Chronic Venous Disease Management Update

Khan, Saif Ullah; Rahman, Mahbubur

doi:10.3329/uhj.v8i1.11666

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…The first line of treatment at early signs of venous disease should include the following: Avoiding long periods of standing or sitting. Intermittent elevation of the legs during the day and elevation of the legs at rest. While sitting, ideally the legs should be above the thigh – this reduces the pressure within the veins. It is suggested that raising the legs above the level of the heart for 15 to 30 min at various stages throughout the day can dramatically help reduce the pressure …”

Section: Conservative Treatmentsmentioning

confidence: 99%

“…Three classes of stocking are generally used. Grade 1 are the lower‐pressure stockings, usually between 20 and 30 mmHg and are predominantly used in legs that are prone to lateral phlebectasia (or vein dilation) and oedema . For the treatment of dermatitis or ulcers, generally class 2 or class 3 stockings are used.…”

Section: Conservative Treatmentsmentioning

confidence: 99%

“…This class of stocking is ideal also for people with a slim build with slim legs . Class 3 is above 40 mmHg, however, divided into 3a for healed crural ulcers and 3b for non‐healed crural ulcers . Generally accepted as the strongest available, all class 3 stockings are ideal to use on larger, heavy legs…”

Section: Conservative Treatmentsmentioning

confidence: 99%

“…Grade 1 are the lower-pressure stockings, usually between 20 and 30 mmHg and are predominantly used in legs that are prone to lateral phlebectasia (or vein dilation) and oedema. 1,3 For the treatment of dermatitis or ulcers, generally class 2 or class 3 stockings are used. Class 2 is between 30 and 40 mmHg pressure and can assist in the treatment of different forms of trophic dermatoseshyperpigmentation, hyperkeratosis and dermatosclerosis.…”

Section: Conservative Treatmentsmentioning

confidence: 99%

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Sonographers guide to venous surgery and treatments

Allcorn

2015

Sonography

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Background Varicose veins traditionally are often viewed as more of a cosmetic issue than a serious medical problem. However a condition that can lead to ulcerations, uncontrolled swelling and increased pains and discomforts is greatly more than a cosmetic issue. With improvements in technology and increasing availability to a variety of treatment techniques, it is understandable sonographers have difficulties in understanding what is expected from a venous incompetence scan. Aims This paper attempts to outline the essential information a sonographer is required to know about advancing treatments of varicose veins, and outlines the details we are required to document to the treating physicians. Discussion The first line of treatment at early onset of venous disease is generally compression stockings. However when dealing with longer term issues, other techniques are utilised. Minimally invasive techniques such as sclerotherapy, endovenous laser ablation, radio‐frequency ablation may be used. More invasive surgical options of ligation, stripping and phlebectomy can also treat varicosities. Conclusion Understanding the possible treatments for a patient should enable sonographers to be able to identify and document the necessary information a surgeon requires. To provide the surgeon with detailed diagrams, including directional arrows of flow, provides the surgeon with enough information to make an informed decision for treatment for the patient.

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