Duplex ultrasound (DUS) has become the gold standard for evaluating signs and symptoms of venous insufficiency. The test can be performed in 20-60 minutes directly in the office to provide information on vein disease and vein reflux. The examination is best performed by a registered ultrasound technician for accuracy and quality. A proper vein specialists in NJ should also be knowledgeable in both the performance and reading of venous ultrasound.
It is recommended that symptomatic patients with leg pain or leg swelling who have physical findings consistent with CEAP stages 2-6 undergo clinical evaluation with duplex ultrasound for detection of chronic venous insufficiency. For superficial venous evaluation, the primary veins that are evaluated on ultrasound include the GSV, SSV and their primary tributaries. The ultrasound should be performed with pulse wave doppler using a linear 7.5-10MHz transducer. The end goal is to identify incompetent truncal veins and perforator veins. The deep system should also be carefully evaluated to exclude any disease. The vein specialists NJ utilize modern guidelines from the American College of Phlebology to ensure proper performance and documentation of exams. The exam is generally performed in the standing position, though reverse trendelenburge can be also considered in patients vulnerable to vagal episodes or dizziness with prolonged standing. During examination, the veins are evaluated for size, wall characteristics, debris, and vein reflux. The venous reflux portion is measured with pulse wave doppler and is assisted by augmentation maneuvers. Venous blood flow is characterized by movement of blood towards the heart and any incompetent valves can be detected by abnormal reflux or regurgitation exceeding 500 milliseconds on doppler ultrasound. Vein doctors in New Jersey are expected to review these results prior to vein treatment recommendations. Vein Clinics in New Jersey will recommend treatment based on symptoms and ultrasound findings that are consistent. Insurance coverage for vein treatment in New Jersey is carrier specific and should be discussed in detail with the vein doctor New Jersey before proceeding. Duplex ultrasound is also just as important in the follow up after vein treatment for varicose veins. Radiofrequency ablation and sclerotherapy are effective methods to cure spider veins and varicose veins, however duplex ultrasound permits post treatment monitoring for effectiveness and safe outcomes, such as excluding endovenous heat induced thrombosis (EHIT) from ablation. There are 4 stages of EHIT that are closely examined in the post procedure follow up ultrasound. As such, DUS is required for diagnosis, pre-treatment planning, and follow up after vein treatment with radiofrequency ablation, laser ablation , sclerotherapy and venaseal. Article Source: http://njveinclinic.mystrikingly.com/blog/ultrasound-to-detect-vein-disease
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What teachers need to know?
Teachers are on their feet as much as anyone, if not more. Whether they are in front of the classroom, interacting with students, or on lunchroom duty, teachers rarely get a chance to sit down. In terms of vein disease, this is a recipe for spider veins and varicose veins. It’s no surprise then that NJ teachers are among the most likely groups of patients to seek out vein doctor near me to seek out information and relief from varicose vein leg pain. To be clear, varicose veins has many contributing factors, however being on your feet or sitting in one position is one of the most important lifestyle factors that affects varicose vein disease development. In the standing position, superficial or truncal veins are placed under a great deal of pressure and this can lead to valve dysfunction and vein dilation. This condition is known as venous insufficiency and is the number one cause of symptomatic varicose veins. So while being active is good for you, standing or sitting one place for extended periods of time is associated with the development of vein disease. Unfortunately, teachers seem to be disproportionately affected due the very nature of their jobs. Early awareness of common symptoms in venous insufficiency is the most important step in improving vein health. In this article, we will discuss some of the simple things we can do to improve our venous circulation and maybe prevent some symptomatic vein disease. What can you do? Exercise: Use some of the time and space in the classroom to keep active. During lessons, if there is an opportunity to stroll around the classroom while engaging with students, that will help. Put your feet up: During break time or lunch, see if you can elevate your legs a little to lessen the stress on the veins even if its just for a short period of time. Keep at your Target weight: Extra pounds definitely increases the stress on your veins. So with a healthy diet and exercise, we want to make sure the circulation remains healthy. Footwear: Teachers love their high heels and that does affect your calf muscle pump function. The less we are able to engage those muscles, the blood can pool in your leg veins. Compression stockings – these are specially designed socks that apply pressure to your legs to help circulate the blood and prevent swelling. Many designer companies are now providing their own flavors to keep you stylish while also supporting your leg veins These are some of the simple tips to keep your leg veins healthy, however certain people will continue to have symptoms or progression of vein disease. Teachers just seem to be prone to the issue and we understand that compression stockings are not for the cure all. Fortunately, vein treatments today are very effective and quite popular among teachers due to the minimally-invasive nature. In fact, there is no need for any recovery time and teachers can get back to the classrooms without any disruption. More importantly, because vein disease is associated with quality of life issues and health problems when untreated, nj teachers health benefits do provide coverage for medical necessary treatments for varicose veins and venous insufficiency. It is recommended that if you are continuing to have symptoms of vein disease, a qualified vein doctor is sought for a comprehensive evaluation. A duplex ultrasound will help determine the severity of any underlying venous insufficiency and help guide any further treatment. Article Source: https://southjerseyveincenter.home.blog/2020/02/03/vein-disease-in-teachers/ |
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