What causes swollen ankles?
Treatment of Swollen Legs(Varicose Veins)?
Venous insufficiency(most common cause of swollen legs)
Swelling of the ankles and feet is often an early symptom of venous insufficiency, a condition in which blood inadequately moves up the veins from the legs and feet back to the heart.Normally, the veins keep blood flowing in the correct direction with the help of one-way valves.
When valves become insufficient, they allow leaking of fluid from the vein to the soft tissues
Chronic venous insufficiency can lead to skin changes, skin ulcers and infection.
If you experience signs of venous insufficiency you should seek medical advice.
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Elevation
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Compression
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Topical treatments
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Treatment of secondary infection, when present
Elevating the leg
above the level of the heart decreases venous hypertension
and edema, is appropriate for all patients, and should be done a minimum
of 3 times/day for ≥ 30 min.
Compression
is effective for treatment and prevention of the effects of chronic
venous insufficiency and postphlebitic syndrome and is indicated for
all patients.
Elastic bandages are used initially until edema and ulcers resolve and leg size stabilizes; commercial compression stockings are then used.
Stockings that provide 20 to 30 mm Hg of circumferential pressure are indicated for smaller varicose veins and mild chronic venous insufficiency; 30 to 40 mm Hg is indicated for larger varicose veins and moderate disease; and 40 to > 60 mm Hg is indicated for severe disease. Check with your health care provider to see what pressure would work best for you.
Stockings should be put on when patients awaken
Elastic bandages are used initially until edema and ulcers resolve and leg size stabilizes; commercial compression stockings are then used.
Stockings that provide 20 to 30 mm Hg of circumferential pressure are indicated for smaller varicose veins and mild chronic venous insufficiency; 30 to 40 mm Hg is indicated for larger varicose veins and moderate disease; and 40 to > 60 mm Hg is indicated for severe disease. Check with your health care provider to see what pressure would work best for you.
Stockings should be put on when patients awaken
Intermittent pneumatic compression (IPC) uses a pump to
cyclically inflate and deflate hollow plastic leggings. IPC provides
external compression, squeezing blood and fluid out of the lower legs.
It effectively treats severe postphlebitic syndrome and venous stasis
ulcers but may be no more effective than compression stockings alone and
is much less practical for patients to adhere to on an ongoing basis.
Topical wound care
is important in venous stasis ulcer management. When an Unna boot (zinc oxide–impregnated
bandages) is properly applied, covered by compression bandages, and
changed weekly, almost all ulcers heal.
Passive dressings are absorptive, making them most appropriate for heavier exudate.
If these occur seek medical attention as they can become infected
Passive dressings are absorptive, making them most appropriate for heavier exudate.
If these occur seek medical attention as they can become infected
Drugs have a minimal role in routine treatment of chronic venous insufficiency, although many patients are given aspirin,
topical corticosteroids, diuretics for edema, or antibiotics.
Surgery (eg, venous ligation, stripping, valve reconstruction) are also options for venous insufficiency--comment below if you have questions about these
Surgery (eg, venous ligation, stripping, valve reconstruction) are also options for venous insufficiency--comment below if you have questions about these
If pain persists please seek medical attention immediately
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