Perforator Veins Incompetence & Chronic venous insufficiency Treatment

PERFORATOR VEINS INCOMPETENCE

Perforator veins traverse the deep fascia of the leg while forming communication channels between the superficial and deep venous systems. Perforator veins connect the superficial to the deep veins. Direct perforator veins are the classical perforators that connect superficial to deep veins while indirect perforators are more variable in their location and connect superficial veins to muscular veins.

Recurrent lower limb venous insufficiency is often a challenge in clinical practice and is most commonly due to incompetent perforators. Many of these patients do not have adequate symptom relief with compression and require some form of treatment for incompetent perforator interruption.

Incompetent superficial veins are the most common cause of lower extremity superficial venous reflux and varicose veins; however, incompetent or insufficient perforator veins are the most common cause of recurrent varicose veins after treatment, often unrecognized.

Perforator vein insufficiency can result in pain, skin changes, and skin ulcers, and often merit intervention.

CAUSES

Chronic venous insufficiency causes and risk factors. Weak or damaged valves cause chronic venous insufficiency.

Some risk factors that can lead to weak or damaged valves include:

Personal or family history of varicose veins
Being age 50 or older
Being female
Obesity
Pregnancy
Deep vein thrombosis (DVT), or a blood clot in a vein deep below your skin
Sitting or standing for long periods
Being physically inactive
Smoking
Symptoms

SYMPTOMS

Chronic venous insufficiency symptoms can include:

Heaviness, tiredness, aching, fatigue, swelling, or pain in your legs.
Skin discoloration in the middle of the calf or the ankle.
Skin ulcers, or wounds that do not heal.
Varicose veins — or large, swollen, twisted veins — that you can see under your skin. These may also cause burning, aching, heaviness, and pain.

To diagnose chronic venous insufficiency, Dr. Ruz will:

Ask about your symptoms.
Review your medical history.
Give you a physical exam.

Your surgeon may also use imaging tests to confirm a chronic venous insufficiency diagnosis.

When you choose Dr. Ricardo Ruz, you are choosing a health care provider, who will ensure the most up to date, highest quality care available using state-of-the-art medical technologies. Whether you are seeking an initial examination or a second opinion for your condition, Dr. Ruz and his staff are available to discuss further options and consult on possible treatments.

SCHEDULE A VISIT

DIAGNOSTICS

If you think you have symptoms of Perforator veins, Dr. Ricardo Ruz has the expertise and years of experience to treat them with the best possible procedures available in the industry.

Visit Dr. Ruz for a physical examination in order to consult on possible treatments for your health or esthetic concerns.

To diagnose vascular conditions, Dr. Ruz will do a physical exam, including looking at your legs while you’re standing to check for swelling. He may also ask you to describe any pain and aching in your legs. Accurate diagnosis is mandatory to define the anatomy and pathophysiology involved in the disease process.

Following the examination, Dr. Ruz will determine if the patient needs a Doppler, or if sclerotherapy treatments can start right away. He will estimate the number of treatments required.

In order to confirm a diagnosis of venous insufficiency of deep veins and to plan treatment, patients may need to have an ultrasound during their first visit.

Dr. Ruz uses high quality ultrasound transducer to allow visualization of the veins in high definition and to apply Doppler technology to measure venous reflux.

Followed the duplex, Dr. Ruz will suggest possible treatments for your health or esthetic concerns.

When you choose Dr. Ricardo Ruz, you are choosing a health care provider, who will ensure the most up to date, highest quality care available using state-of-the-art medical technologies.

Followed physical examination and in some cases ultrasound, Dr. Ruz will offer you possible treatments for your vascular conditions.

See below all possible solutions for Perforator veins condition.