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Which doctor treats varicose veins?

02 Jul 18

Which doctor treats varicose veins and how to find them?

People rarely rush to see a doctor if they discover signs of venous insufficiency in their legs. Many people think that the manifestation of varicose veins is not a fatal phenomenon that does not require special attention. When the symptoms of the disease begin to cause discomfort, in particular: swelling, fatigue, large venous protrusions or lumps appear, many people think about visiting a specialist who deals with this problem. So let's figure it out: which doctor treats varicose veins on the legs and where to find them?

So, which doctor should you go to when there is a problem with blood circulation in the vessels of the lower extremities? A phlebologist is a highly specialized doctor. You should contact him for varicose veins of any severity. Accordingly, the medical science that studies the structure of the human vascular system, the causes of disruption of its activity, symptoms of the disease and treatment methods is called “phlebology”. But in order to get an appointment with a phlebologist, you need to visit a therapist, and possibly a vascular surgeon.

At the first defects in the skin from varicose veins, you should first go to a therapist. The doctor will definitely prescribe general blood and urine tests, they will show the general condition of the body. After this, the general practitioner will give a referral for a free consultation with a phlebologist who will help cure the disease.

If you did not have time to consult with a therapist in time, and the disease is actively manifesting itself, then go straight to a vascular surgeon or an angiologist. He will examine swollen and dilated veins, the appearance of varicose nodes, prescribe tests, and then surgery. Since in such situations the only correct solution is surgical intervention.

To get a free consultation with a doctor on varicose veins, you need to go to a local clinic. Find out at the reception which doctor deals with vascular problems and whether you can come to see him. They may advise you to first visit a therapist, who will give you a referral to a multidisciplinary clinic in your city.

There is another way to get to a phlebologist - a specialized private clinic or medical center that deals with vascular diseases. But there are paid services. The center will advise you which doctor you should see for varicose veins. Perhaps you will first go to a therapist, he will assess your condition and refer you to a doctor who treats varicose veins, but it all depends on the stage of development of the disease.

The phlebologist will definitely ask the patient about his health, examine the problem area, assess the condition of the veins, conduct a diagnostic examination, and then prescribe treatment.

Diagnostics prescribed by a phlebologist usually include:

  1. Duplex scanning of veins. This is the most reliable way to examine the condition of the vessels of the lower extremities, which will show the presence or absence of thrombosis.
  2. Contrast venography. It will help determine the condition of blood vessels, the presence of blood clots and neoplasms. The principle of this method is to introduce a special substance of a contrasting color into the capillaries, which on an x-ray image allows you to determine the condition of the veins and the degree of varicose veins.
  3. Blood chemistry.
  4. If conservative treatment of varicose veins does not produce positive results, the patient is recommended to consult a vascular surgeon. Practicing angiologists have non-surgical treatment methods, such as sclerotherapy and laser correction. But these methods are effective at the early stage of varicose veins. Sclerotherapy allows you not to affect healthy areas of the veins, but to remove only dilated sections of blood vessels. Laser correction painlessly removes veins on the legs without damaging the skin.

    When should you make a quick decision?

    At the first signs of the disease, people usually have no idea which doctor they should contact for varicose veins, and if they do know and even once contacted him, they are afraid to go to him. Many begin to self-medicate, which only worsens the situation. Varicose veins develop in four stages. But in the first two, people are in no hurry to go to a medical facility. Because they are afraid that the doctor will send them to the operating table. However, this only happens in very advanced situations. Varicose veins can be cured non-surgically: with the help of tablets, ointments, creams, gels, physiotherapy, compression garments, radiofrequency therapy, hirudotherapy (leech treatment), a healthy lifestyle without fatty foods and bad habits.

    Are surgeries performed free of charge in Russia?

    If you have a compulsory health insurance policy, you may be entitled to a free operation. It can be issued in all regions of the country and in any insurance company. All detailed information about free services is available to the attending physicians, who give patients an opinion on the need for surgical intervention. However, we have to be understanding of the difficulties of surgical treatment in public medical institutions, where there is not always the appropriate technical support and specialists. In public clinics, each step takes a long time to implement. And the process of hospitalization of the patient can drag on for several months. Therefore, many patients choose specialized private clinics and centers. These institutions definitely have all the necessary specialists who will conduct a detailed examination and will not delay the process of surgical intervention for long, if necessary.

    Now it is clear to you where to go if a problem arises and which doctor will help cure varicose veins. Remember that in the early stages, varicose veins can be treated with medication, and also avoid many problems with pathological changes in blood vessels. Therefore, do not neglect your health, make an appointment with a specialist in a timely manner.

    Which doctor treats varicocele

    Varicocele is a pathology affecting the male testicles and scrotum, caused by varicose veins of the pampiniform plexus of the spermatic cord veins.

    Often the disease is a consequence of impaired blood supply throughout the body. In this regard, when signs of dilated veins of the scrotum are detected, many people have a question about which doctor treats varicocele - a phlebologist or a urologist-andrologist? Depending on the extent of the spread and causes of the disease, it is possible to involve various specialists.

    Which doctors should I contact?

    The testicles are the male reproductive organs. A urologist deals with the pathologies associated with them. All problems with the genitourinary system are within his competence. Moreover, both women and men are referred to a urologist for diseases of the urinary organs. Urology (as opposed to nephrology) is a branch of surgery that solves most problems surgically. A urologist-andrologist has a narrower profile, to whom only men turn for various diseases of the reproductive system. An andrologist diagnoses testicular pathologies, including varicose veins. A urologist-surgeon directly deals with varicocele surgery.

    If you suspect the first symptoms of a developing disease, you should make an appointment with a urologist-andrologist, who will conduct an examination and prescribe treatment.

    After the diagnosis has been carried out, the causes of varicocele have been clarified and surgical intervention to prevent relapses is likely to be treated and observed by a phlebologist - a specialist who deals with venous pathologies.

    Varicocele does not develop so often - 15-17% of all cases of testicular diseases, however, with an unexpressed course of the disease, patients rarely seek diagnosis and help, so the statistics are approximate. Mostly, varicocele is discovered during medical examinations, since in the early stages there are almost no symptoms.

    Due to the peculiarities of the localization of the vein flowing into the scrotum, the pathology usually develops on the left (in 80% of cases). Bilateral lesions are extremely rare.

    Initially, an incipient varicocele does not manifest itself in any way. The disease can be diagnosed only by ultrasound or using Dopplerography of blood vessels, both in a standing and lying position, otherwise there is a chance of not noticing the affected veins. At the first stage of development, there are also no symptoms, except for a minor change in the structure of the surface of the skin of the scrotum during tension (Valsalva maneuver). Only a urologist-andrologist can pay attention to this during examination and palpation.

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    Upon reaching the second stage of development, the signs of varicocele are already more obvious. The doctor palpably detects dilated veins both in the patient’s standing and lying position.

    Varicocele does not develop so often - 15-17% of all cases of testicular diseases

    At the third stage, the man himself sees deviations from the normal structure of the scrotum:

  5. on the affected side the skin sags, the testicles are located asymmetrically;
  6. the surface of the scrotum is dotted with winding grooves - protruding veins;
  7. the testicle decreases in size.
  8. Heaviness is constantly felt, and pain of varying intensity occurs at the slightest physical exertion. In addition to discomfort, varicocele can cause infertility (in 40% of cases), since the blood supply to the testicle is seriously impaired and pathological changes occur in its tissues. It is recommended to include a spermogram in diagnostic methods to determine the state of reproductive function.

    Reasons for the development of varicocele

    Several factors can provoke varicocele:

  9. hereditary predisposition. The likelihood of varicose veins of the cord increases significantly if one of the relatives is registered with a phlebologist, suffering from heart valve disease, vascular diseases, or varicose veins of the lower extremities;
  10. chronic high blood pressure in the pelvic area;
  11. persistent constipation or diarrhea;
  12. regular lifting of weights.
  13. The mechanism of development of varicocele is triggered due to the inability of venous valves to fully perform the locking function, preventing the reverse flow of blood. This leads to dilation of the vessels and veins surrounding the spermatic cord.

    The only effective way to treat varicocele is surgery. However, the use of this method is not always justified. The decision is made by a urologist-andrologist after an examination. If varicocele is diagnosed in an adult man and does not cause him discomfort, then surgical treatment is usually not used. But when the veins of the cord are dilated in children, it is necessary to take measures, otherwise there is a high probability of complications in the form of underdeveloped testicles, stunted growth and infertility. If treatment is carried out after puberty, the chances of restoring normal spermatogenesis are significantly reduced.

    Indications for surgery in adults are the following factors:

  14. palpable pain;
  15. pronounced asymmetry of the scrotum, causing aesthetic discomfort;
  16. infertility caused by a decrease in the quantity and quality of sperm.
  17. The andrologist gives the patient a list of tests that must be taken before surgery and determines the method of surgical treatment.

    For varicocele, surgery can be performed using several methods.

    Types of operations for varicocele

    For varicocele, surgery can be performed using several methods (more than 50 in total), which differ in the methods of access to the damaged area and the time required for rehabilitation.

    This treatment option is one of the most commonly used by surgeons for varicocele. To carry out the manipulation, local anesthesia is sufficient. The essence of the procedure is to inspect dilated veins through a small incision and bandage them with a special material. As a result of this operation, blood flows through other channels, the symptoms of varicocele are relieved. The patient is in the hospital for about 24 hours, but if there are no complications, discharge can take place on the day of admission after rest and recovery. As part of post-operative care measures, it is recommended to periodically apply a cold compress to the operated area for about a day to prevent hemorrhages and inflammation.

    The least invasive way to treat varicocele. A special sclerosing substance is injected into the affected vein to block blood flow. For this, local anesthesia is sufficient. The recovery period takes several hours. However, the risk of relapse is higher than after ligation.

    Laparoscopic resection (varicocelectomy)

    This operation is the most popular. It is performed using a minimally invasive approach under general anesthesia. Special thin instruments (trocars) are inserted into the abdominal cavity, and the peritoneum (the membrane covering the internal organs) above the internal inguinal ring is dissected. During the intervention in the retroperitoneal space, the number of branches of the testicular vein is assessed for the purpose of their ligation (ligation) and excision. Only the main artery is left and preserved, which significantly reduces the risk of re-development of varicocele. Next, a control inspection is made to exclude damage to the internal organs, the trocars are removed, and sutures are placed at their insertion sites. You won't need to stay in the hospital for long. The next day the patient goes home and can lead his usual lifestyle, excluding physical activity for some time.

    Microsurgical testicular revascularization

    The intervention is performed using a specialized microscope under local anesthesia. How long will the operation take? depends on the stage of varicocele, the condition of the blood vessels. The process may take several hours. This type of treatment is highly effective and has a low relapse rate.

    Traditional open surgery (according to Ivanissevich and Palomo)

    These techniques are already considered outdated and irrelevant, since they are quite traumatic and fraught with various types of complications. However, in some institutions they are still used in some cases.

    Microsurgical revascularization of the testicle is performed using a specialized microscope under local anesthesia

    The effect after minimally invasive treatment appears the next day in the form of a reduction in the size of the scrotum. The sutures on the skin are removed on the 7th day. Physical activity is usually limited for a period of about 10 days, but how much time is required in each specific case depends on the patient’s condition. The final result can be assessed after 3-6 months. Diagnostics are carried out: vein scanning and spermogram. A small, barely noticeable dot remains at the seam site.

    Complications after surgery to remove varicocele using modern methods rarely occur. The likelihood of their manifestation depends on the stage of development of the disease, the condition of the patient’s veins and vessels and the skill of the surgeon.

    During the operation, the following negative situations are possible:

  18. heavy bleeding;
  19. nerve damage;
  20. another artery was mistakenly ligated;
  21. allergic reaction to the embolization agent.
  22. All of the above problems are eliminated immediately.

    Complications are likely after surgery:

  23. hematoma – accumulation of blood in the scrotum. Appears when a large vessel is damaged. The scrotum increases in size, acquires a purplish-bluish tint, and is painful to the touch. The hematoma can resolve on its own, but there is a risk of infection and necrosis, so you should inform the operating surgeon about this complication or contact any urologist-andrologist for monitoring;
  24. hydrocele – hydrocele of the testicle. As a result of injury to the lymphatic vessels during surgery, the outflow of fluid from the testicular membranes is disrupted and its accumulation occurs. The scrotum visually gradually increases in size, and a fluctuating formation around the testicle is felt under the skin. This phenomenon should not be confused with postoperative edema, which sometimes occurs and disappears quickly. Hydrocele is diagnosed by a urologist-andrologist using ultrasound or palpation. In some cases, it is necessary to resort to a surgical method of getting rid of dropsy;
  25. testicular atrophy - death of the testicle. After surgery, varicocele may occur due to compression of the spermatic artery. It is important to notice the onset of the process in time, since the disease is not accompanied by pain and obvious visual signs. An alarming symptom is a decrease in the size of the testicle, its lethargy, lack of tone, and too soft a consistency. With timely surgical intervention by a urologist, irreversible consequences such as infertility can be avoided.
  26. Relapse after surgery on varicocele manifests itself in the form of re-development of varicose veins

    After surgery for varicocele, a follow-up examination is scheduled with a urologist-andrologist, during which the condition of the testicular vein is assessed. But complications may arise later, so you should carefully monitor the tone of the testicles and the skin of the scrotum, without delaying a visit to the doctor if suspicious symptoms are detected.

    Relapse after surgery on varicocele manifests itself in the form of re-development of varicose veins. The probability of such a situation occurring is up to 40%. There are several reasons why recurrent varicocele appears:

  27. the surgeon did not find a duplicate vein during the intraoperative examination, the blood flow goes in the same direction;
  28. in the supine position, some venous tributaries are not dilated, so during the operation the doctor could leave them, mistaking them for normal;
  29. the sclerosing drug in some cases does not spread through the vein enough to block the blood flow;
  30. weak walls of the veins, which took over the main blood-conducting function after excision of the damaged ones. This factor does not depend on the doctor, but is a feature of the patient’s body. In this case, it is advisable to undergo examination and treatment by a phlebologist;
  31. absence or hypoplasia of venous valves.
  32. In case of relapse, the doctor will prescribe a spermogram analysis, on the basis of which a decision will be made on reoperation. If the disease is not accompanied by pain and discomfort, the man is old enough, and the goal of preserving fertility is not set, then most andrologists do not see the need for repeated surgical interventions. If they are prescribed, sclerotherapy is usually used.

    A third time varicocele is very rare, but the development of varicose veins on the other side of the scrotum is quite possible.

    Without relapse, varicocele is cured in the absence of venous pathologies, if the cause of the disease is injury or overexertion. Then, when the affected vein is removed, normal blood flow is restored and maintained.

    Knowing about varicocele? symptoms, which doctor treats this, how long will the operation and recovery after it take? there is a chance to prevent the disease from developing to stages 2-3, minimizing the likelihood of relapse after treatment and preserving fertility. Men who are actively involved in weightlifting or regularly lift weights, as well as those suffering from varicose veins of the lower extremities, are at risk. There is a urologist-andrologist in every clinic; the examination is non-invasive and will take a little time, so if you suspect a varicocele, you should not postpone your visit and treatment.

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    Which doctor currently treats varicose veins?

    After reading the information below, you will find out which doctor you should contact if you discover varicose veins.

    When should you see a doctor?

    Varicose veins have many characteristic symptoms. The most obvious sign of the disease is swelling and dilation of the veins. Patients develop varicose veins. Having noticed these kinds of symptoms, the patient should immediately contact a phlebologist - this is the doctor who specializes in the treatment of this disease.

    Other manifestations of varicose veins may not be so pronounced. For example, in many patients the veins do not protrude, but in the evening there is a feeling of heaviness in the legs, long walks cause painful sensations, at night the muscles itch and cramp.

    Which doctor treats varicose veins

    Live healthy! All about varicose veins

    Which doctor treats varicose veins

    Which doctor treats varicose veins

    Live healthy! All about varicose veins

    Which doctor treats varicose veins

    The above manifestations are also signs of varicose veins, and the sooner the patient consults a phlebologist, the greater the likelihood of a speedy recovery. If there is no such specialist at your place of residence, you can contact a surgeon or therapist and follow his further instructions, however, contacting a phlebologist is most preferable.

    It is important to understand that varicose veins belong to the category of chronic diseases, and the sooner the fight against them is started, the greater the chances of a successful recovery. In addition, even after undergoing treatment, the patient needs to be checked periodically by a doctor.

    The main task of the first consultation is to determine the specialization of the doctor who can most effectively help a particular patient. For example, phlebology clinics usually have departments of chronic venous insufficiency (here “severe” patients are sent) and departments of lymphology.

    Patients without serious manifestations or complications are examined by a phlebologist.

    Additionally, consultations with a dermatologist and traumatologist may be recommended. In general, everything is determined by the reasons that led to the occurrence of varicose veins, as well as the intensity of its manifestation.

    What happens after the initial consultation?

    During the initial examination, a phlebologist and an ultrasound specialist work with the patient. In practice, every qualified phlebologist knows ultrasound diagnostic methods, however, in many cases, working with a highly qualified specialist is a more preferable option.

    While the ultrasound specialist examines the patient, the phlebologist performs a visual examination, interviews the patient and, having received the ultrasound results, draws up the most complete picture of the disease, which makes it possible to clearly assess the condition of a particular patient.

    During the initial examination, an ultrasound specialist works with the patient.

    Quite often, during initial examinations, additional aggravating factors are identified that require the intervention of a dermatologist, neurologist, orthopedist and other specialists.

    The listed diagnostic measures are sufficient in most cases. But if during an ultrasound and external examination it is not possible to obtain all the necessary answers, the patient will be referred for additional examinations. The need for this arises in no more than 2-3% of cases: in most situations, the diagnosis can be obtained within one clinic equipped with modern equipment. Qualified ultrasound examination has a multi-level nature. Patients often come to an appointment suspecting they have varicose veins. In this case, for diagnosis, an ordinary Doppler ultrasound of blood vessels is sufficient - a study during which the condition of the veins and valves is assessed.

    Along with this, when varicose veins are detected in combination with accompanying complications, Doppler sonography alone is not enough.

    In such situations, they resort to ultrasound angioscanning - a more complex diagnostic procedure, the results of which assess the condition and size of blood vessels, blood flow parameters, wall characteristics, and the presence of blood clots.

    In practice, more than 70% of patients have to undergo additional detailed examination in order for the specialist to obtain the most complete picture of the current situation.

    Procedure after diagnostic examinations

    Features of treatment are determined primarily by the identified diagnosis. There are several options:

  33. Surgery. It is used in very advanced cases when large veins are damaged and associated complications are detected. If there is a chance to be cured without surgery, the patient will definitely be recommended alternative therapy.
  34. Sclerotherapy. Damaged veins “stick together.” To do this, they are injected with a special drug. The procedure takes no more than 5-10 minutes, after which the patient is released to go about his business.
  35. The second treatment method is effective only for mild forms of varicose veins, when the lesion affects not too large blood vessels. Relatively recently, an improved technique called “foam ECHO sclerotherapy” has appeared. The bottom line is this: the lumen of the affected vein is filled with a drug in the form of foam, the vessel sticks together and varicose veins eventually cease to remind of themselves.

    Additional methods used primarily for serious complications include laser coagulation, the mechanism of action of which is based on the use of a laser beam. The veins are not glued together, but “welded”: a special light guide is inserted into the lumen, delivering a laser beam to the walls of the affected vessel. The technique is one of the most modern and effective.

    Additionally, treatment is used using the radiofrequency obliteration method, which is in many ways similar to laser treatment: a conductor is inserted through a puncture in the lumen of the patient’s vein, and the vessel is sealed. The only difference is that the “welding” functions in this case are assigned not to a laser beam, but to electromagnetic radiation.

    It is impossible to give a definite answer as to which of the considered methods is the best: the effectiveness of each method is determined by the individual characteristics of a particular patient.

    At the same time, existing treatment options can be used comprehensively. For example, surgical treatment of large veins is often practiced together with sclerotherapy of small vessels.

    The average duration of therapy is 2-4 weeks, depending on the chosen method and the condition of the individual patient. It is important that the patient regularly consults a doctor and follows his recommendations. During the treatment process, the patient must adhere to a number of restrictions:

  36. do not go to the sauna and generally exclude any warming of the feet;
  37. wear special compression clothing;
  38. minimize physical activity.
  39. Life after treatment for varicose veins

    After completion of treatment, the patient will have to periodically visit the doctor to monitor his condition and timely determine relapses. The frequency of visits to the clinic and the specifics of the therapeutic actions taken in the future depend on the patient’s condition: the more advanced the disease, the more additional procedures will have to be endured to consolidate the effect.

    At this point, as noted, everything is purely individual. In mild forms of varicose veins, the decision to return to the clinic in most cases is made by the patient if he has concerns about his condition.

    After surgery to remove large veins, it is best to make a follow-up visit to the doctor according to his recommendation, usually 6-12 months after surgery.

    Pregnant patients should be especially careful and attentive to their condition: during this period, varicose veins often progress, accompanied by an increased risk of blood clots.

    See a doctor in a timely manner and stay healthy!

    What is the name of the doctor who treats varicose veins?

    Which doctor should I consult for varicose veins?

    Which doctor treats varicose veins - a disease that has become a problem in the modern world. Often, when we detect incomprehensible but uncomfortable phenomena in the legs, we do not know who to contact a specialist. This can explain attempts at self-medication and advanced cases when there is simply no strength to endure.

    But there is a highly specialized specialist who knows everything about the vessels in our legs, in particular about the veins. This is a phlebologist - a doctor who will not only make the correct diagnosis and prescribe treatment, but, if necessary, will involve other doctors specializing in vascular diseases.

    Vein doctor - who are you?

    When we come to the clinic, we find dozens of doctors who are engaged in highly specialized activities: neurologists, nephrologists, dermatologists, endocrinologists and many other specialists.

    The question naturally arises: what is the name of a doctor who specializes in leg veins? The main specialist you should contact if you have problems with your legs is a phlebologist. And then he will determine whether he needs the help of colleagues during the treatment process.

    The sooner you pay attention to problems with your legs and find out which doctor to see, the greater the chances of, if not completely curing the disease, then avoiding its further development, which in this case is very important.

    A leg vein doctor studies the functioning of blood vessels in the lower extremities, the physiological, anatomical and pathological processes of changes in blood flow and all diseases associated with this.

    Veins in the legs are susceptible to the following diseases:

  40. varicose veins (varicose veins);
  41. thrombophlebitis;
  42. thrombosis;
  43. trophic ulcers;
  44. chronic venous insufficiency.
  45. People who have a genetic predisposition to venous disease need to know which doctor treats such diseases. A timely consultation will make it possible not only to avoid complications or the development of the disease, but also to do everything possible so that vein pathologies do not affect you. After all, a good doctor deals not only with treatment, but also with prevention.

    If you notice the following manifestations, you should definitely consult a doctor:

  46. heaviness in the lower extremities, especially at the end of the day (often goes away after a night's rest);
  47. swelling of the legs, accompanied by mild pain or discomfort;
  48. tingling in the fingers or numbness observed after standing for a long time;
  49. the appearance of spider veins (mostly the first to appear in the area of ​​the knee joint - above or below).
  50. A doctor who deals with veins in the legs is a phlebologist. First of all, he will conduct an examination, then make a diagnosis, prescribe treatment and decide on the involvement of other specialists.

    Phlebologists and other specialists

    The medical science that deals with the problems of veins is called phlebology. A doctor who treats varicose veins is a phlebologist.

    This specialist conducts a visual examination, examination using the latest diagnostic technology, prescribes treatment and decides on the need to involve other specialists.

    If you know the name of the doctor who treats varicose veins, then timely contact can save you from a bunch of unpleasant procedures later. A visit to a phlebologist in the early stages of the disease guarantees a quick cure.

    Minimally invasive operations performed for therapeutic purposes make it possible to permanently get rid of the problem of swollen veins. Moreover, you will not need to spend more than one day in the hospital. But there is one condition - timely application.

    A doctor treating varicose veins, in severe or complicated cases, may resort to the help of specialists who also deal with vascular pathologies, but in a slightly different way:

    1. Angiosurgeon (vascular surgeon) is a specialist who operates on veins, lymph nodes and arteries. These doctors not only participate in planned operations to eliminate vascular pathologies, but also provide emergency care for injuries with heavy bleeding associated with damage to vessels of various sizes.
    2. Cardiac and vascular surgeon is a specialist who performs open-heart surgery (implantation of pacemakers, elimination of heart valve defects, as well as manipulation of the heart muscle). Vascular cardiac surgeons are competent to work with veins and arteries that directly support the functioning of the heart.

    The answer to the question of which doctor to consult with varicose veins is simple - to a phlebologist. And he will decide who else to involve in diagnosis or treatment.

    Often with varicose veins, especially in more severe stages, many manifestations are added that belong to the field of other specialists:

  51. dermatologists, in case of skin pathologies;
  52. physiotherapists – if necessary, motor rehabilitation.
  53. If you are interested in which doctor treats leg veins exclusively with conservative methods - an angiologist. Such a specialist tries to cure varicose veins with the help of medications, physiotherapeutic procedures, diet and general hardening of the body. If you contact us in a timely manner, you will not need another doctor.

    There is no need to self-medicate; it is better to seek professional help. Then the chances of reducing the consequences, stopping the process or even a complete cure will be much greater.

    Modern phlebology offers various methods of treating varicose veins, which are prescribed according to clear indicators, after a full examination, taking into account the individual characteristics of the patient:

  54. Conservative treatment methods consist of prescribing medications to the patient for internal and external use.
  55. Wearing compression garments should only be prescribed by a specialist, taking into account the indications of laboratory tests and eliminating the risk of developing thrombophlebitis. The degree of compression is selected individually for each patient.
  56. Physiotherapeutic procedures and physical therapy. Physical activities that require special equipment are carried out directly in the medical institution. Physical therapy can be done at home, but after selecting a set of exercises by a professional.
  57. Sclerotherapy. A special drug is injected into the vein, which “glues” it together, removing it from the general bloodstream. This technique is used for the treatment of peripheral veins and only after a complete examination to exclude an allergic reaction to the drug.
  58. Operating methods – phlebectomy, miniphlebectomy and laser coagulation. Using these methods, the affected vein is removed from the general bloodstream, but only after a phlebologist has assessed the general condition of the vessels of the entire body and the stage of the disease.
  59. If the first three methods are combined, then such treatment will be called complex and will bring the greatest benefit. Surgery is performed only if there are clear indications and if the patient’s life is in danger.

    Knowing which doctor to go to for varicose veins, you can avoid a lot of troubles, not waste precious time, maintain health and a beautiful appearance. Anyone who has cured varicose veins knows this simple truth very well.

    What is the name of a doctor who specializes in veins and blood vessels?

    The circulatory and lymphatic systems entangle our entire body. Sooner or later, every person has problems with certain types of blood vessels. There are a huge number of such diseases, congenital and acquired, and different specialists are needed to treat them.

    Which doctors should I contact?

    If there are problems with the coronary vessels, you will need the help of a cardiologist. If blood circulation in the brain is impaired, you need to consult a neurologist. A narrow specialist who deals with pathologies of veins is called a phlebologist, and arteries - an angiologist. Many diseases of the veins, arteries, and lymphatic vessels require the intervention of a vascular surgeon. Systemic connective tissue diseases, the symptom of which may be inflammation of the vascular wall (vasculitis), are treated by a rheumatologist.

    Thus, the treatment of vascular diseases may require specialists from different branches of medicine. In addition to those listed above, you can also name a dermatologist, immunologist, oncologist, allergist, surgeon.

    Which doctor treats varicose veins

    Nowadays, vein pathologies are very common, namely varicose veins, chronic venous insufficiency, phlebitis, thrombophlebitis, thrombosis. To treat them, there is a special vein doctor - a phlebologist, and if there is no such doctor, he is replaced by a vascular surgeon or a general surgeon.

    What is the competence of a phlebologist?

    This is a specialist doctor who deals with:

  60. diagnosis of vein diseases;
  61. treatment of venous disorders of any location;
  62. prevention of venous diseases.
  63. When to contact a specialist

    You should contact this specialist if you have symptoms of vascular disorders, which include:

  64. swelling of the lower extremities;
  65. heaviness and fatigue of the legs at the end of the day or after walking;
  66. burning and pain in the legs;
  67. night cramps of the calf muscles;
  68. the appearance of a purple network of small vessels under the skin;
  69. protruding veins in the legs.
  70. All these manifestations may be signs of varicose veins, which are difficult to treat and progress quickly, so you need to see a doctor as early as possible. If there are patients with varicose veins in the family, it is better not to wait for symptoms to appear, but to consult a phlebologist for the purpose of prevention. This disease is often complicated by inflammation of the vascular walls with the formation of blood clots. The same doctor, a phlebologist, treats thrombophlebitis.

    Dilatation of the veins of the lower extremities is the most common, but not the only type of varicose veins. The disease can affect the vessels of the pelvis, esophagus, external genitalia, and rectum.

    It is especially difficult to diagnose varicose veins of the small pelvis, which mainly affect women from 17 to 45 years old. Symptoms in most cases are not specific and may be characteristic of other diseases. The disease can be suspected based on the following signs:

  71. pain in the lower abdomen;
  72. discharge from the genitals;
  73. severe abdominal pain during menstruation;
  74. urinary disturbance;
  75. pain in the genital area;
  76. enlarged veins in the perineum, thighs and buttocks.
  77. When such symptoms appear, many women attribute them to gynecological problems. Most often, it does not occur to them that it could be pelvic varicose veins and they need the help of a phlebologist.

    The main symptom of varicose veins of the pelvis in women is pain in the lower abdomen and abundant causeless discharge from the genitals.

    How does a doctor make a diagnosis?

    When a patient approaches, he performs a visual examination and prescribes a comprehensive examination, which includes laboratory and instrumental methods. Based on the medical history and these studies, the attending physician makes an accurate diagnosis.

    Blood test (coagulogram)

  78. prothrombin time (activity of clotting factors and blood clotting rate);
  79. quantity and quality of fibrinogen;
  80. thrombin time (the rate of conversion of fibrinogen to fibrin);
  81. prothrombin index (the ratio of the prothrombin time of the patient’s blood and the same indicator of the control plasma sample).
  82. To diagnose varicose veins in the legs, ultrasound is most often prescribed.

  83. Ultrasound: Dopplerography of blood vessels, triplex scanning;
  84. X-ray with the introduction of a contrast agent into the vessel - venography;
  85. assessment of venous blood flow using an accurate and minimally invasive method - phleboscintigraphy;
  86. Phlebomanometry is a method that allows you to measure pressure in the veins.
  87. Surgical removal of varicose veins is one of the most effective treatment methods

    How a phlebologist treats varicose veins

    Treatment depends on many factors: the general condition of the patient, the severity of symptoms, the severity of the disease, and the location of the pathological process.

    The following treatment methods for varicose veins are currently used:

    Also read: Drug treatment of varicose veins

  88. Conservative therapy. The patient is prescribed drugs for internal use and local agents in the form of gels and ointments.
  89. Compression jersey. Special elastic underwear normalizes blood flow, prevents swelling, and alleviates the person’s condition.
  90. Sclerotherapy. Indicated for sclerosis of small veins. Prescribed only after a thorough examination in the absence of contraindications. A special medicine is injected into the vessel, which glues its walls. The lumen closes and the vein is removed from the circulatory system.
  91. Operative methods. These include phlebectomy and the less traumatic miniphlebectomy. A phlebologist-surgeon performs the operation. During surgery, the affected section of the vein is removed.
  92. Laser coagulation. The operation is performed on perforating and superficial veins and is performed without incisions. The method is based on the thermal effect of a laser beam on the inner surface of the vessel, resulting in closure (obliteration) of the vein. This method has contraindications, including severe atherosclerosis, anemia, renal and heart failure, and increased blood clotting.
  93. It’s good that there are special doctors who will help our blood vessels in case of illness. But it is important not to forget that the main responsibility for the health of veins and arteries lies with the patients themselves. And doctors never tire of repeating that even despite a genetic predisposition to diseases, there are factors that can be corrected. First of all, this relates to lifestyle. Nothing destroys blood vessels more than smoking and a sedentary lifestyle.

    Which doctor treats varicose veins?

    December 16, 2016

    A good half of the world's population suffers from varicose veins. Some are trying with all possible forces to be cured, while others throw up their hands, saying that the disease cannot be completely cured and there is no point in going to the doctor. But is this true? To find out the answer to this question, you need to figure out what varicose veins are and which doctor you should consult.

    Varicose veins are a disease of the veins in which their irreversible expansion or lengthening occurs. The vessel affected by this disease is weak and susceptible to the formation of blood clots. And this, in turn, is deadly. Blood clots form in dilated veins due to blood stagnation.

    Having come off, it has the opportunity to enter the pulmonary artery, which ultimately ends in death. In order not to risk your life, but, on the contrary, to prolong it, when the first signs of varicose veins appear, you must visit a doctor.

    Which doctor treats varicose veins?

    Varicose veins are a disease that worries every third person in our country. Although this is a common disease, not everyone knows which doctor treats varicose veins on the legs, arms and other parts of the body. In this regard, self-medication is widespread among the people. And many are inclined to believe that this disease cannot be treated, so you should not pay attention to it.

    In medicine, there is a department that deals specifically with venous diseases - phlebology. Accordingly, doctors qualified to treat them are called “phlebologists.” They specialize in the diagnosis, treatment, and prevention of all vein-related problems.

    Other specialists treating varicose veins

    Also, to treat the disease, you can contact other specialists who will find a way to remove varicose veins. Which doctor treats varicose veins, besides a phlebologist? Oddly enough, everyone knows the medical specialties that can eliminate the disease, and we have repeatedly turned to such doctors, but perhaps on other issues.

    Which doctor treats varicose veins on the legs?

  94. Therapist. Ultimately, he will most likely refer you to a phlebologist. However, it is worth contacting this specialist. If you are not sure that you have varicose veins, and pain in your legs and itching in the muscles cause significant discomfort, then first consult a therapist. He will carry out the necessary diagnostic procedures. Based on the results obtained, the doctor gives a referral to a medical specialist with a narrower profile who treats a specific group of organs (in this case, to a phlebologist).
  95. Surgeon. This doctor is most often visited by people who are sure that they have varicose veins, or with an advanced stage of this disease. After examination, a specialist will most likely prescribe surgical removal of veins that are dilated.
  96. Angiologist. This doctor specializes in the treatment of blood vessels through therapeutic and surgical means.
  97. Which doctor you should contact depends on the stage of development of varicose veins. Therefore, try to notice the first symptoms of the disease in time and do not delay the start of treatment.

    Signs of the disease

    Varicose veins mainly affect the veins in the legs. This is due to the greater load on them compared to other parts of the body. It is important not to miss the onset of the disease. Learn to listen to your body. After all, it is always easier to prevent or treat the initial stage of the disease than the advanced stage.

  98. Frequent fatigue of the lower extremities.
  99. Leg pain.
  100. Edema.
  101. The appearance of stars.
  102. Dilated veins are visually noticeable.
  103. At an advanced stage of varicose veins, trophic ulcers may appear.
  104. If you notice any symptoms of varicose veins, it is better to consult a doctor immediately. Jokes with this disease are bad. Therefore, it is better to raise a false alarm than to allow varicose veins to develop and start treatment at an advanced stage, when only vein surgery can help.

    Factors that provoke the development of varicose veins include:

    • Job. At risk are people whose professions involve primarily sedentary or standing work (salespeople, hairdressers, programmers, and others).
    • Genetic predisposition. There is a fifty percent chance that a person will develop varicose veins if at least one of their parents had this disease.
    • Age. After forty years, a person’s skin loses its elasticity and becomes thinner. As a result, the ability to support the veins is reduced.
    • Weight. Excess weight will in no way add health to human organs, and blood vessels are no exception. So, with excess weight, the load on them increases.
    • Physical inactivity. When muscles work hard, blood flows out of the veins in the lower extremities.
    • Nicotine addiction increases blood pressure, which causes varicose veins.
    • Hormones. A sharp change in hormonal levels can cause varicose veins. Often this disease begins to develop in pregnant women, as well as in women taking oral contraceptives, or during menopause.
    • Lifting weights.
    • Previous thrombosis.
    • Alcohol abuse.
    • This is not the entire list of reasons why varicose veins develop. By avoiding them, you will remove yourself from the risk group.

      Varicose veins can be treated using two methods - conservative and surgical. The first method is to wear compression garments, use ointments, creams, and tablets. During treatment, you should give up unhealthy diet and bad habits. Massage and sclerotherapy have an excellent effect. A conservative treatment method is possible at the initial stage of the disease; later it makes no sense.

      The surgical method is an operation to remove dilated veins. It is mandatory when the stage of the disease is already advanced and the internal organs are affected. The specialist chooses the optimal operation option in each case individually. Currently, laser removal of varicose veins is widely used. The procedure is performed under anesthesia.

      Before starting treatment, you should definitely carry out diagnostic measures and visit a specialist for a consultation, at which he will suggest a suitable method for getting rid of varicose veins.

      Treatment at home

      In fact, it is impossible to completely cure varicose veins using folk methods at home. It is possible to slow down the development of the disease, but, unfortunately, not to eradicate it.

      Traditional methods of treating varicose veins:

    • Drink a glass of infusion of boiled water, nutmeg powder and honey on an empty stomach.
    • At night, compresses are made from green tomatoes. The slices are carefully tied onto the dilated veins in the evening and removed in the morning. The procedure should be repeated day after day for a year.
    • Horse chestnut tincture. Infuse the flowers of the plant in alcohol for two weeks. The resulting product should be taken one tablespoon three times a day.
    • Light physical activity. The most effective exercise is a smooth rise on your toes and a sharp landing on your heels.
    • Preventive actions are:

    • Proper nutrition. Minimize the consumption of flour and sweet foods. Eat more fruits and vegetables.
    • Take a course of vitamins.
    • Workout. Preventive activities include swimming and aerobics.
    • Move more at work.
    • Use compression garments.
    • Stop smoking and drinking alcohol.
    • Give your feet a cool shower from time to time.
    • Throw away socks, stockings and knee socks with tight elastic bands.
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