Phlebologist who treats how he conducts an examination and when to contact him

Human health depends on many factors, especially the external environment, working conditions, heredity. Pathology of the veins is no exception. Heavy physical labor, static stress during the working day deplete the vascular wall and lead to stagnation of blood in the tissues. A doctor who is involved in the diagnosis, treatment and prevention of venous diseases is called a phlebologist.

A phlebologist is a doctor who deals with the pathology of venous vessels of the whole organism. The specialist carefully studies the structure, functions, physiology of the veins.

The phlebologist’s competence includes the following:

  • Reception of patients in a planned manner or in urgent cases.
  • Interviewing a patient for a pathology of interest.
  • Local examination of the body area that the patient complains about.
  • Check pulsation of the main arteries on the limbs.
  • The purpose of diagnostic manipulations: ultrasound diagnostics, phlebography, dopplerography.
  • Using diagnostic methods: Pratt, Brody-Troyanov-Trendelenburg test to assess the viability of valves in perforating veins and a large saphenous vein.
  • Assessment of the conclusion of specialists in functional diagnostics.
  • Appointment of a complex of laboratory tests.
  • Conducting conservative treatment of vein diseases.
  • Performing surgical operations on the venous system of the limbs, abdomen, chest cavity, head.
  • Proficiency in minimally invasive vein surgery.
  • Possess the skills of applying a vascular suture, transplantation of a synthetic prosthesis, removing blood clots from the lumen of the vessel.
  • Conducting preventive examinations of employees of enterprises, military personnel, doctors.
  • Conduct educational work to familiarize the population with the problems of vein pathology, risks, complications and consequences of neglected ailments.

The phlebologist has a surgical specialization, as well as the right to carry out surgical interventions. Medicine introduces advanced methods, preferring minimally invasive procedures. The phlebologist’s arsenal consists of the following tools:

  • Fogarty’s catheter is a thin artificial tube with a can at the top. Introduced into a vein to remove blood clots.
  • A kava filter is a special round-shaped synthetic filter that is treated with anticoagulant drugs and injected into the vena cava to prevent the blood clot from moving into the heart and lungs.
  • Compression knitwear – synthetic stockings that compress the superficial veins on the legs with pronounced force.

If a person has a predisposition to venous insufficiency, then a phlebologist is more likely to recommend surgery. Such tactics will prevent undesirable consequences (ulcers on the legs, tissue necrosis, thrombosis).

The vascular system of the body plays a significant role in the nutrition of tissues, blood circulation and the functioning of each cell. The phlebologist deals with the pathology of the venous system, but also has a good command of the situation with damage to arteries and lymphatic vessels. Bodies the doctor specializes in:

  • Superficial and deep veins of the lower extremities.
  • Veins of the upper limbs.
  • Subclavian vein.
  • Pulmonary artery (this vessel is called an artery, but venous blood flows from it from the heart to the lungs for oxygenation).
  • The superior and inferior vena cava.
  • Portal vein.

A feature of the wall of the venous vessel is the presence of valves. These structures inhibit the reverse flow of blood. The vessel wall is thin, does not have a pronounced muscle layer. Under adverse conditions, a thrombus may form on the valves, which after a while is likely to come off and enter the lungs.

There are emergency conditions for vascular pathology, so the phlebologist needs to make a decision quickly and weigh all the consequences for the patient.

Vein problems usually appear in adults. Very rare cases when children go to the doctor. Usually only a serious complaint can make a person go to a phlebologist.

Patients at a specialist consultation indicate the following disorders:

  • Pain in the lower extremities of a bursting, aching character.
  • Discomfort in the legs at the end of the working day, a feeling of heaviness.
  • Swelling on the legs and feet in the evening.
  • An increase and expansion of the saphenous veins of the lower extremities.
  • Swelling, redness and soreness of the skin along the veins on the legs.
  • Lameness while walking short or long distances, on the stairs.
  • Thinning and bluish coloration of the skin of the lower extremities.
  • The disappearance of hair on the skin of the hands or feet.
  • Swelling and marbling of the skin of the hands.
  • Dull muscle pain during movements in the arms and legs.
  • Pain and the appearance of a dense formation in the inguinal region associated with varicose veins in the legs.
  • The formation of ulcers on the lower leg from the ins >

Most often, the patient’s problem is the formation of blood clots in the lower extremities. This is due to stagnation and blood clotting. Complaints appear gradually, the disease proceeds unnoticed in the initial stages. Usually, patients come to the doctor when the pains become unbearable and the tissue changes become irreversible.

Venous vessels have a special structure, and serve to conduct blood to the heart. For this process, normal blood viscosity, the absence of barriers to the passage of blood through the vessels, and the integral wall of the vessel are important.

A phlebologist treats such ailments:

  • Thrombophlebitis of superficial veins of the lower extremities. This is the occurrence of blood clots (blood clot) inside the venous vessel and inflammation of adjacent tissues. The reason is senile age, varicose veins, surgery in the recent past. Patients complain of the appearance of painful and dense formations along the veins on the legs, swelling and redness of the skin around the thrombus.
  • Phlebothrombosis of the deep veins of the lower extremities. In this case, blood clots form in the deep veins of the lower leg and thigh. It is very dangerous if a complete occlusion (blockage) of the vessel occurs – a person may lose a limb. The disease occurs sharply with severe pain in the lower leg and thigh, especially when walking, with a blue color of the limb skin, and an increased body temperature.
  • Varicose veins of the lower extremities are a problem of connective tissue weakness. Pathological vasodilation contributes to weakness of the valve apparatus of the vein, reverse current and stagnation of blood in the tissues. A person indicates an increase in saphenous veins, thinning of the skin, swelling and heaviness in the lower leg at the end of the day.
  • Paget-Schretter Syndrome. This is thrombosis of the deep veins of the shoulder and subclavian vein. It is formed during coagulopathy (violation of blood coagulability), infections, after operations, and oncological pathology. Patients complain of bursting pain in the arm, limitation of movements in the elbow, general weakness.
  • Thrombosis of the inferior vena cava, iliac veins occurs on the background of cancer pathology, after a pelvic injury, operations, multiple fractures of the extremities. Patients repeat about aching pains in the lower abdomen, perineum, legs, cyanosis of the skin of the extremities, disruption of the genitals.
  • Jugular vein thrombosis often occurs against a background of purulent infection in the head, prolonged catheterization of the vein. Patients have an increase and pain in the area of ​​the vessel, headaches.
  • Femoral vein aneurysm often appears after vascular surgery. This is a pathological expansion of the vein wall, later on a thrombus forms at this place. Patients complain of a tumor in the inguinal region.
  • Trophic ulcers of the leg appear in chronic venous insufficiency. Patients suffer severe pain and ulcers of various sizes in the lower third of the leg. Wounds heal poorly, need constant treatment and changing dressings.

Vein diseases are considered a serious problem of mankind, because the vertical position of the body helps to slow down blood flow, dilate the venous vessels. The efforts of specialists are aimed at preventing the formation of chronic insufficiency, trophic ulcers and blood clots.

For a more detailed study of vein diseases, a phlebologist needs to evaluate the results of such analyzes:

  • General analysis of blood and urine.
  • Blood platelets.
  • Prothrombin index.
  • Fibrinogen plasma.
  • Thymol test.
  • Bürker coagulation time.
  • Lee White coagulation time.
  • International Normalized Ratio (INR)
  • Creatinine and blood urea.
  • Blood bilirubin.
  • Total blood protein.

In instrumental diagnostics, the following methods are of great importance:

  • Ultrasound examination (ultrasound) of the veins of the lower or upper limbs, abdomen, neck, chest cavity.
  • Computed tomography (CT) scan of the head, chest, abdomen, limbs.
  • Magnetic resonance imaging (MRI) with intravenous contrasting of the vessels of the lower and upper extremities.
  • Phlebography with the introduction of contrast into the venous vessels.

The methods make it possible to assess the state of the vascular wall, valve closure, the size and consistency of blood clots. The most affordable and common way to study the venous wall is ultrasound. The technique allows you to quickly and painlessly, with high accuracy to establish the location of the lesion.

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Phlebologist’s advice

Diagnostic methods for vein diseases

The diagnostic methods used in the practice of a phlebologist are as follows:

  1. visual inspection
  2. clinical blood tests
  3. dopplerography
  4. angioscanning
  5. phlebography

As a method for diagnosing veins, ultrasound allows you to painlessly examine the condition of the vessel and evaluate the function of the venous valves. With varicose veins, an ultrasound scan is performed on an outpatient basis.

In severe cases, if the doctor suspects that the cause of the edema is deep vein thrombosis, phlebography is performed – an X-ray examination of blood vessels and veins. In this examination, a contrast agent is introduced into the cavity of the vessels and veins, which allows you to see the vessel, its shape and other characteristics on the x-ray image.

Vein scan for varicose veins

Which doctor should I contact for varicose veins of the legs?

Phlebology is a science that studies the anatomical structure of veins and considers the physiology of the venous system of the body (including venous diseases, as well as methods for their diagnosis and prevention).

Specialists involved in the treatment of venous diseases are called phlebologists. This article will examine in detail what exactly a phlebologist treats.

Phlebologists, as a rule, have experience in working in the direction of general or vascular surgery. Previously, it was the surgeon who treated patients with vascular pathologies, but with the advent of new discoveries in medicine and its progress, two separate narrow medical specializations appeared – angiosurgeons and phlebologists.

The specifics of the work of these doctors at first glance is identical, but there are differences between them – the phlebologist treats and prevents venous diseases, and the vascular surgeon deals with all vascular pathologies that affect both veins and arteries.

The most common reason for contacting a phlebologist is the appearance of varicose veins, but phlebology is involved in the treatment and diagnosis of many other diseases and pathological conditions:

  • phlebitis – inflammation of the vein wall;
  • thrombophlebitis – inflammation of the vein wall, accompanied by the formation of a thrombus, covering its lumen;
  • violation of patency of veins;
  • venous insufficiency;
  • post-thrombophlebitic syndrome – a chronic disease caused by the occurrence of blood clots in the deep veins of the lower extremities;
  • bleeding from varicose veins;
  • the appearance of trophic ulcers in the zone of the lower extremities;
  • venous dysplasia – disorders in the development of veins that occur in the early stages of embryo formation;
  • damage to the veins of the perineum, the labia of the vagina, buttocks, etc.

A consultation with a phlebologist is necessary if at least one of the following complaints appears in a patient:

  • Visible enlargement of the veins (usually in the region of the lower extremities) with the naked eye. In the early stages of venous diseases, patients may complain of the formation of spider veins, sometimes they notice a slight thickening of the veins in the limbs. As the pathology progresses, the intradermal and saphenous veins begin to expand. In the final stages of varicose veins, they acquire a tortuous shape and become convex.
  • The appearance of swelling of the legs and feet, usually in the evening.
  • A periodic feeling of heaviness in the legs, which is not always accompanied by transferred physical activity.
  • The appearance of seizures of the lower extremities.
  • Burning sensation or pain in the legs or cooling of the extremities. (Please note that this symptom can be a sign of not only venous, but also neurological, as well as some other diseases)
  • Darkening or any other discoloration of the skin on the legs.
  • A complex of complaints such as pulling pains in the area of ​​a venous area, redness of the skin near it and an increase in body temperature may indicate the presence of thrombophlebitis in a person.

Usually, a good phlebologist can quickly help a patient get rid of an existing disease with timely access to it.

How is the inspection

Before conducting diagnostic tests, the doctor must collect detailed information about the patient about the alleged disease. To do this, phlebologists find out from the patient which of the above complaints and symptoms he has, and how long they began to appear.

The initial goal of such a survey is to identify existing violations in various organs, as well as to prove the presence or absence of a connection between them, so that you can understand whether they are a consequence of one or different diseases.

After the survey, the patient needs a visual examination, in which special attention is paid to the limbs – with the appearance of vascular disorders, they suffer in the first place. Inspection is carried out both in horizontal and vertical position of the patient. At this stage of the study, the phlebologist studies the condition of the saphenous veins, and also determines how much the vessels are dilated.

The final stage of visual inspection is to determine the pulsation of the main vessels in the limb region. Ripple on the arteries of the feet, as well as on the radial arteries, is carried out without fail.

If the valve malfunctions, near the entrance to the large saphenous vein during palpation, the corresponding impulse that occurs when coughing is detected.

To conduct it, the patient is asked to take a horizontal position, but at the same time raise his legs vertically. After he fulfills this request, a tourniquet must be applied to the thigh and asked the patient to stand up. In this case, the tourniquet is quickly removed. If there are abnormalities in the venous valves in this area, blood will then quickly rush to the legs and fill the dilated vein.

  • March test of Delbe-Pertes

To carry it out, a tourniquet is applied to the upper thigh to the patient, with which he will walk for some time. The outflow of blood as a result of such manipulation from superficial veins to deeper ones will indicate that the deep veins function normally.

During its implementation, the patient takes a horizontal position and he bandages one leg with an elastic bandage, after which he is asked to walk with him for about 30 minutes. The presence of discomfort or pain during walking will indicate poor functionality of the deep veins.

During its implementation, the patient assumes a lying position, after which several tourniquets are applied to him – on the upper and middle parts of the thigh and near the knee joint. After applying the tourniquets, the patient needs to stand up. Rapid filling of the veins with blood will indicate poor functioning of the valves of the superficial and connecting veins.

During the inspection, the use of all functional tests at the same time is optional.

In addition to visual inspection and functional tests for the detection of venous diseases, hardware diagnostics are also used. For example, in phlebology, ultrasound waves are widely used, which serve as the basis for the following procedures:

  1. Dopplerography is a study used to assess the condition of veins and valves. With the help of dopplerographic research, it is possible to identify varicose enlargement of large saphenous trunks. In addition, using this diagnostic method, the doctor has the opportunity to study the movement of blood through the vessels. The Doppler device, depending on the need, can easily fit in a regular pocket, or be a huge computer system. It is equipped with sensors fixed in those places where the veins are located as close as possible to the skin.
  2. Triplex ultrasound scanning is a study that allows you to determine in detail the properties of the blood flow, to find out the features of the venous anatomical structure in a particular patient, the diameter and length of the veins exposed to the disease, to notice the presence of any complications in the patient.

Ultrasound diagnostic methods are safe and painless. They do not require piercing and other manipulations that can cause patient discomfort.

It is desirable that a vascular ultrasound diagnosis is carried out by a good phlebologist and an experienced surgeon.

Unfortunately, this is often only possible in large medical centers and is almost never found in government outpatient clinics.

In addition to ultrasound diagnostic methods, there are others. X-ray diagnosis is still used – a procedure in which a contrast medium is injected into a patient’s vein, after which several x-rays of the affected area are taken.

Due to the huge number of contraindications and harmful effects on the body, X-ray diagnostics are used less and less.

Usually it is used only in situations where ultrasound has not provided enough information to establish the clinical picture.

  • Radionuclide scintigraphy is a similar diagnostic method, involving the introduction of a radioactive drug into a vein, after which its patency is examined using gamma cameras.
  • The introduction of a contrast medium also makes it possible to conduct computed tomography of the affected veins, with which the condition and functioning of the venous system of the patient as a whole is evaluated. Sometimes a CT scan does not require the introduction of a radiopaque substance into the study area.

A good phlebologist, in view of the specifics of work, must have a surgical education and experience in this area. The most preferred option is a specialist who previously practiced it in vascular surgery. It will not be superfluous for a phlebologist to have the skills in conducting ultrasound diagnostics;

In the course of his work, the phlebologist often has to deal with surgical methods of treatment, therefore, the more the number of successfully performed “vascular” operations on the account of the specialist, the better. Phlebology uses not only surgical, but also therapeutic methods of treatment – a good specialist should have experience in conservative methods of treatment.

Choosing a good medical center is a guarantee that the patient will be examined on the latest equipment, and if necessary, the author’s diagnostic methods will be applied to him. In addition, good blades, as a rule, are demanding on their personnel and a poor specialist simply will not be able to work in them.

The listed list of criteria is far from complete. The presence of a phlebologist with a high degree of qualification, publications in scientific journals, and a scientific degree also help determine a good specialist in him.

Finding a doctor that is suitable for all of these parameters is not so simple, but in many cases it will help to guarantee a positive outcome of the venous disease.

Who is a phlebologist? What does this doctor treat? Not everyone has heard of such a mysterious medical profession.

Therapeutic method for the treatment of venous diseases

The conservative treatment of varicose veins also includes the use of various medications.

Phlebology uses two methods of treating diseases of the veins and blood vessels: therapeutic and surgical.

Conservative treatment of varicose veins is aimed at prevention. It includes a specialized diet, a set of physical exercises that help improve blood circulation in the legs.

Conservative treatment of venous diseases includes recommendations for the right lifestyle for the patient.

A doctor who treats varicose veins should have deep professional knowledge and rich practical experience, which will make it possible to conduct preventive measures to prevent dangerous complications of chronic venous insufficiency and varicose veins as effectively as possible.

A personal phlebologist develops a therapeutic course taking into account the individual characteristics of the patient and the stage of the disease. Today, there are many programs for the conservative treatment of varicose veins, which bring a positive effect in the fight against the disease.

Surgical treatment for venous disease

Surgical intervention requires deep vein thrombosis. If this disease has occurred to you, do not despair: now it is being successfully treated and after surgery you can lead a full life.

Thrombectomy is a surgical procedure whose purpose is venoplasty and thrombus removal. Thrombectomy was first applied at the beginning of the last century – in 1911.

Then this operation did not become widespread, since it often led to a complication with retrombosis. This was due to the lack of anticoagulant drugs.

Surgical balloon angioplasty is also rarely used now. The operation should only be performed if there are clear indications, among which are venous gangrene, pulmonary thromboembolism (or a high probability of the latter). With the development of venous gangrene, surgery should be carried out in the period 6-24 hours from the beginning of its development.

Recently, attempts to restore thrombectomy as one of the main methods of treating deep vein thrombosis of the lower extremities of a person have failed. Nowadays, they resort to surgery in the treatment of deep vein thrombosis involuntarily and infrequently: if the patient’s life is in real danger (pulmonary embolism), if conservative treatment has failed.

Indications for use of laser coagulation

Laser coagulation is a new approach in the treatment of varicose veins. The action of the method is to eliminate blood reflux in perforating as well as superficial veins.

Laser coagulation is performed through the use of laser radiation. The advantage of the method is its safety for the patient. The method excludes surgical intervention and does not require hospitalization of the patient in the clinic.

Laser radiation emits significant energy, which is quickly absorbed by red blood cells and converted into heat, which, in turn, causes boiling of blood plasma and produces a safe burn of the vein wall. Thus, a blood clot forms at the site of laser exposure.

Indications for this method of treatment of varicose veins are as follows:

  1. The presence of a small amount of varicose veins.
  2. The degree of expansion of the large saphenous vein is not more than ten millimeters.
  3. The presence of trophic disorders of the lower leg.
  4. The course of the trunk of the removed vein is smooth.
  5. Vascular neoplasms must be of a benign nature.

The benefits of laser treatment for varicose veins

Varicose veins – a disease characterized by bloating of veins, in most cases on the legs. The surfaces of the hands, face, mucous membrane of the stomach and pelvis can be affected. As a result of damage, the veins become bluish and look swollen and very sinuous.

The formation of nodes, the valves in the vessels are deformed. The blood flow is disturbed, the pressure in the damaged veins rises.

The disease process is accompanied by the following symptoms:

  • burning and itching in the affected limbs;
  • leg cramps;
  • the formation of an extensive network of veins with a specific bluish tint;
  • swelling of the ankles and lower legs with pain;
  • constant feeling of weakness and fatigue of the legs;
  • in advanced cases, corns and ulcers appear.

Such manifestations interfere with the normal functioning of a person, it is necessary to start treatment in a timely manner.

  1. Compression therapy allows you to cope with the disease without surgery. The bottom line is to reduce the size of the veins using external pressure. A similar 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 life.
  2. Phlebectomy is a surgical operation that involves the removal of the affected vein from the general vascular system. As a result of actions, the risk of a 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 the 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, skin necrosis.
  4. Radio frequency obliteration. The bottom line is heating the inner wall of the vessel with radio waves. Such actions help eliminate the lumen of the vein. It helps to stop blood flow due to the lesion formed as a result of the disease and the subsequent normalization of the blood flow. For 2-3 months along the vein a fibrous cord is formed.

There is a section in medicine that is fully devoted to varicose vein disease – phlebology. Accordingly, a specialist in this field is a phlebologist. Responsibilities include diagnosing, developing the necessary preventative measures and treating diseases that cause vein lesions.

It is the phlebologist who needs to contact the doctor at the first appearance of the symptoms of the disease in question.

A phlebologist is not in all medical institutions. It is worth considering some experts who are able to assist in the treatment of varicose veins. The main replacement for a phlebologist is an angiologist, a vascular surgeon. Like a phlebologist, a doctor diagnoses, treats and performs operations.

The therapist can help with the diagnosis and referral to the appropriate doctor.

In some situations, it may be suitable:

  • dermatologist;
  • neurologist;
  • gastroenterologist;
  • hematologist;
  • physiotherapist.

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

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

According to its symptoms, varicose veins of the hands 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 in the clinic, which doctor should I contact with varicose veins in the legs, arms or testicles?

For more advice, specialists such as an osteopath, neurologist, surgeon are suitable.

Initially, varicose veins of the esophagus are difficult to identify, the symptoms do not visually consider. Among the frequent manifestations, severe heartburn, belching, discomfort and pain in the stomach can be distinguished.

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

Varicose veins on the face are a fairly rare disease. The reason for the appearance in most cases is explained by heredity or heart problems. Pretty much harms a person’s appearance with its characteristic spider nets of bluish veins. Surgery is not recommended in this case.

To get the necessary course of treatment with restorative procedures, you need to contact a phlebologist, dermatologist, angiologist. If the cause of the disease lies in the heart, you will need to get a consultation with a cardiologist.

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

In particular, the legs are affected. Among pregnant women, the disease of varicose veins of the legs and pelvis is 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. Similar processes are characterized by the formation of blood clots, which can come off and cause bleeding.

When operating varicose veins, the use of compression elastic clothing is necessary. Such actions can avoid complications that depend on the separation of the thrombus. The gynecologist must diagnose the disease in time and write out a referral to a phlebologist or angiologist.

Kaliningrad is a fairly large settlement with a well-developed medical infrastructure. There is a Phlebology Center in the city, which is completely dedicated to the diagnosis and treatment of venous diseases.

The clinic has modern equipment and competent specialists, which allows satisfying the requests of patients not only from Russia. Residents of the near abroad often contact the medical center.

The phlebology center implements broad methods. New laser technologies, radiofrequency ablation, various types of sclerotherapy. In addition to the therapeutic result, notable successes have been achieved in the cosmetic effect.

In order not to run the legs, it is necessary to go to the hospital at the first signs of pathology. Symptoms of varicose veins are edema, convulsions, visible venous stars.

To whom to go

On the threshold of a medical institution, the first question pops up on its own. Why does varicose veins occur, which doctor treats it? We will try to give a complete answer to this question.

At the reception you can easily find the work schedule of such doctors:

Each doctor has his own narrow specialization, but combining all the symptoms and examinations, they will be able to provide the highest quality assistance in the treatment of the disease.

Often in the presence of varicose veins, additional ones join the underlying disease. It can be:

Here without the help of dermatologists and physiotherapists can not do. They will familiarize themselves with the appointments of the main doctor and supplement them with their own, which will include ointments to moisturize the skin and procedures to improve the outflow of blood and its circulation in the limbs.


It is important to take care of your health and respond to any changes that occur in the body. When they appear, you need to contact a therapist, get an appointment for taking urine and blood tests, which can give a more specific picture of the course of the disease.

Hurry up to see a therapist who can cure the disease, if you have the following symptoms:

  • the presence of pulling pains in the lower extremities at the end of the day;
  • the appearance of the first vascular networks;
  • unpleasant pain after physical exertion and even walking;
  • cramps at night;
  • legs in the calf muscle itch for no apparent reason.

It is important to pay attention to the fact that even if the veins are not yet visible, and the symptoms are already present, you still need to see a doctor. After passing all the required number of tests, the therapist sends the patient for further treatment to a phlebologist.

Often there are situations when the disease is in such a stage of progression that conservative methods of treatment are no longer able to help. In this situation, the surgeon comes to the aid of the phlebologist.


The main specialist who is involved in varicose veins, but to get to him, you need to visit a therapist.


This doctor is referred to for the surgical treatment of varicose veins. He prescribes additional tests and studies that will show the possibility of surgery.

Surgery is not performed by an ordinary surgeon, but by an angiosurgeon. It works with veins, arteries, lymph nodes and performs operations on them. Their responsibilities include not only conducting routine interventions, but also providing assistance for injuries in which vessels are damaged.

After a certain period of time that the patient spends in the hospital, it is necessary to return to the clinic and consult a phlebologist. The doctor must evaluate the work done and tell the person about the necessary measures to prevent the disease, which may include medical support and the use of various procedures.


In our country, an angiologist (a doctor who treats blood vessels) is extremely rare, and in the United States this position is very popular. Their main task is medication and conservative treatment of varicose veins.

I do not want to go

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. She fetters a person and he cannot decide to ask for help when the ailment is at the initial stage and it 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:

  1. The unknown. The lack of education of patients draws terrible pictures of examinations in their imagination, and the first thing is done only by ultrasound, which does not bring any pain.
  2. Conducting surgical intervention. The surgeon’s table gets no more than 10% of all patients who have a life threat or conservative therapy did not bring the desired result. In other cases, treatment consists of taking pills, using ointments, and wearing compression hosiery.
  3. Distrust of the doctor and lack of knowledge of where to turn. So, the phlebologist is engaged in treatment. To choose a doctor, take an interest in his documents (diploma, certificate), specify the work experience, find out real patient reviews.
  4. Patients worry about the cost of treatment. It is important to remember that with the neglected form of varicose veins, the treatment will be longer and more expensive, which means that the sooner you contact, the less money you will have to spend.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.