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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Edema In Lower Legs

I have edema in my lower leg, caused by chronic venous insufficiency.

I wear thigh length compression stockings, which relieve the discomfort, however I can still feel the pitting through the stockings which are 30/40 hg. Should I consider a stronger compression? I am a 73 year old male in good health very active, can do 4/5 mile power walks golf pilates. I am overweight 5'9 220 and jouned weight watchers
Mon, 18 Jul 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.

My opinion-
In the given situation-You seem to suffer from-Varicose Veins with Incompetant Veins causing Venous Edema,despite of Venostockings.
This indicates-?deep vein thrombosis, and would need Consults with Vascular / veins Surgeon to evaluate suggestions on Veno-stocking usage.
USG with Color Doppler study would fix this issue.
EVLT with foam sclerosant therapy of incompentent veins with thrombolytic corrections by percutaneous Cather directed thrombolysis with phosphotidyl choline(Altplase / or activase) treatment would fix these problems with long remissions.

Further suggestions in this regard would need ore information /investigations after getting more details from You.


This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment.

Hope this would help you to plan further of this complex illness of yours.

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 feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


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.
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest Treatment For Edema In Lower Legs

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion- In the given situation-You seem to suffer from-Varicose Veins with Incompetant Veins causing Venous Edema,despite of Venostockings. This indicates-?deep vein thrombosis, and would need Consults with Vascular / veins Surgeon to evaluate suggestions on Veno-stocking usage. USG with Color Doppler study would fix this issue. EVLT with foam sclerosant therapy of incompentent veins with thrombolytic corrections by percutaneous Cather directed thrombolysis with phosphotidyl choline(Altplase / or activase) treatment would fix these problems with long remissions. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. 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 feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. 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. Senior Surgical Specialist M.S.Genl-CVTS