Phlebologist is the right specialist to go to when you suspect you have a vein disorder, are suffering from serious problems and complications related to varicose veins, wish to eliminate spider veins or counteract progressive varicose veins. What does a phlebological diagnosis look like and what are the possibilities of therapy under the guidance of a phlebologist?
Phlebology – medicine to meet our needs
The Greek word “phlebos” means nothing but a vein, hence phlebology – the name of one of the most dynamically developing and needed branches of medicine. It makes it possible to treat diseases of the venous system and effectively prevent varicose veins. Once these problems were underestimated, today they have their own specialists and a range of medical instruments thanks to which we can improve the health of our legs and beyond.
What is phlebology?
A phlebologist deals with the treatment of lower limb varicose veins, thrombosis, post-thrombotic syndrome, perineal and anal varicose veins, inflammation of veins, changes within the venous vessels, ulcers, swellings and vascular spider veins. He qualifies for operations and procedures of sclerotherapy or miniflebectomy.
He’s a specialist who we should go to if we are genetically burdened with varicose veins or if we experience problems with lower limbs, we are worried about recurring swelling or easily appearing bruises.
Phlebology is a field of medicine in which doctors have only recently begun to specialise. After all, the problems of venous system and venous insufficiency concern as much as 50% of society in various age groups and are classified as civilisation diseases.
Inefficient veins can develop into very serious conditions and lead to complications, the most serious of which is venous thrombosis, which can cause venous embolism of the heart or lungs.
When to see a phlebologist?
When visiting a phlebologist, the doctor will determine what the condition of our venous system is and whether we are at risk of venous insufficiency. If the problem of varicose veins may concern us, it’s better to go to a phlebologist as soon as we notice quite characteristic symptoms of a developing venous disease. The most visible heralds of varicose veins are the so-called spider veins, which in medical terminology function under the name of telangiectasias.
In practice, these are thin and cracked violet-red capillaries, which over time may develop into larger lesions resembling petechiae and disturbing the smoothness of the leg skin. In addition, the impending problem of varicose veins will be evidenced by the feeling of heavy and swollen legs, thickening of the veins, swelling of the legs, tingling sensations, calf cramps, and pain in the vein area.
Your doctor will certainly ask you during your interview about your lifestyle and the type of work you do. Not without reason. These two spheres have a significant impact on the condition of veins and the circulatory system. The risk of varicose veins development is increased by standing or sitting work, little daily exercise, excessive alcohol consumption, smoking and improper diet. Genetic factors are another matter. If our closest relatives have varicose veins, we can also expect them.
Phlebology – how is the diagnosis made?
In addition to the medical history, a possible disorder of the venous system can be diagnosed by Doppler ultrasound. Thanks to it a specialist is able to see any abnormalities in the appearance and functioning of veins, for example, narrowing within their area, places of pressure or damage.
Treatment by a phlebologist – what does it involve?
Treatment of venous dysfunction depends on the severity of the problem. In the initial phase, non-invasive treatment is used, which aims to improve the work of veins, improve blood flow in the lower limbs or discuss preventive measures.
For this purpose, the doctor may order massage and lymphatic drainage, as well as compression therapy, i.e. the wearing of compression underwear. The development of phlebology allows the elimination of many lesions without the use of a scalpel, for example using laser therapy, ultrasound, echotherapy or sclerotherapy.
The latter method involves injecting a chemical substance into the lumen of the vein, resulting in its fibrosis and disappearance of the vessel. It’s used for spider veins and small varicose veins. Another solution is miniflebectomy, which involves surgical removal of problematic vein fragments under local anaesthesia and non-invasively.
In addition, the phlebologist decides on a course of treatment for advanced forms of varicose veins and venous insufficiency, ulceration, rupture, pain and other complications.