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And the Emergency Chain that Saved Him. - St. Joseph Medical ...

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Sleep Disorders<br />

‰ VARICOSE<br />

VEIN SYMPTOMS<br />

• Aching legs <strong>that</strong> feel heavy<br />

and sometimes painful<br />

• Enlarged, bulging veins<br />

• Ankle and calf swelling<br />

• Brown discoloration at <strong>the</strong> ankles<br />

• Skin ulcers near ankles in severe cases<br />

For complications such as sudden<br />

increase in pain or swelling, redness,<br />

fever or leg ulcers, see your doctor.<br />

section of bone from <strong>the</strong> affected joint, or<br />

replace <strong>the</strong> entire joint with an implant.<br />

Bunions often run in families. Wearing<br />

tight shoes doesn’t cause bunions, but<br />

can make <strong>the</strong>m worse. Various surgeries<br />

are available to remove <strong>the</strong> bony bump<br />

and straighten <strong>the</strong> bone structure.<br />

Dr. Tina Woodburn’s Foot Soak<br />

and Massage for Callused Feet:<br />

1. Add to a basin of water: Fresh lemon<br />

wedges, mint leaves and peppermint oil,<br />

or a lavender and tea tree oil blend<br />

2. Place smooth river rocks in <strong>the</strong> basin<br />

and rub your feet on <strong>the</strong>m<br />

3. Pat your feet dry, use a pumice stone to<br />

remove dead skin, and use a moisturizer<br />

such as Aqua Glycolic.<br />

YOU’RE NOT VEIN!<br />

Vaporizing Achy-Breaky<br />

Varicose Veins<br />

a cosmetic nuisance <strong>that</strong> makes<br />

women feel self-conscious to a<br />

health hazard. They can cause ach-<br />

Varicose leg veins can vary from<br />

ing legs, chronic leg swelling and,<br />

even, lead to leg cramps or restless<br />

leg syndrome at night. Some very serious<br />

conditions such as blood clots or phlebitis<br />

occasionally result.<br />

Although many women develop varicose<br />

veins during pregnancy, both men and<br />

women can be at risk for <strong>the</strong>se bluish, often<br />

bulging, veins. Risk factors include having<br />

a job <strong>that</strong> keeps you sitting or standing<br />

for hours—which is just plain unhealthy,<br />

according to Dr. Wayne Reichman, vascular<br />

surgeon with a specialty in varicose<br />

vein treatment.<br />

“Laser <strong>the</strong>rapy vaporizes<br />

<strong>the</strong> vein and has a very<br />

high success rate.”<br />

Dr. Wayne Reichman, vascular surgeon<br />

“When you walk, your calf muscles act<br />

like a bellow <strong>that</strong> forces blood to flow up<br />

to your heart,” he says. Long periods of sitting<br />

and standing can cause <strong>the</strong> blood to<br />

pool in <strong>the</strong> legs, creating a pressure buildup<br />

<strong>that</strong> leads to enlarged, bulging veins.<br />

Extra abdominal weight—whe<strong>the</strong>r due to<br />

pregnancy or being overweight—can be<br />

ano<strong>the</strong>r contributing factor.<br />

Leaky vein valve<br />

In normal veins, blood moves toward <strong>the</strong><br />

heart. A varicose vein usually indicates <strong>that</strong><br />

a valve is not closing properly. “The problem<br />

occurs upstream from <strong>the</strong> varicose<br />

veins. At <strong>the</strong> inner junction in <strong>the</strong> groin,<br />

<strong>the</strong>re’s a valve <strong>that</strong>’s leaking blood back<br />

into <strong>the</strong> leg,” explains Dr. Reichman.<br />

Amazing laser<br />

One of <strong>the</strong> newest treatments to eradicate<br />

varicose veins is called Endovenous Laser<br />

Therapy (EVLT ® ). “Laser <strong>the</strong>rapy vaporizes<br />

<strong>the</strong> vein and has a very high success<br />

rate,” says Dr. Reichman, who uses <strong>the</strong><br />

laser to seal <strong>the</strong> leaky valve so <strong>that</strong> <strong>the</strong><br />

varicose vein doesn’t recur.<br />

Disappearing veins<br />

“No harm is done by closing <strong>the</strong> valve,”<br />

reassures Dr. Reichman. The superficial<br />

vein system, where varicose veins<br />

occur, carries only ten percent of <strong>the</strong><br />

leg’s blood flow. When <strong>the</strong> valve is shut,<br />

<strong>the</strong> body compensates by moving all <strong>the</strong><br />

blood flow through <strong>the</strong> deep venous system,<br />

where 90 percent of <strong>the</strong> blood has<br />

flowed previously.<br />

This outpatient procedure takes<br />

approximately 20 minutes. Patients<br />

return home with <strong>the</strong>ir leg in a compression<br />

wrap, which stays on overnight.<br />

Following treatment, “<strong>the</strong> varicose veins<br />

in 70 percent of patients gradually shrink<br />

and disappear in one to two months,”<br />

says Dr. Reichman.<br />

For large veins <strong>that</strong> don’t shrink, <strong>the</strong>re<br />

are two o<strong>the</strong>r procedures: A microphlebectomy<br />

involves a tiny puncture though<br />

which <strong>the</strong> doctor pulls out <strong>the</strong> vein,<br />

barely leaving a scar. The o<strong>the</strong>r, called<br />

schlero<strong>the</strong>rapy, is a vein injection with a<br />

solution <strong>that</strong> will cause <strong>the</strong> vein to seal<br />

and disappear.<br />

For people with minor or cosmetic<br />

varicose vein problems, Dr. Reichman<br />

recommends keeping your legs elevated<br />

while sitting and wearing support stockings<br />

while standing.<br />

For a Physician referraL<br />

Call our Doctors Directory at 410-337-1337 or go to www.<strong>St</strong><strong>Joseph</strong>Towson.com<br />

<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> Center / <strong>St</strong><strong>Joseph</strong>Towson.com 11

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