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What happens during a vein consultation?

This question was asked in Acequia, Idaho and has 12 answer(s) as of 05/28/2013.
I recently had a baby and now I want to get rid of all the gross varicose veins that I got during pregnancy. My legs feel heavy still, weight loss hasn't changed the look or feel of my legs at all. How do I get my varicose veins checked out? Is there anything I need to do to prepare for a consult with a doctor?


Doctors Answers (12)

A vein consult can range from a simple physical exam of the legs for small cosmetic veins to a more detailed exam of larger symptomatic veins including gross varicose veins. This includes a detailed history and exam of the legs, and usually includes a duplex ultrasound exam to determine which veins are not functioning properly and should include a discussion of treatment option(s) for the patient. No preparation is needed, disposable shorts are usually provided for the exam.

During the consult in our practice we fully examine the legs, get a detailed history, and perform a detailed ultrasound that looks at the deep and superficial veins as well as perforator veins.

Good question. It is best not to wear support stocking on the day of or perhaps the day before because that can affect the result of the ultrasound. Drink plenty of water and also it is a good idea to bring a pair of shorts to the exam.

A comprehensive history and physical examination is performed, including photographs of your leg, and a dupplex ultrasound evaluation in the standing position. Expect to be there for a minimum of 90 min.

Start by selecting a physician who is experienced with treatment of venous disease and who treats venous disorders on a full-time basis. Check the physician's credentials. Once you have decided who you wish to see and make an appointment, get the forms which the physician will want you to complete which will include medical history questions and financial details. If you or a family member have experienced problems with your veins, venous thrombosis (clotting), or pulmonary embolism in the past, get details regarding diagnoses and treatment for your phlebologist to review. Be prepared to discus your symptoms in detail and focus on how the veins are affecting your quality of life and your activities. Do not be afraid to ask questions. If you cannot ask questions or if you do not get satisfactory answers, seek another opinion.

A vein consultation involves a discussion concerning your leg symptoms and history about problems with your legs. The staff will take information about family history of vein problems, any prior treatment of veins within your legs, and any history of blood clots involving a patient's legs. The physician will preform a physical examination of the legs. This exam involves documentation of the degree of varicose vein a person has. The doctor will look for evidence of skin changes, discoloration, and swelling about your ankles. The pulses noted within arteries in your feet will be checked. On completion of this examination a venous ultrasound of your legs will be recommended. This study will help with understanding the extent of the venous reflux disease within a person's leg. With all this information the vein specialist will then develop a treatment plan for you.

During a consultation the physician takes your history and examine your extremities to see what the source of your problem is. Many physicians will perform an ultrasound at the same time of the visit to accurately diagnose the vein problem. There is nothing that you need to do in advance of such an appointment.

No, just schedule an appointment with a board certified Phlebologist or a qualified Vein Specialist.

No, just come to the doctor. He will do a history and physical exam. You will also need a non invasive duplex exam (ultrasound) to asses the function of the valves in your legs. Based on the above findings one can determine what is the best way to treat your varicose veins.

Depending on which clinic you visit the consult may vary, normally you will have the usual annoying paper work to fill out and questions asked regarding your symptom's on your legs. Next, most times an ultrasound will be performed on your legs to establish whether or not you have a condition called venous reflux. Someone, either the doctor or doctor's qualified staff, will sit and explain what the doctor diagnosed on the ultrasound and what the best treatment option is for you. Most clinics will give you an abundance of information so that you feel comfortable moving on to the next step once you decide. You will also have ample time at this point to ask any questions you may have regarding your diagnosis, treatment etc.

A consultation with a vein specialist should consist of a full history of your venous problem, a physical exam, and a diagnostic venous ultrasound. With this information your doctor should be able to diagnosis your specific problem and discuss all the treatment options that are available to you. There should be no specific preparation needed prior to your initial consultation.

If you just had a baby, keep in mind that you should wait at least 2 months before treating your veins. It takes around this time for the uterus to go down, hormones, blood volume, hypecoaguable state, etc to all go back to normal. You should wear compression hose daily 20 to 30 mm./hg if you can tolerate them, elevate the legs at night and go see a doctor. Keep in mind if you are breast feeding you may want to wait on performing any treatments. You should see a physician that specializes in veins and you may need a venous ultrasound on the legs to see if you have venous insufficiency and what veins are affected.

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