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About Lauri Ordway
Expertise
I can answer your questions related to peripheral vacular disorders. This includes all arteries and veins except those inside the head and inside the heart. IE: neck (carotid), arms (carotid subclavian bypases to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wound treatments. Also, Raynauds, Buerger`s disease, Thoracic Outlet and other miscellaneous vascular disorders.
I CANNOT answer questions about your heart disease, blood pressure, brain aneurysm, although I can help with questions about the arteries that go to and from those organs.
Experience
I am a nurse, I have worked for 14 years with two terrific peripheral vascular surgeons, one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage our clinic website and field questions from patients all over the world.
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You are here: Experts > Health/Fitness > Surgery > Vascular Surgery > Ongoing leg pain after 2 DVT's
Expert: Lauri Ordway
Date: 5/13/2008
Subject: Ongoing leg pain after 2 DVT's
Question
QUESTION: I am a 32 year old mum. A few years back I had 2 DVT's in my right leg. The pain has been ongoing ever since only now it is getting unbearable. I have been to visit a vascular surgeon whose advice was to prescribe stockings and refer me to a pain clinic. My leg is constantly painful, swollen and at times turns blue. The vascular surgeon had told me that the nerve endings and wall linings of the veins had been damaged beyond repair (and he said this without even doing a scan) I really need some to answers as I don't want to live with the condition as I am, as my quality of life has deteriorated greatly. I can only walk very short distances without extreme pain. Can you help??
ANSWER: ASK YOUR VASC DOC IF YOU HAVE what's calledPost Phlebitic Syndrome, here is a link to a google search on the problem.
http://www.google.com/search?hl=en&client=safari&rls=en-us&q=Post+Phlebitic+Synd...
did they put you on blood thinners?
ASK YOUR VASC DOC about wearing 40-50 mm compression hose and possibly adding a compression pump.
There is a website called ameswalker.com that sells quality band name compression hose as most insurance companied only cover 2 pair a year and I know I could not live with just 2 pair of sox. They now look like opaque tights not gramma stockings,
so the biggest thing with compression sox is putting them on BEFORE you get out of bed in the AM. shower at night, put them on before you even swing your legs out of bed even if you have to set your alarm earlier. sox can only prevent the pain and swelling, and actually make your leg feel worse if you try to put it on after you brush your teeth, shower, and make breakfast.
ww.ameswalker,com they have some info -teaching pages that are pretty good
if you have allergies to latex, there are latex free sox, by favorite brands are jobst, mediven, sigvaris
there is only one guy I know who MAY still do vein bypass surgery as it has about a 50/50 success rate, when it works it works for decades and when t fails you are right back where you started with an incision to heal. He is in OHIO or AFGHANISTAN if currently deployed.
you DO need to ask about tests, another GOOD ultrasound and do you know what caused the dvt? if not you may need a hypercoagulability study which tells us whether or not you have a genetic predilection to clot...which, if you do, your family should be tested.
http://www.google.com/search?client=safari&rls=en-us&q=hypercoagulability&ie=UTF... google links for hypercoag info
lauri
---------- FOLLOW-UP ----------
QUESTION: Hi,
At the time of the clots I was given Warfarin and was on it for around 6 months. A few years later I then found out that I have a genetic mutation in the blood (thrombophilia) which can cause clots and it is hereditary as my grandmother, mother & Aunt have it too. As for the stockings, I have now been advised to wear them full time (which helps a bit). Apparently I was told they have a shelf life of 3 months but I was given a letter from the vascular doc for a repeat prescription of them through my own doctors surgery. Its just that since the vascular surgeon will not entertain surgery at all I don't know what to do as far as getting further investigations carried out. I have an appt to see my gp on Friday to discuss my options. Is vein bypass surgery really an option that is available to me?? I would just like to go one day without being in severe pain and discomfort.
Thanks
Answer
Unfortunately, very very few peripheral vascular surgeons do vein (not artery) bypass. As I said, I know one, in Ohio (unless deployed currently)but you can ask if there are peripheral vascular surgeons in your area there is actually a list by state at
http://www.vascularweb.org/patients/Member_Search/Physician_Search.html
lauri
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