French Doctors-while in France?
Still-based on available information-The choice of showing it to FRENCH doctors is not an emergency,if this thigh pain reduces and recovers in next 2-3 days.It could be used only if more pain continues after 3 days time.

Any more information as asked above, would help Me to suggest further course of action,after specific questions hereafter.

Till the time you update this information, the course of action as suggested above, needs to be followed along with suggestions in last session.

Next appointment-
Any time -in case of emergency needs/ and or after 10 days, by which time you would be with your USA doctors and would have come out with investigations,for further help in planning future treatment.

Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.

Dear, Hope this reply would help you to resolve your health issues and its worries, with help of your doctors there.

Welcome for any further query in this regard.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied, Don't forget to close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services.


Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What Causes Lower Leg Vasculitis After Flying?

Brief Answer: Vascular Bump on leg above ankle / Under Follow up Evaluation Detailed Answer: Brief Ans-Vascular Bump on leg above ankle / Under Follow up Evaluation Hi,Dear !! Thanks for your follow up query to HCM. Read and reviewed your both the query facts in context to your health concerns of mild vascular bump/ swelling on lower leg. I am pleased to hear that You are using suggestions given in last session. More info please- Dear, I reviewed both queries, but I could not find any information- which leg was treated for Varicose vein?Which leg had venous lump above the ankle? How was the post-treatment progress after Endo-Venous -RFA(Radio-Frequency-Ablation)-treatment for Varicose Veins?Was there any swelling in lower legs/pain in calf etc? Was there any increase in the lower leg girth -post-treatment? How long You are without the Venous Stockings lately prior to this event? Any pains in the lower post-thigh area/ or in calf area-in first 6 weeks post-treatment 3 yrs back ? Since how long time, you observed pain in ankle on its ?Up or /?Down-movements ? What you mean by-post thigh pain while bending ankle-please explain more? Please update -how long you are there in France? My Reply to your query- Q-1-My question is whether you think I should see the doctor here for a pain in the lower, back, left-side of thigh when bending ankle or when pressed on the same leg? Ans-1-As you have complaints of pain,while ?Dorsi-flexion(upward)/Plantar-flexion(downward) of ankle joint?, chances of chronic venous incompetency deep leg veins is suspected. In this scenario I would suggest you to Consult Vascular Surgeon-as soon as possible-as suggested in last session. And get the USG and Colour Doppler Study of the leg Veins on the side of the vascular swelling and of other legs-for comparative study-for any DVT after Radio-frequency Ablation of the Varicose Veins. In absence of any more details,I can't assess the severity of this vascular swelling above the ankle,as this swelling could be from your Old or new progressive DVT(Deep Vein Thrombosis). -Whether to Show it to French Doctors-while in France? Still-based on available information-The choice of showing it to FRENCH doctors is not an emergency,if this thigh pain reduces and recovers in next 2-3 days.It could be used only if more pain continues after 3 days time. Any more information as asked above, would help Me to suggest further course of action,after specific questions hereafter. Till the time you update this information, the course of action as suggested above, needs to be followed along with suggestions in last session. Next appointment- Any time -in case of emergency needs/ and or after 10 days, by which time you would be with your USA doctors and would have come out with investigations,for further help in planning future treatment. Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem. Dear, Hope this reply would help you to resolve your health issues and its worries, with help of your doctors there. Welcome for any further query in this regard. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Don't forget to close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services. Keep Me updated,if you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS