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Vascular Surgery/dark red patches on lower legs and feet

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dark red patch
dark red patch  
hi lauri, i have had my legs looked at for vein problems and it turns out that my legs had a venous insufficiency problem. i am overweight by about 100 pounds and have high blood pressure which being controlled. i also have dark red patches on my lower legs and feet. what i want to know is how do i get rid of these patches or is this condition permanent. i attached a photo of my red patches for you to look at. thank you.

Answer
Hi Christopher,
these patches are called hemosiderin deposition, sort of staining from the high venous pressure in your legs.  you cant get rid of it but you can prevent more from happening by treating the venous insufficiency. it may mean a surgical procedure such as ligation or phlebectomy, or a catheter technique called VNUS Closure depening on which veins are incompetent and if you are a candidate for intervention (surgery) somethings you can do to help prevent more problems include: weight loss, elevate legs whenever possible to increase blood drainage, avoiding prolonged standing or sitting, and regular exercise to increase circulation, if your doctor agrees wear 20-30mmg elastic stockings which can increase blood flow and relieve discomfort. usually these therapies will make your legs feel better and decrease progression of disease. the reason to get this fixed is the next symptom will likely be skin ulceration (sores, wounds) which are difficult to heal, the red staining is evidence of the venous disease and skin breakdown usually follows, taking care of yourself ow will provide a better outcome and increase your overall health.  see your doctor / vascular surgeon to review your ultrasound and plan your treatment,
hope this helps, lauri

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Lauri Ordway

Expertise

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.

Experience

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.

Education/Credentials
I am an LPN, licensed in Minnesota

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