Understanding Chronic Venous Insufficiency
HTML-код
- Опубликовано: 27 май 2024
- This video contains a visual explanation of chronic venous insufficiency, aimed at helping students of medicine and healthcare professionals prepare for exams.
Written notes on varicose veins can be found at zerotofinals.com/surgery/vasc...
Patreon: / zerotofinals
See how I make videos like this: • How I Make Zero to Fin...
How to Learn Medicine channel: / @tomwatchman
Zero to Finals Surgery book:
UK: www.amazon.co.uk/dp/B09FS54VTX
US: www.amazon.com/dp/B09FS54VTX
Zero to Finals Surgery Questions book:
UK: www.amazon.co.uk/dp/B0B2V2D21D
US: www.amazon.com/dp/B0B2V2D21D
Zero to Finals Medicine book:
UK: www.amazon.co.uk/dp/1091859892
US: www.amazon.com/dp/1091859892
Zero to Finals Medicine audiobook:
UK: www.audible.co.uk/pd/B088VMD6...
US: www.audible.com/pd/B088V178PH...
Zero to Finals Paediatrics book:
UK: www.amazon.co.uk/dp/1080142827
US: www.amazon.com/dp/1080142827
Zero to Finals Paediatrics audiobook:
UK: www.audible.co.uk/pd/B088ZXWT...
US: www.audible.com/pd/B088ZMBFK2...
Zero to Finals Obstetrics and Gynaecology book:
UK: www.amazon.co.uk/dp/B08K4K2WQB
US: www.amazon.com/dp/B08K4K2WQB
Flashcards:
zerotofinals.com/flashcards
zerotofinalsshop.com
Website: www.zerotofinals.com
Notes: www.zerotofinals.com/learn
Questions: zerotofinals.com/questions/
that 6 minute video explained more to me about my leg problems than my doctors could over 20 years. Thank you! Going to go and put it to work now.
What did you do
It also helps if you keep your legs elevated higher than your heart since your blood in your legs can’t get back up to your heart by pumping it up, gravity will drain it back, but you have to keep your legs higher than your heart like when you sleep at night or sitting watching TV for hours. My mother had this and when she had a stroke she was in bed for 10 days before she died and I couldn’t believe how much the swelling went down in her legs. You have to wrap your legs with ace bandages in the morning before you get out of bed, because after a few hours of being up, the blood starts to pool down there again. It’s a lifelong condition that you have to live with, wrapping your legs.
It's so hard to keep your legs above your heart while sleeping tho I sleep on my side
Sorry to hear about your mom, did she had a stroke because of the varicose veins?
I had veinous ulcers just above both ankles. Surgical treatment included arterial stents and angioplasty in the most severe leg. 4 layer compression wraps have been worn for a year, changed every other day. Santyl is applied directly to the wound after cleaning with dakins bleach and the surrounding area by betadyne. I can now report that one leg has entirely healed and the other is now 95% there. I will have to wear compression stockings after the wraps are no longer required. Get a good cardiovascular surgeon and home wound care if you have Medicare. Bad circulation can lead to neuropathy in your feet, or the loss of them.
I think I'm going to have to go through the same thing bcuz I have Venus inflammation, skin ulcer, and champagne bottle leg pretty bad! Hurts walking!
The pain is killing me .....I keep liking bad ...
If you had arterial stents then they were not venous ulcers. There’s a huge difference between arterial ulcers and venous ulcers.
Venous ulcers can be cured for good if the underlying cause is treated.
@@Mr.Savage14take it seriously my mother has it too.
@@computerscienceresearch I am
Odd co-incidence, but i met a guy who owns a chain of private clinics in Holland, who is also a Doctor, the day after i read a paper regarding leg ulcer treatment.
It turned out that it was one of his clinics that discovered that hyperbaric 100% Oxygen treatment at 2 Bar for one hour a week not only worked amazingly well with leg ulcers, but also increased telomere length.
Reading about the discovery, then the chance meeting both blew me away !
Your RUclips videos are absolutely priceless. Superb work you are doing. Extremely well done.
Rubbish, the underlying cause needs to be treated with the appropriate procedures, carried out by an expert vein specialist who is also a Phlebologist.
@@eveoakley6270 Which part is Rubbish ?
@@aga5897 meaning it isn’t enough just to treat the symptoms. The underlying cause of venous leg ulcers needs appropriate treatment carried out by venous specialists working together with Interventional Radiologists.
You made me feel much better about my journey to health
Finally been to 3 Dr you're the first to explain it😮 anytime you wear compression socks I tried it and made it more swollen
Same here it made it worse but you need a prescription from your doctor to get the right size
These videos are wonderful, thank you for what you do!
Impressive teaching. Thanks!
Flavonoids like Diosmin and hisperidin are also beneficial in managing this condition. It improves blood flow in the veins, decreases leakage and rupture of veins. This prevents the formation of ulcers.
wer do you get flavonoids
Rubbish
Venixxa is what I take. Over the counter. Works great!
You can do vein ablation for the med to severe disease, i am a vascular surgeon and roughly did 250 cases each year, mostly they came in their 3rd degree stage..
Is there a risk of lymph node damage from evlt or rfa and phelebectomy? Id love to treat my veins. Told I need both. But terrified of nerve damage and secondary lymphedema
so clear, thank you
Very helpful info I learned from this video. I have been wondering what is happening to my legs for the past years. Thank you very much for this video.
Clear presentation :)
Finally, the information I needed explained in a way I could understand. Thank you. I feel a lot better now that I know more about the condition and that there is a plan for treatment.
@killer4kash- the scariest part is if you get peripheral arterial disease. Then you can’t use compression stockings and you’ll have ulcers that won’t heal
I had 3 vein ablations for this condition and feeling great. You can get surgery, no need to wait for skin changes.
@@nellyzen1096look up The Whiteley Protocol, which is what I had.
Another great video.
A triple-bypass at age 44 caused,after age 68, problems in both calves. The left calf was where a vein was removed for the cardiac by-pass, I developed problems in the calves of both legs, The left leg forms oozing ulcers, extremely tight skin, red discoloration of the flesh, and flaking of skin after the oozing ulcers heal, until the next time it occurs. At age 78, my first oozing ulcer developed in the right calf. I've discovered I have to wear tight compression bindings on both legs, knee to ankle, nearly 24 hours a day. But even that won't eliminate the ulcers. The left leg ulcers form along the scarred area where the vein for the by-pass was removed and behind the scar in the lower calf. I also developed varicose veins in the left leg. It is wearying and tiresome to care for this chronic problem, Better than being dead? Yeah. Keep your legs elevated? BS. You have to live your life and the needed elevation is too time consuming to remedy "better health" results. You can't lie around with elevated legs 23 hours a day.
Many thanks for the helpful information you've provided.
Excellent!
thank you, this video really helped me!!!
I had an electrical burn to my leg that started just like this. My doctors diagnosed it as psoriasis though and insisted it is an external issue and not internal. The topical steroids made it so much worse for me. My right leg inflamed, my left leg got thinner and I couldn't walk on the right leg without it bleeding. It was awful. Thanks for the video. My dermatologists never said anything about this. It got so bad over the years I nearly died from complications of something like this.
Neat video. great topics..
Thanks for explaining the skin changes in detail, including their causes and names for the different types. So helpful :)
I am 37 and have been diagnosed with cellulitis yesterday at the ER, but I believe it’s more than that.
What did it turn out to be?
Cellulitis is not likely related here normally from an infection.
Thank you so much for this. I have just been diagnosed with it. But I learned more useful (and vital life improving) information watching your video than anything discussed with the several doctors I've seen. Keep up your good and essential work. It would be useful to know if you are doing a video on surgical options for this condition.
How are you treating it my mother has a to
Great information to know. Thank you.
Excellent video..!
Can you do a video (or point me to one) that covers lifestyle, nutrition, supplements that are important for prevention..?
Thank you..!
Very good presentation.. see from India
Ganyan yung nangyari saegs ko,,may sugat at yung paligid nagpalit ng kulay..may time na makati,,pero God is good magaling ang doktor,, after surgery a few weeks gumaling.
mag kano gastos mo mam. yung akin naman parang may presure yung mga ugat ko sa katawan
What about genetics and heredity as causes ?
Thank you very much for this very helpful explanation! I've been suffering with this painful ugly problem for 2 to 3 years and can't get rid of it
Thank you
I had hidden varicose veins, which are allegedly worse than the visible ones. I have had private treatments and I’m now cured of them. I’m in the UK.
Me too Karen. Stay strong. High socks can be sexy too or at least that’s what I tell myself
@@eveoakley6270what kind of treatments did you get if you don't mind me asking?
@@VDRO I had a Duplex Vein Mapping Scan to positively identify which veins were incompetent. I then had Endovenous Laser Ablation Therapy, together with Transluminal Occlusion of Perforators, followed by the necessary eight week gap with Ultrasound Foam Guided Sclerotherapy. I had these at a specialist vein clinic in London in 2018 and have looked back since. Best money I ever spent.
It's taking forever for me to see a Vascular Surgeon, but in the meantime, you just diagnosed my problem, lol! Thank you for the info!
You need a Vascular Surgeon who is also a Phlebologist who works on veins every day. Many Vascular Surgeons are incapable of this. Believe me I have been through it all at a very young age through a DVT. Ian now more or less cured from appropriate treatment I paid for from a Phlebologist who is also a Professor at his clinic in London.
Hello Miriam, despite being 4 months late this may still be useful, I'm 60 yr.'s old and damaged my right leg at the age of 9. By the age of 30 I started with my first ulcer and since then I've been through this problem 4x.
In all of it the worst part is not getting to someone in a timely manner, just long days and nights in a lot of pain...waiting. The required outpatient surgery only takes about an hour.
I call to set up an appointment as soon as I'm sure of a problem because I'm trying to 'nip it in the bud' and they know me and are familiar with the problem, yet I can never get in before 2 months has passed even with the help of my PCP. When I get there, they acknowledge that there is in fact a problem, they then admire it look at it with their ultrasound come up with a plan and then send me home for 2 more months. The problem has now been allowed to fester for 4 months, the foot is literally rotting due to insufficiency there's an open hole on the right medial ankle the size of a quarter its nearly a quarter inch deep and a cesspool of infection and I know damn well that if they could get to the underlying cause within a week or maybe 2 it would save me on the whole about 6 months of pain and suffering, an equal amount of lost work and at least a half dozen trips to the wound clinic for debriding plus sort of having to learn to walk again. Unfortunately for me there are few alternatives. If you can, see if there are other surgeons in your area, use your PCP keep your options open. PS The best way to stave this off is to wear your sock every day and stay active...don't become complacent this issue doesn't age well and will crop up when you least expect it.
A Dr. once told me 'Let us know if it starts to smell', I hope that's something you never hear.
Thank you for a lecture. Bj Slovenia Postojna
This disease will never be completely cured? Stocking treatment only?
Developed this condition after lower leg edema that apparently was caused by a PPI (pantoprazole/Protonix) & my own bad diet. Stopping the PPI led to the edema resolving but leaving me with this. It seems to be slowly improving with time & as I try to consume a better diet. Haven't lost much weight yet, but that might also be helpful.
Pantoprozole ?
The Medication used to elevate heartburn/acid reflux ?
I have this and stand all the time. And also overweight. It’s horrible staining on both legs. I want rid of it. How do you get rid of this?
Fantastic information
Thanks!
You need to fix your livers also. Tudca, and nac or nacet
Thank you. I'm a 46yo m 250lbs I just gained 70lbs rather quickly and I am thinking that this may be the result. I am also on my feet all day. I'm going to lose 70lbs and see if that helps.
@@mabelincedillos5794 well if one wants to lose weight suger is the first to go haha
How are you doing ?
How to make difference between cellulitis and skin changes due to chronic venous insuffisancy clinically ???
how do you ease the itching ?
No mention of venous ablation or sclerotherapy
Thank you, I've been dealing with the swelling of that area and eczema on my legs. I keep shaving, exfoliating, and using lotion but nothing helps.
I've got this. Its scary!!!!😢
I think I have this in my left leg I’m young male who is fit and healthy? My leg is very hot and itchy in the morning mainly and I have dark spots around lower leg
I have same thing. Finally figuring out there's a relationship in gluten, sugar and coffee excess, that triggers this. Once I cut all 3 out for at least 2 weeks, it goes away. But after I slide back into old eating habits, it will flare again.
@@Ohiochic123 I will try some of those things, I have been to the doctor who said it’s just varicose veins and are not at a level where they could operate (not funded) they told me to get some compressions socks so I’m hoping that will help too
@@Ohiochic123 Guys check your LIVER health also!!! Be well
@@robr9170 Buddy, be careful of liver also!
@@janicejacome I just received my Liver Pack to start trying the Castor oil thing. I hope it will help
Can doing massage help to improve the condition?
Thank you, that was well explained. Does Venous Insufficiency also come with a foul odor? What happens if someone refuses to get treatment and has large open wounds?
They NEED to go ASAP ..Any foul odor means infection.. Antibiotics are needed. PLEASE GO!
@@janicejacome I agree they need to go but as an adult I can't make them. Sad situation.
@@janicejacomerubbish, not true.
@@janicejacomethe vein procedures are highly risky. Permanent nerve damage. Damage to lymph nodes resulting in permanent lymphedema
@@eveoakley6270can u get damage to lymph nodes resulting in permanent lymphedema. From vein procedures?
Look up Professor Mark Whiteley. He is a renowned Consultant Vascular specialist and a Consultant Phlebologist.
So are you a licensed clinician because I have a question about a side effect
But why they will have chronic inflammation?? That lead to eczema and lipodermatosclerosis??
The body has the ability to heal itself. I recently went to a vascular clinic reccomend by my doctor and the solution was to do invasive surgery which is covered by my government or laser which is not covered for over $3.000.00 perl leg. I don’t believe in invasive surgery. It important to get to the root cause not a bandaid that can create more problems later. In doing my research it seems that the Liver, and dysfunctional hormones can be the root cause, I’ll be doing more research. Has anyone with this problem found successful holistic solutions?
Venixxa. Sclerotherapy. Compression socks by prescription. Frequent exercise. Occasionally put feet up.
do i go too the e.r ? =( 50 yrs old xan they help me
What kind of doctor should I seek to look at my legs? I’m starting to get this painful red rash on my leg, I’ve already known I’ve had venous insufficiency but this has started this week.. please help!
A vein specialist who is also a Phlebologist working together with an Interventional Radiologist.
I am going to a 'Vein Clinic' for diagnosis and treatment. The doctors are specialists.
I've been suffering from this since early 20's (first noticed small, inexplicable pale spots on calves) after developing the bad habit of falling asleep sitting up on a recliner or couch (also bad habit of sleeping with the telly on, which disrupts sleep btw). Eventually it worsened with edema & cardiovas. disease. Most recently I suspect I have COPD, kidney disease w/ rheumatic heart disease due to ignorance & not following the full doseage of antibiotics that first time I got strep throat infection at 17; Now I'm susceptible to tonsillitis if I fail to thoroughly dry myself after a bath 💀 ALWAYS TAKE THE FULL ANTIBIOTICS DOSEAGE WHEN A DR. INSTRUCTS YOU TO, ESPECIALLY A STREP INFECTION ; Stop being ignorant & arrogant to medicine; TAKE YOUR HEALTH MORE SERIOUS AS YOU AGE.
I had 4 procedure still in pain & I have bumps on my legs as if I had water in this bumps. Pain lower radiating down to my feet tingling bil feet.
Can I ask a question and not take it wrong. Are you over weight ?. Reason I ask is I need this procedure done but to get it done there’s a lot of risk so I’m not sure to go through with it or not?? I weigh 260 and the doctor said she can do the surgery but i have to be sure I’m not gonna gain anymore weight. Which know when already a bigger girl goes and says..Hey I need to gain more pounds!! I have A autoimmune disease so my medication makes me go and down so in size. So what’s a girl to do??
Well my doctor explained to me that in order to do the procedure there has to be tons of fluid around the veins
I developed mine by a doctor way he treated my cellulitis infection in the hospital. He caused a hole near this vein and another one
How about causes?
I noticed that you didn't include diabetes as a risk factor
When you have both it is contributing also add a third to the mix spongiotic dermatitis.,.
3rd time around for venous insuffiency. Im now wearing serious compression garments.
Where do you get them from
Can’t tolerate those stockings, expensive but so tight I can’t stand it! I now wear some more comfortable and bigger size, they work! But I’m on blood thinners and ankle swelling is going down. I have a clot on my lung. Cause doctor did nothing for me, I asked and asked! Almost died. I have no faith in him! Er doctor is doing more for me. My left leg is twice the size of right ankle. I even showed him. Like two completely different legs ugh
It’s sad you did not include investigations
Im 33 and im getting this , my legs are going numb, I have discoloration on the tops of my feet it looks like pepper flakes, starting to get redness in the ankles lower legs, and it all the sudden just started getting bad... I had some feet swelling last year and I wasn't sure what was going on but it went away... Now this is all the sudden started happening and it's really bad I can't even cross my leg... If I do it affects my whole body I can even start feeling numbness in my hands... I don't even have health insurance I don't know what to do... 😟😞😥 Im having trouble dealing with thid mentally it's making me very depressed... I've struggled with drug addiction, opiates to be specific and I feel like that's one of the main reasons I'm having this issue. On top of that I'm overweight I'm like 5'10 and weigh 215-220 so I know that can affect it being overweight and also I've worked in the restaurant industry since I was 17, standing 10 to 12 hours a day for over 7 years... I just recently started a job where I'm not standing for 12 hours a day for the first time in years... I'm just not handling this well, I'm too young for this to be happening and it's affecting my life very negatively and really only just begun to have symptoms like I'm saying the last 2 weeks...
I have a problem with leg ulcer it has not healed yet cause i dont have money for doctors 😢😢
Thanking you sir your vericose veins details report. Treatment how-to prevention used medical treatment careers stocking brand name, shoes brand name asking to buy health maintenance services.
What are medicines available over countter for Varicose veins
Nothing
Yes, it is called Venixxa. Over counter or may need to ask at pharmacy.