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Ask the Doctor

Can Vein Disease Cause Restless Leg Syndrome (RLS)?

What is the link between symptoms of RLS and Venous Insufficiency?

Symptoms of RLS and Venous Insufficiency

The symptoms of venous insufficiency are almost identical to the symptoms of restless leg syndrome. RLS is common. Up to 3-10% of the population has symptoms of RLS ; whereas, venous insufficiency is also common occurs in 25% of the US population . Both cause symptoms which include: abnormal sensations of creepiness which is only relieved by moving the legs, irresistible urge to move legs, persistent leg movements during sleep, sleep difficulty, tingling, burning, aching, and numbness. The symptoms of both RLS and vein problems are relieved by movement of the legs. RLS and vein disease are usually noticed with change in position, such as lying down and standing. RLS symptoms tend to be more noticed when first lying down; where as, vein disease symptoms tend to be more noticed when standing.

Restless Leg Syndrome and Venous Insufficiency

Restless leg syndrome (RLS) is considered a sleep disorder. Venous insufficiency is a circulatory disorder. The cause of RLS is unknown but it appears to have multiple causes. Some cases are associated with iron deficiency, peripheral neuropathy, Parkinson’s disease, and other neurological disorders. However, it is clear that some RLS is caused by venous insufficiency. Recent medical research shows that 22% of patients with RLS also have venous insufficiency . In addition, the treatment of venous insufficiency can cure the symptoms of RLS. In fact in patient with RLS and venous insufficiency, 98% had relief of their symptoms of RLS by treating their venous insufficiency and 80% of patients the relief was long term [> 2ys].

What is the recovery time for Veinwave treatment?

How long until Veinwave patients can resume normal activity?

Because the Veinwave is not using photocoagulation (such as laser/light-based energy), the patient may immediately return to normal activity, including normal sun exposure. While you can apply makeup over the treated area, it is recommended that you do so lightly to enable the skin to breathe and recover.

How many sessions I will need for laser hair treatment?

How many sessions I will need for laser hair treatment?

There are many variables that determine how many sessions one needs.

Here are some of them:
1. Type of laser
2. Patient tolerance to treatments – if one can’t tolerate a higher setting then it will take many more sessions.
3. Individual response to laser
4. Skin color – the darker the skin the more conservative you will have to be to avoid burns
5. Color of Hair – the darker the hair, the more the laser will affect the the hair follicle.
6. Skill of operator
7. Area of the body – facial hairs are usually less stubborn, pubic areas require more
8. Gender – males often will need more treatments
It is always best to get a consultation to have at least an estimate of the number of treatments. It is a must ask for the type of laser, the experience of the center and the person who will perform your treatments.

How long do sclerotherapy chemicals stay in the bloodstream?

How long do sclerotherapy chemicals stay in the bloodstream? I would like to become pregnant, but would like to know what’s safe.

I am asked this question many times. You can safely get pregnant immediately after a treatment. But if you do get pregnant in the middle of a series of treatments, you should stop all treatments until 3 months after you deliver. This is a wide safety margin for the prevention of blood clots. The medications that are used by almost all experts, Sodium Tetradecyl Sulfate and Polidocanol, are very safe. They are fatty acid esters similar to lidocaine. They are cleared out of your system in 24 hours or less and present no difficulties.

How do I choose a vein doctor?

When you’ve decided to do something as personal as having your varicose veins fixed, you want to be sure you’re choosing just the right vein doctor.  Remember to ask yourself this:  How do you feel now that you’ve interviewed the vein doctor?  Here are some important questions to help you work through the decision process of selecting an appropriate vein specialist:
1. Do you feel at ease when you visit the vein clinic or center where the vein doctor practices?  Do the facilities look clean and professional?  This is an important occasion for you and, even though you’re not going into a hospital, you should feel the same level of confidence about the place where you’ll have this work done.
2. Are you satisfied with the vein doctor’s credentials?  Be aware that many doctors may claim to be able to fix veins even though they may not be specially trained in vein treatment techniques.  Not everyone who claims to be an expert in these procedures has the kind of medical training or expertise you would expect a vein doctor to have.  You deserve the best attention to your medical needs.
3. Most importantly, are you comfortable talking to the vein doctor? You don’t want to be in a position of having this important work done to your body without feeling comfortable that you can ask as many questions as you like–and be completely satisfied with the answers you receive. Your trust in your doctor is key, and your doctor ought to be someone with whom you feel comfortable discussing your symptoms, your concerns, your expected outcome, your apprehensions, your billing and insurance situations, and your thoughts.

In short, seek a qualified specialist whose background and credentials are solid and whose judgement you trust, and whose care of you is up to your expectations.

WHAT CAN BE DONE TO REDUCE PAIN WITH LABIA VEINS?

I had vuvlar/labia veins during my 3rd pregnancy. I had to spend a lot of time in bed with pain and heaviness. This continued 3 yrs postpartum so I had the surgery, 9 mos ago the Dr. said I had pcs and removed some huge veins, now 6 mos pregnant and veins are back, help!

It would help you greatly to wear a pelvic support garment. Your OB/Gyn should give you a prescription, and a medical equipment supplier would measure and fit you. I have also heard reports that the Spanx(r) garments (which you can obtain online or at stores) and compression with elastic biker shorts with a pad against the vulva will help some.

What particular peel or chemicals should I look for?

I have very fair skin with freckles, and would like to get a chemical peel to lighten the freckles and even out my skin. What particular peel or chemicals should I look for?

With fair skin, one has to be careful with peels. Lighter peels will be OK in experienced hands. Sometimes, certain parts of the face (below the eyes for example) should not be peeled at all. get a consultation first to discuss your goals and skin type with an experienced provider before starting any chemical peels.

How can I tell if spots on my face are Sun Spots or something else?

How can I tell if spots on my face are Sun Spots or something else?

Most likely theses spots are sun spots. There are flat, darker than your normal skin color. They will vary in size. They won’t have any scaling. Borders are round. They are uniform in color.Ones to be concerned about:1. Irregular borders2. Within the same spot there is an area that is much darker3. Sudden change is color or size or shape

Can lip injections help turn the corners of my mouth up?

The corners of my mouth look turned down, like I’m frowning or unhappy, when I am not showing any expression. Can lip injections help turn the corners of my mouth up?

Both dermal fillers and Botox can flatten the corners of your lips and get rid of the down-turned mouth.

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