Vascular Surgery/varicose veins


QUESTION: Hello,I am a 36 years old man,I dont smoke,I have varicose veins on my both calves,and above the knees.The ones above the knee are less visible than the ones from the calves,however you can notice them.
On my left leg,on the thigh,I have a small vein about 2 cm long.Accidentally when I touched it one of these days,I felt something like a small ball,the size of cherry seed or something like that.It does not hurt,the colour is not changed,it is not hot,the leg is not swollen.
When I elevate my legs (while laying in the bed I elevate themon pillows)you cannot feel that ball,but when I stand up you can feel it again.
Short while ago I had my full blood tests done,including cholesterol,tryglicerides and so on,and everything was ok.
Moreover,the doctor did some blood test to see if my heart receives enough oxygen,and it was ok.Could you tell me maybe which test this could have been?It looks/feels like the vein is inflamated or something.I take cold showers daily on my both legs.What seems strange to me is that when legs are elevated,you cant feel that spot no more
Anyways,back to that small ball,I was afraid that it might be some blood clot,but what I read about symptoms,it doesnt look like.
What do you think about it?Have you ever heard about such thing?
Thank you so much in advance!

ANSWER: klaas
you need to ask for a venous duplex ultrasound that evaluates both deep and superficial venous systems for incompetence and insufficiency. it sounds like the valves in your veins may not be working properly and this is an issue that can only be seen by ultrasound not by the naked eye.
if the greater saphenous vein (this runs along the inseam of your jeans) is in compentent, and is of a certain diameter- it is easily remedied- look at
to understand the problem and a solution
i hope this helps

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QUESTION: thank you.
but do you tib=nk that might be a  blood clot?

unless you have had an injury to that area, i doubt it but even if it is, it would be a superficial clot, which would resolve with time, nothing that would travel and cause other problems, the ones we worry about are in the deep system and do not present like this
hope this helps lauri

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Lauri Ordway


I can answer your questions related to your circulation, your peripheral vascular system. This includes all arteries and veins except those inside the head and inside the heart. For example, neck (carotid), arms (carotid subclavian bypasses 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. Arterial Bypass, Reynaud’s, Buerger's disease (thromboangiitis obliterans), Thoracic Outlet and other circulation disorders. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wounds from diagnosis to treatments. I have worked extensively with VNUS Closure and EVLT (Laser) for varicose veins and can describe pre and post procedure expectations and describe the procedures themselves. I can't help with spider veins or cosmetic vein treatment, we don't do it. I have 15 years of wound care experience, arterial, venous, trauma and diabetic wounds for example. **I CANNOT answer questions about STENTS or STENTING, heart disease, blood pressure, brain aneurysm although I can help with questions about the arteries that go to and from those organs.


I am a nurse, I worked for 15 years with two terrific peripheral vascular surgeons, and 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 the clinic website and field questions from patients all over the world. I am now working with another vascular surgeon and wound care expert, which has given me an opportunity to widen my horizons as I learn another excellent physician's preferences and benefit from his experiences in this amazing specialty.

I am an LPN, licensed in Minnesota

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