Most of us experience pain in the legs while resting, but a majority of us ignore the pain or at the most take some pain killers and get momentary relief. But such repeated occurrence of leg pain is not to be ignored as it could be due to an underlying Vascular problem.
The Vascular disease is caused due to the blockage of artery to the leg. It is due to the deposition of fat within the artery wall narrowing it and thus leading to reduced blood supply to the leg and causing pain and other problems. Diabetics and heavy smokers have to be extra careful. The following are the symptoms of vascular disease. Pain on walked relieved by rest. Pain preventing
you from sleeping at night (rest pain)
Pain in the legs, hips, buttock, while walked they relieved by rest. Pain when lying down (or when legs are elevated) relieved by dangling or lowering legs.
Change in colors appearance of legs and feet. Thin shiny on the legs. Thickened brittle toe nails No hair on toes, legs and calves. Feet turn dark when down, tum pale when up, Blue or purple toes.
Wounds (Ulcers) on the the lower legs found between toes or on the tip of the toe. Outside of the ankles anywhere your shoes rub. According to Vascular surgeon, if the pain prevents you from sleeping at night, one may be in danger of losing his leg and has to the notice of a vascular surgeon”.
Doctors further says not everybody needs hospitalization if the pain is not interfering with your life style then exercise and complete abstinence from smoking is required. The patient suffering from the above symptoms has to undergo as Vascular. Firstly co lour Doppler or Ultrasound of the leg arteries to show the site of narrowing or blockage, and seeing if col laterals will be capable of taking the increased blood flow post imperatively.
The second test is Anagram before the surgery. It is a slightly painful invasive technique showing the inner lining of deceased arteries along with the extra channels (col laterals) making the legs survive so long.
As mentioned earlier, if the patient has pain only while walking and that is not interfering with his life style, then probably exercise and complete abstinence from smoking will help. In other cases two kinds of surgeries are performed depending on the intensity of the problems. In the case of Minimal Invasive Surgery, a patient needs hospitalization for 1-2 days. This technique is basically ballooning of the arteries (angioplasty). It is dependent on the site and length of the blockage. A wire is passed from the groin or the arm to the site of mischief. A Balloon is passed over this wire to dilate the narrowing or blockage once achieved then a stainless steel stint is put into the area to prevent narrowing again. If possible, this is an excellent option with good results and long pat ency rate, says Doctors. The second type is Bypass Surgery where the patient needs Surgery where the patient needs hospitalization for 7-10 days. It is similar to the heart bypass except here the leg artery is being bypass using your own vein or synthetic graft. In high flow system like the Aorta these last well over 20 years, while those below the groin last anywhere from 10-15 years. Good col laterals develop in the mean time and give enough blood to the leg. The last and final option of not performing a surgery is possible in a critically” Islamic leg “
Then Indra-Venous strong ventilator drugs may be given over 5 days to try and dilate your vessels by drugs. Doctors further says that less than 2% land up with major amputation if timely advise is taken from the vascular surgeon .Life would become much better if not absolutely normal.
In US, 10% of the people over 70 years have blocked arteries and those in the age group of 40-69 have 3 to 4% blocked arteries. The statistics for India are not available but presume that they are higher than US.
Don’t ignore leg pain-it could be vascular
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