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08 Sep 18

Which doctor should I contact for vascular problems: a review of specialists

Almost every person needs a vascular doctor sooner or later. The fact is that poor ecology, poor nutrition, and, mainly, stress and bad habits most directly affect the occurrence of problems with the vascular system of the body. However, the cardiovascular system is a very complex mechanism, so it is not surprising that doctors of special, “narrow specialties” work in this area.

Neurologist – specialist in the treatment of cerebral vessels

As a rule, the presence of any brain disease is diagnosed by a therapist to whom the patient turns, complaining of headaches, tinnitus, fatigue, dizziness and fainting. But the vessels of the brain are examined and treated by a neurologist , whose main task is to restore impaired blood circulation and eliminate the consequences of the disease.

Atherosclerosis of cerebral vessels is the most common among diseases of this type. Along with headaches, a person experiences serious memory problems, which, in turn, arise due to increased cholesterol and plaque deposition on the walls of blood vessels, and, as a result, impaired blood flow. If these symptoms are not paid attention to, encephalopathy may develop - a disruption in the functioning of parts of the brain due to changes in the structure of the tissues in it. If you suspect atherosclerosis, you should contact not only a neurologist, but also undergo an ultrasound of intracranial vessels, computed tomography of the brain, and also donate blood to determine the level of cholesterol and its fractions (lipid spectrum).

A stroke is characterized by an acute disruption of blood flow in a certain area of ​​the brain. The person feels nauseous, often loses consciousness, and has problems with orientation in space. In this case, medical assistance should be provided immediately, first by the resuscitation team, then by a neurologist based on the results of magnetic resonance imaging. A patient who has had a stroke should definitely visit a neurologist , since there is a high probability that he will develop post-stroke vascular dementia. It is a mental and psychological disorder caused by disruption of brain activity. But, as a rule, after being discharged home, the patient is followed up with a neurologist.

VSD - vegetative-vascular, neurocirculatory dystonia, or dysfunction of the autonomic nervous system, is a disease characterized by impaired blood pressure, shortness of breath, nausea, heartburn, dizziness and other unfavorable manifestations of all life systems. Usually a person goes to a neurologist if these manifestations are constant and interfere with normal life activities. Additional consultations with an endocrinologist and therapist may be required .

Phlebologist – doctor for venous disorders

The first place among vein diseases is occupied by varicose veins of the lower extremities. The true cause is not fully understood, but doctors are confident that the negative factors that provoke the disease are:

  • Staying on your feet for a long time;
  • Congenital weakness of the vein walls;
  • Violations in the functioning of the vein valve;
  • Endocrine diseases;
  • Heredity.
  • Symptoms of varicose veins are swollen veins in the legs, swelling, pain, spider veins and even small ulcers, mainly on the legs. Stagnation of venous blood begins to gradually “burst” the veins, provoking another disease - thrombophlebitis - blockage of a vein with a blood clot followed by inflammation.

    If you notice these signs in yourself, then you should know that varicose veins are treated by a highly specialized phlebologist. To begin with, the vein doctor conducts a Doppler ultrasound of the vessels of the legs to measure blood flow in the vessels, a computed tomography scan to detect blood clots, and also checks the blood for clotting.

    Cardiologist – specialist in diseases of the heart system

    Many people know that a cardiologist treats the heart , so if you experience pain in the heart, shortness of breath, or sweating, it makes sense to contact him for an ECG and a comprehensive examination. The most common problems that this specialist solves are arrhythmia, heart defects, hypertension, myocardial infarction, and angina. He is also involved in the restoration and rehabilitation of the normal functioning of the cardiovascular system.

    It is also recommended to see a cardiologist if:

  • A person over 35 years of age;
  • Pregnancy is planned;
  • Someone in the person’s family has suffered from cardiovascular diseases;
  • There is a lot of excess weight.
  • It is believed that an annual examination by a cardiologist reduces the likelihood of developing cardiovascular diseases several times.
  • Angiologist – doctor specializing in diseases of the arteries and lymphatic system

    Arteries are treated by a doctor called an angiologist, although in Russian clinics often the same person is both a specialist in veins and arteries. You should contact an angiologist if you feel numbness or tingling in your limbs. The presence of problems with blood vessels can be indicated by a constant feeling of chilliness in the legs and arms.

    Angiologists also treat inflammation of the lymph nodes (lymphadenitis). As a rule, the lymph nodes become inflamed due to infectious diseases - influenza, tuberculosis, and sexually transmitted diseases. But with myocarditis and endocarditis, damage to the lymphatic system is also observed, therefore, if infectious diseases are not confirmed, it makes sense to check the functioning of the heart and additionally visit a cardiologist’s office.

    Who should I contact if vascular disease is a secondary disease?

    Lupus erythematosus, vasculitis

    Systemic lupus erythematosus is a disease associated with impaired functioning of the immune system and is expressed in the production of antibodies to one’s own connective tissues. The body perceives its cells as foreign and begins to fight them. The disease manifests itself in the following symptoms:

    Lupus is very dangerous due to its complications and associated pathological conditions:

    If you suspect lupus erythematosus or vasculitis, you should visit an immunologist. The patient needs to donate blood for general and biochemical tests, for antinuclear factor, and also donate urine. Due to possible complications, it is recommended to do an ultrasound of the internal organs, EGC, and computed tomography of the brain.

    Among viral diseases of vascular localization, erysipelas is one of the most common. It begins acutely, with a rise in temperature to 40 degrees, vomiting, then red, painful lesions appear on the skin of the face. Sometimes fluid blisters or small ulcers appear at the site of redness. Since the causative agent of the disease is streptococci, a patient with erysipelas needs an initial consultation with an infectious disease specialist or a dermatologist who does not directly deal with blood vessels.

    If a patient has varicose veins, then it can provoke a relapse of the disease, so the patient needs to visit a phlebologist. If there are no varicose veins, but the disease is progressing, it is worth visiting an allergist, dermatologist, or surgeon. Treatment boils down to taking antibiotics, ultraviolet irradiation, and surgery.

    Relatively often in newborns and rarely in adults, hemangioma is observed - a benign tumor or proliferation of blood vessels. If a small reddish convex spot appears on the neck, these are capillaries that have grown into a tumor. Hemangiomas are not dangerous in themselves, but through them an infection can easily enter the body, and blood clotting is also reduced. In case of hemangioma, it is recommended to consult an oncologist and surgeon . In children, hemangioma usually goes away on its own by age 10 and does not require special treatment.

    Thus, vessels are treated by a wide range of doctors of various specialties, from phlebologist to immunologist . If you are in doubt about which doctor to visit, contact your general practitioner, who will give you the right referral . This may require many tests, based on which one can judge a specific disease.

    Which doctor treats veins in the legs

  • Varicose veins.
  • Chronic venous insufficiency.
  • Thrombosis.
  • Trophic ulcers.
  • People with a hereditary predisposition to the development of varicose veins are recommended to regularly visit a phlebologist in order to promptly identify the disease at an early stage and take the necessary measures.

  • Phlebomanometry.
  • According to the results of the examination, the doctor selects the necessary treatment regimen and prescribes treatment procedures.

    It is necessary to follow the recommendations of a phlebologist, which will prevent further progression of the disease: refrain from bad habits, do not take hot baths, do not visit the sauna, perform cold douses on the lower extremities, get rid of excess weight, wear comfortable shoes, special compression underwear and knitwear. It is strongly recommended not to sit in a sitting position with your legs crossed.

    A vascular surgeon is a clinical medicine specialist who deals with issues of diagnosing, treating and preventing diseases of blood vessels, veins and arteries.

  • The appearance of a vascular pattern – “stars”.
  • Dilatation of the veins of the lower extremities.
  • Long lasting ulcers.
  • Tests that a vascular surgeon may order

    A vascular surgeon may additionally prescribe the following types of diagnostics: vascular ultrasound, X-ray angiography, duplex sonography of leg vessels.

    What treatment methods can a vascular surgeon offer?

  • Sclerotherapy (trunk and puncture) for diagnosing varicose veins of the lower extremities.
  • Surgical intervention using minimally invasive technologies.
  • Some vascular surgery specialists offer restoration of damaged vessels using gravity surgery.

    The doctor will help you correctly develop a suitable medication regimen for treating the affected vessels and prescribe compression therapy. For the purpose of prevention, as well as during treatment and during the recovery period of surgery, the doctor prescribes a suitable physical treatment regimen.

    When should you consult a doctor?

    It is recommended to consult a specialist who treats veins in the legs if the following symptoms develop:

  • Heaviness and excessive fatigue in the lower extremities, even after mild physical activity and walking.
  • What to pay attention to

    Untimely treatment of vascular pathology can lead to serious complications that cause disability and even death. Therefore, it is very important to know the symptoms that indicate that you may have problems with the veins, and if they appear, you should go to the doctor:

  • Heaviness and fatigue in the legs, appearing or increasing in the evening.
  • Pain and cramps in the legs at night. The pain syndrome can be very difficult to describe. It is almost never possible to tell what pain is in your leg. Sometimes it seems that something near the knee hurts, sometimes something in the lower leg, etc. The pain can be of completely different intensity. From pronounced pulling and, as it were, “twisting” pains to unclear, blurry aching sensations that prevent you from falling asleep.
  • Visible enlargement of veins or the appearance of spider veins on the skin of the legs.
  • Swelling of the legs, increasing in the evening and passing (or almost passing) in the morning after sleep. It should be noted that the swelling can be very mild and barely noticeable to the eye. In general, swelling can only be indicated by a dimple, which persists for several seconds after pressing with a finger on the area of ​​the leg or foot.

    Which specialist will help?

    As a rule, patients ignore the initial signs of the disease. Only severe swelling, cosmetic defects or excruciating pain force patients to see a doctor. This is where the question arises, which doctor treats venous pathology and what is the name of such a doctor.

    In Russia, the specialty that studies anatomy, physiology, and diseases of the venous vessels is called phlebology. Phlebology is not an independent field of medicine, but is a branch of cardiovascular surgery. Therefore, if the symptoms described above appear, you can consult a doctor, who may be called both a phlebologist and a vascular surgeon. If there is no highly specialized doctor in the clinic, you can also contact a general surgeon.

    Since at least one of the listed specialists works in any clinic, finding a doctor who treats veins is not difficult. Finding a good doctor is more challenging.

    A real phlebologist must have an education in cardiovascular surgery. It is even better if he has additional specialization in the field of ultrasound, since this method is the main one for making a diagnosis of venous diseases.

    As we discussed above, a phlebologist is a vascular surgeon who deals with:

  • Diagnosis of vein diseases (varicose veins, chronic venous insufficiency, thrombosis and thrombophlebitis, trophic ulcers).
  • Treatment of venous disorders of any location.
  • Prevention of vein diseases.
  • The disease arising as a result of phlebothrombosis or chronic venous insufficiency is treated differently. And diagnosis plays a decisive role in determining the optimal treatment method. The result of therapy largely depends on its quality.

    In order to carry out proper treatment, the doctor prescribes the following types of diagnostics:

  • Performing ultrasound of blood vessels. This can be Doppler sonography, duplex or triplex scanning.
  • X-ray angiography and venography. With this method, a contrast agent is injected intravenously, and then X-rays are taken.
  • Phlebomanometry, which allows you to measure the pressure in the veins.
  • Phlebosyncytiography. The so-called method uses intravenous injection of radionuclide substances and tracking them on the screen of a gamma camera.
  • To assess the condition and characteristics of blood flow, as well as to exclude possible complications of therapy, the attending physician may additionally prescribe a general and biochemical blood test, a general urinalysis and a coagulogram.

    After making a diagnosis, the doctor prescribes appropriate treatment, which can be:

  • Conservative. The doctor prescribes medications for oral administration, external ointments and gels, as well as compression stockings and therapeutic exercises.
  • Different types of surgical intervention. These methods are also called surgical treatment.
  • Sclerotherapy. A sclerosing substance is injected into the vessel, causing its walls to stick together.
  • Laser therapy. The impact on superficial vessels is carried out with a laser beam. As a result, the blood in the vessel heats up to 60-70 degrees Celsius. From this temperature, hemoglobin coagulates, the endothelium of the vessel is damaged, its walls stick together, and the vessel is replaced by fibrous tissue. This is called laser coagulation.
  • After treatment and to prevent the development of diseases of the veins in the legs, phlebologists advise following simple but very effective rules. This is a small list that includes self-massage, physical therapy, avoiding prolonged standing, sitting in a cross-legged position, and circular compression of the legs with tight clothing or elastic bands. Wearing compression stockings is also recommended.

    Summarize. In most cases, patients learn about which doctor to see and who a phlebologist is already when there is an urgent need to visit this specialist. At the same time, it is necessary to treat veins when the very first signs of their damage appear, or even simply if there is a hereditary predisposition to venous pathology. And if you have symptoms of vein disease, you should immediately contact one of three specialists: a phlebologist, a vascular surgeon or a general surgeon, who can correctly diagnose and treat the disease.

    When to contact a phlebologist

    Heaviness, burning sensation and pain in the legs, the appearance of swelling and spider veins may indicate problems with the veins. If you have such symptoms, you should consult a specialist called a phlebologist. This doctor studies the normal and pathological movement of blood through the vessels of the lower extremities, determines the violation of blood outflow, determines the cause of the development of pathological processes and prescribes appropriate treatment.

    A phlebologist diagnoses and treats the following diseases:

  • varicose veins in the legs;
  • chronic venous insufficiency;
  • thrombosis.
  • Consultation with this specialist is necessary if you suspect the development of thrombophlebitis and pronounced trophic changes in tissue.

    You should consult a doctor not only after symptoms of pathology appear. People predisposed to vascular diseases are recommended to undergo periodic preventive examinations. This will help identify deformed veins in the early stages of the disease and carry out treatment before irreversible changes occur in the legs.

    How is diagnostics carried out?

    During the first visit, the doctor conducts a visual examination of the patient, collects anamnesis and prescribes the laboratory and instrumental tests necessary to make an accurate diagnosis. First of all, a coagulogram is performed - a study that helps to establish such parameters as blood clotting activity and its speed. Hardware techniques include ultrasound scanning of affected areas, phlebography (x-ray with a contrast agent injected into the vein cavity), phleboscintigraphy (assessment of blood flow inside the veins).

    What treatment can a phlebologist prescribe?

    The doctor selects a treatment method based on information about the patient’s condition, the results of the examination and the location of the disease.

    Treatment of varicose veins and other vascular pathologies can be carried out in one of the following ways:

  • Conservative therapy consists of using medications for external and internal use.
  • Wearing compression hosiery makes it possible to improve blood flow through the vessels and prevent their further deformation, alleviating the patient’s general condition.
  • Scletotherapy is used to seal small varicose veins and consists of introducing a special chemical into the vascular cavity that glues the venous walls together.
  • Laser coagulation allows you to treat varicose veins without damaging the skin and deeper tissues. Under the thermal influence of laser radiation, obliteration of the affected vessel occurs and its further resorption.
  • How a vascular surgeon can help

    Another doctor who treats various vascular diseases is a vascular surgeon. This is a specialist who diagnoses, treats, and also deals with the prevention of various pathological processes occurring in the veins and arteries.

    You should consult a doctor of this specialty if you have the following symptoms:

  • pain syndrome in the lower or upper extremities;
  • visible enlargement and change in color of blood vessels;
  • formation of compactions in the subcutaneous layers, redness of the skin;
  • wounds that do not heal for a long time;
  • discoloration and tissue necrosis on the legs.
  • A vascular surgeon checks the movement of blood through the vessels, prescribes a series of tests and makes an accurate diagnosis.

    After the initial examination, the patient may be referred for examination, which usually includes:

  • clinic and blood biochemistry;
  • coagulogram;
  • ultrasound scanning of vascular lumens;
  • angiography;
  • sonography.
  • In most cases, patients turn to a doctor of this specialty in the last stages of the disease, so treatment is carried out in more drastic ways. Which method will be chosen to eliminate the pathology depends on the patient’s well-being and the presence of indications and contraindications.

    Your doctor may suggest one of the following surgical procedures:

  • stem and puncture sclerotherapy (for deformation of the venous walls of the lower extremities);
  • surgical intervention using minimally invasive technologies;
  • echosclerotherapy (removal of damaged vessels using additional scanning).
  • Treatment can be carried out using gravitational surgery techniques. This method of surgical intervention allows you to restore varicose veins.

    A vascular surgeon not only treats pathology, but also monitors the patient’s recovery during the rehabilitation period, selects appropriate physiotherapeutic procedures, as well as preventive measures to prevent relapses.

    If you suspect vascular disease, you should immediately seek medical help. The sooner the doctor conducts an examination and prescribes treatment, the greater the likelihood of eliminating the disease without the use of radical methods. Postponing a visit to a specialist and independently using medications and traditional medicine methods can negatively affect the course of pathological processes.

    Still have questions? Use the search!

    Varicose veins on the legs: symptoms and treatment

    Varicose veins are a disease characterized by swollen veins, most often in the legs. The surfaces of the hands, face, and mucous membranes of the stomach and pelvis may be affected. As a result of damage, the veins acquire a bluish color and appear swollen and very tortuous.

    Nodules form, valves in the vessels become deformed. The blood flow is disrupted and the pressure in the damaged veins increases.

    The disease process is accompanied by the following symptoms:

  • Burning and itching in the affected limbs;
  • Leg muscle cramps;
  • Formation of an extensive network of veins with a specific bluish tint;
  • Swelling of the ankles and legs with pain;
  • Constant feeling of weakness and fatigue in the legs;
  • In advanced cases, calluses and ulcers appear.
  • What helps with leg pain

    Such manifestations interfere with a person’s normal functioning; it is necessary to begin treatment in a timely manner.

    1. Compression therapy allows you to cope with the disease without surgery. The idea is to reduce the size of the veins using external pressure. This procedure allows you to normalize blood flow and eliminate swelling in the limbs. The main disadvantage is that if the vein has become distended, then compression therapy is necessary for the patient throughout his life.
    2. Phlebectomy is a surgical operation that involves removing the affected vein from the general vascular system. As a result of the actions, the risk of subsequent disease is extremely small, since the cause of varicose veins is eliminated, and not the consequences. This method is used to eliminate stretched varicose veins. The operation itself requires hospitalization. The recovery period is 3 weeks.
    3. Sclerotherapy. The principle of the healing method is to introduce a sclerosant into the lumen of the affected vessel. The drug stimulates inflammation of the veins, as a result they stick together for a certain period. The final stage is resorption. Sclerotherapy is characterized by a high risk of side effects, blood clots, damage to veins and nerves, allergic manifestations, and skin necrosis.
    4. Radiofrequency obliteration. The idea is to heat the inner wall of the vessel with radio waves. Such actions help eliminate the lumen of the vein. Helps stop blood flow through the lesion formed as a result of the disease and subsequent normalization of blood flow. For 2-3 months, a fibrous cord forms along the vein.
    5. Who is a phlebologist?

      There is a section in medicine that is entirely devoted to varicose veins - phlebology. Accordingly, a specialist in this field is a phlebologist. Responsibilities include diagnosing, developing the necessary preventive measures and treating diseases that cause damage to the veins.

      It is a phlebologist who should be contacted at the first appearance of symptoms of the disease in question.

      Which doctor should I contact for varicose veins in the legs in a clinic if there is no phlebologist?

      Not all medical institutions . It is worth considering some specialists who can provide assistance in the treatment of varicose veins. The main replacement for a phlebologist is an angiologist, a vascular surgeon. Just like a phlebologist, a doctor diagnoses, treats and performs operations.

      A GP can help with diagnosis and referral to the appropriate doctor.

      In some situations it may be suitable:

      A phlebologist has a rather narrow specialization, so not every clinic has the opportunity to employ such a doctor on its staff.

      Which doctor should I contact for varicose veins in the arms and testicles?

      Diseases of varicose veins are associated more with lesions of the lower extremities, but the arms and other organs in men may suffer. Although the hands have lower blood pressure, they are subject to constant physical stress.

      According to its symptoms, varicose veins of the arms are similar to varicose veins of the legs. To prescribe the necessary treatment for the disease, you need to contact a phlebologist. Ask a question at the clinic: which doctor should you contact if you have varicose veins in the legs, arms or testicles?

      For additional consultation, specialists such as an osteopath, neurologist, or surgeon are suitable.

      For varicose veins of the esophagus

      Initially, varicose veins of the esophagus are quite difficult to identify; the symptoms cannot be seen visually. Frequent manifestations include severe heartburn, belching, discomfort and pain in the stomach.

      This type of disease is dangerous because bleeding may open in the esophagus. If this happens, you need to urgently go to the hospital in a surgical hospital. After eliminating the bleeding, the patient should be monitored by a gastroenterologist or hematologist.

      For varicose veins on the face and nose

      Varicose veins on the face are a fairly rare disease. The cause of its appearance in most cases is explained by heredity or heart problems. It does quite a lot of damage to a person’s appearance with its characteristic spider-like networks of bluish veins. Surgical intervention is not recommended in this case.

      To get the necessary course of treatment with restorative procedures, you need to know which doctor to contact for varicose veins in the legs - a phlebologist, dermatologist, angiologist. If the cause of the disease lies in the heart, you will need to consult a cardiologist.

      Which doctor should I contact if there is no phlebologist during pregnancy?

      Pregnancy is a difficult period for every girl. Due to reduced immunity, the body of the expectant mother is attacked by many diseases. The body experiences physical overload every day.

      The legs are especially affected. Among pregnant women, varicose veins in the legs and pelvis are not uncommon. Such lesions can bring a lot of complications during this period and linger in the girl’s body for a long time.

      Vasodilation in the pelvic area is difficult to diagnose and treat. Such processes are characterized by the formation of blood clots, which can break off and cause bleeding.

      When operating on varicose veins, it is necessary to use elastic compression clothing. Such actions help to avoid complications that depend on the detachment of a blood clot. The gynecologist must diagnose the disease in a timely manner and write a referral to a phlebologist or angiologist.

      Which doctor should I contact for varicose veins in the legs if there is no phlebologist in Kaliningrad

      Which doctor should I consult for varicose veins in the legs? Kaliningrad is a fairly large settlement with a developed medical infrastructure. There is a Phlebology Center in the city, which is entirely dedicated to the diagnosis and treatment of vein diseases.

      The clinic has modern equipment and competent specialists, which allows it to satisfy the needs of patients not only from Russia. Residents of neighboring countries often come to the medical center.

      Which doctor should I contact for varicose veins on the legs in Moscow? The Phlebology Center provides extensive methods. New laser technologies, radiofrequency ablation, various types of sclerotherapy. In addition to the therapeutic result, noticeable successes have been achieved in the cosmetic effect.

      In Kaliningrad, one can highlight the Nadezhda Family Health Medical Center. Provides a wide range of services, including phlebology.

      There are many regular clinics in the city that employ a phlebologist.

      Reviews from doctors and patients

      Which doctor should you contact for varicose veins in the legs if there is no phlebologist in the clinic? A detailed description is given in the article, carefully select the right doctor and make an appointment. Be sure to visit a phlebologist if you have varicose veins. He will make a diagnosis and choose the right treatment for the disease.

      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?

    6. 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).
    7. 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.
    8. Angiologist. This doctor specializes in the treatment of blood vessels through therapeutic and surgical means.
    9. 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.

      • Frequent fatigue of the lower extremities.
      • Leg pain.
      • Edema.
      • The appearance of stars.
      • Dilated veins are visually noticeable.
      • At an advanced stage of varicose veins, trophic ulcers may appear.
      • 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.
      • 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:

      • diagnosis of vein diseases;
      • treatment of venous disorders of any location;
      • prevention of venous diseases.
      • When to contact a specialist

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

      • swelling of the lower extremities;
      • heaviness and fatigue of the legs at the end of the day or after walking;
      • burning and pain in the legs;
      • night cramps of the calf muscles;
      • the appearance of a purple network of small vessels under the skin;
      • protruding veins in the legs.
      • 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:

      • pain in the lower abdomen;
      • discharge from the genitals;
      • severe abdominal pain during menstruation;
      • urinary disturbance;
      • pain in the genital area;
      • enlarged veins in the perineum, thighs and buttocks.
      • 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.

        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)

      • prothrombin time (activity of clotting factors and blood clotting rate);
      • quantity and quality of fibrinogen;
      • thrombin time (the rate of conversion of fibrinogen to fibrin);
      • prothrombin index (the ratio of the prothrombin time of the patient’s blood and the same indicator of the control plasma sample).
      • Ultrasound: Dopplerography of blood vessels, triplex scanning;
      • X-ray with the introduction of a contrast agent into the vessel - venography;
      • assessment of venous blood flow using an accurate and minimally invasive method - phleboscintigraphy;
      • Phlebomanometry is a method that allows you to measure pressure in the veins.
      • 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:

      • Conservative therapy. The patient is prescribed drugs for internal use and local agents in the form of gels and ointments.
      • Compression jersey. Special elastic underwear normalizes blood flow, prevents swelling, and alleviates the person’s condition.
      • 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.
      • 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.
      • 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.
      • 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.

        Many people are not even going to go to the hospital, even the symptoms of the disease are already very pronounced. The reasons for this are fear. It constrains a person and he cannot decide to seek help when the disease is at an early stage and can be prevented. They do not know which doctor to contact for varicose veins and what needs to be done first.

        Most often people are afraid of:

      • The unknown. The lack of education of patients paints scary pictures of examinations in their imagination, and the first thing they do is only an ultrasound, which does not bring any pain.
      • Carrying out surgery. No more than 10% of all patients in whom there is a threat to life or conservative therapy does not bring the desired result end up on the surgeon’s table. In other cases, treatment consists of taking pills, using ointments, or wearing compression stockings.
      • Mistrust of the doctor and lack of knowledge of where to turn. So, a phlebologist is involved in the treatment. To choose a doctor, ask about his documents (diploma, certificate), check his work experience, and find out real patient reviews.
      • Patients worry about the cost of treatment. It is important to remember that if the form of varicose veins is neglected, treatment will be longer and more expensive, which means that the sooner you contact, the less money you will have to spend.
      • Now you can easily decide which doctor to see for varicose veins, overcome your fear and boldly begin to fight the disease. It is important to remember that if you consult a specialist in a timely manner and carry out preventive measures, you can avoid many of the problems that varicose veins bring with you.

        Recommended clinics

        EUROPEAN CLINIC OF SPORTS TRAUMATOLOGY AND ORTHOPEDICS (EMC Orlovsky)

        Russia, Moscow, Orlovsky lane, 7

        Interpretation of PET CT results from another health care facility - RUB 5,700.

        Remote telemonitoring of health status - 5800 rub.

        Doctor's appointment/Consultation:

      • orthopedist-traumatologist - 10,700 rubles.
      • surgeon 10,700 rub.
      • Lecture by a specialist doctor - 35,000 rubles.
      • Foreign trauma surgeon - 9,600 rubles.
      • Russian-Israeli Medical Center “Re-Clinic”

        Russia, Moscow, 2nd Tverskoy-Yamskoy lane, building 10

        +7 (495) 989-53-49, +7 (916) 053-58-91, +7 (916) 053-59-08, +7 (910) 003-03-83

      • Admission to Ph.D. for joint replacement - 3000 rubles.
      • Appointment with a professor of joint replacement - 5,000 rubles.
      • Admission to Ph.D. for arthroscopy of joints - 3000 rubles.
      • Removal of intra-articular bodies - 24,000 rubles.
      • Reconstruction of feet - 97,000 rubles.
      • Hip replacement - 410,000 rubles.
      • Endoprosthetics of the knee joint - 400,000 rubles.
      • Vein and Vascular Doctor

        A large number of people are susceptible to developing varicose veins. Patients who are faced with such an unpleasant problem as a feeling of heaviness and pain in the legs, the appearance of a vascular pattern - “asterisks” - ask the question: what is the name of a doctor who specializes in veins and blood vessels?

        In this case, you should contact doctors of the following specialties:

        Most often, on your first visit to the clinic you need to seek help from a phlebologist.

        I often work alongside doctors with specialists who specialize in conducting research: ultrasound diagnostics, angiography.

        If the patient does not know exactly which doctor to go to at a particular stage of the disease, then you can contact a specialist with any of the listed qualifications.

        What are the responsibilities of a phlebologist?

        Phlebologist is a specialist who studies the anatomical and physiological features of normal and pathological changes in blood outflow, clinical manifestations of vascular diseases of the lower extremities.

        The competence of a phlebologist includes diagnosing and treating the following diseases:

      • Varicose veins.
      • Thrombophlebitis.
      • The phlebologist performs the initial examination. Patients of all age groups consult a doctor of this specialization. Often - young women whose legs hurt after walking or standing for a short time or who experience the formation of a vascular network.

        How is the disease diagnosed?

        In most cases, a phlebologist works in tandem with another qualified specialist who specializes in diagnosing the disease through an ultrasound examination procedure. The specialist carries out the procedure, and the doctor at this time visually checks the condition of the vessels and veins, and conducts an oral interview with the patient about his lifestyle and hereditary diseases.

        You should also know the name of a lower extremity vein doctor who performs an X-ray examination of the condition of blood vessels - an angiographist. During the examination I use special radiopaque agents.

        Additionally, a phlebologist may prescribe the following diagnostic procedures:

      • Phlebography.
      • Phleboscintigraphy.
      • Duplex scanning.
      • How can a vascular surgeon help?

        Conditions that require immediate consultation with a doctor of this specialization:

      • Development of heaviness and pain in the legs.
      • Development of redness and induration in the lower extremities.
      • Darkening and necrosis of the tissues of the fingers and feet.
      • Vascular surgeons check the condition and functioning of blood vessels and can offer both conservative and radical methods of therapy.

        In order to assess the condition and characteristics of blood flow, as well as study a biochemical blood test, the surgeon prescribes a general and biochemical blood test, a general urinalysis, and a coagulogram procedure.

        Patients with an advanced form of the disease most often turn to vascular surgeons. Based on the results of the examination, the doctor may prescribe the following procedures:

      • Echosclerotherapy – removal of dilated veins is carried out under the control of a special scanner.
      • Swelling, pain, burning sensation.
      • Cramps in the calf muscles, which occur mainly at night.
      • The formation of a vascular pattern - “stars” and protrusion of veins.
      • Having received information about which doctor treats varicose veins of the legs, you must promptly seek qualified medical help. Self-medication using traditional and home methods may be ineffective and can only worsen the course of the disease.

        Categories : Prevention

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