Don’t ignore leg pain-it could be vascular

Most of us experience pain in the legs while resting, but a majority of us ignore the pain or at the most take some pain killers and get momentary relief. But such repeated occurrence of leg pain is not to be ignored as it could be due to an underlying Vascular problem.
The Vascular disease is caused due to the blockage of artery to the leg. It is due to the deposition of fat within the artery wall narrowing it and thus leading to reduced blood supply to the leg and causing pain and other problems. Diabetics and heavy smokers have to be extra careful. The following are the symptoms of vascular disease. Pain on walked relieved by rest. Pain preventing you from sleeping at night (rest pain)
Pain in the legs, hips, buttock, while walked they relieved by rest. Pain when lying down (or when legs are elevated) relieved by dangling or lowering legs.
Change in colors appearance of legs and feet. Thin shiny on the legs. Thickened brittle toe nails No hair on toes, legs and calves. Feet turn dark when down, tum pale when up, Blue or purple toes.
Wounds (Ulcers) on the the lower legs found between toes or on the tip of the toe. Outside of the ankles anywhere your shoes rub. According to Vascular surgeon, if the pain prevents you from sleeping at night, one may be in danger of losing his leg and has to the notice of a vascular surgeon”.
Doctors further says not everybody needs hospitalization if the pain is not interfering with your life style then exercise and complete abstinence from smoking is required. The patient suffering from the above symptoms has to undergo as Vascular. Firstly colour Doppler or Ultrasound of the leg arteries to show the site of narrowing or blockage, and seeing if collaterals will be capable of taking the increased blood flow post operatively.
The second test is Angiogram before the surgery. It is a slightly painful invasive technique showing the inner lining of deceased arteries along with the extra channels (collaterals) making the legs survive so long.
As mentioned earlier, if the patient has pain only while walking and that is not interfering with his life style, then probably exercise and complete abstinence from smoking will help. In other cases two kinds of surgeries are performed depending on the intensity of the problems. In the case of Minimal Invasive Surgery, a patient needs hospitalization for 1-2 days. This technique is basically ballooning of the arteries (angioplasty). It is dependent on the site and length of the blockage. A wire is passed from the groin or the arm to the site of mischief. A Balloon is passed over this wire to dilate the narrowing or blockage once achieved then a stainless steel stent is put into the area to prevent narrowing again. If possible, this is an excellent option with good results and long patency rate, says Doctors. The second type is Bypass Surgery where the patient needs Surgery where the patient needs hospitalization for 7-10 days. It is similar to the heart bypass except here the leg artery is being bypass using your own vein or synthetic graft. In high flow system like the Aorta these last well over 20 years, while those below the groin last anywhere from 10-15 years. Good collaterals develop in the mean time and give enough blood to the leg. The last and final option of not performing a surgery is possible in a critically” Ischaemic leg “
Then Intra-Venous strong vasodilator drugs may be given over 5 days to try and dilate your vessels by drugs. Doctors further says that less than 2% land up with major amputation if timely advise is taken from the vascular surgeon .Life would become much better if not absolutely normal.
In US, 10% of the people over 70 years have blocked arteries and those in the age group of 40-69 have 3 to 4% blocked arteries. The statistics for India are not available but presume that they are higher than US.

Don’t put too much pressure on your ankles
Being a couch potato can be harmful to one’s feet is equally bad, if not worse, say Vascular surgeons. Jawans of the armed forces and police personnel, counter sales staff at shops and women doing their household chores are at risk of getting affected with Varicose Veins as their work mostly involves maintaining a standing posture, they say.
“When we stand the ankles take all our weight. In a normal person, on standing, the weight of blood is transmitted to the ankle the column of blood into small compartments and reduces the pressure at the ankle.
“However, when the valves are spoilt, the weight of the entire blood column is transmitted to the ankle (which is increased to more than 10 fold). This leads to distressing complications like profuse bleeding, discoloration and ulcers,” says Doctors.
Vascular surgeons provides a service concerned with the diagnosis, treatment and prevention of diseases affecting arteries, veins and lymphatics.

DVT: The Deadly Killer
If you’ve been stationary for long and you have pain and swelling in your leg, take care, it may be Deep Vein Thrombosis (DVT), Says Doctors, and Vascular surgeon.
If you’ve been stationary for long and you have pain and swelling in your leg, take care, it may be Deep Vein Thrombosis (DVT), Says Doctors, and Vascular surgeon.”I’ve dealt with nearly 100 cases of DVT in the recent past and several victims were between the ages 18-35 years. People more likely to suffer from DVT include those who travel for long hours, continuously work on computers, remain immobile for hours, or those who ride a bike for long, etc. A blood clot forms usually in the calf region which when travels to the lungs can result in heart failure. In acute cases, patients survive for less than 30 minutes’, if not attended. To avoid DVT,
People should drink plenty of fluids or rail journey, move ankles frequently and elevate your legs a bit before going to sleep.”

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