Leg Swelling Treatment
If you have visible varicose veins, or symptoms of varicose veins (aching, tired or heavy legs when standing) then the most likely reason for the leg swelling is the varicose veins themselves.
Varicose veins are ‘incompetent’, meaning they do not drain your leg effectively, leading to a build up of fluid in the feet and lower leg. This will often get worse over the course of the day, and be relieved by elevation of the leg. There are other causes for swelling in the leg(s), and so it is important that you are assessed by a Doctor to exclude these.
In most cases treatment of the Varicose Veins will resolve the leg swelling. The gold-standard for treatment of varicose veins is Endovenous Laser Ablation (EVLA), if you are not a candidate for this treatment then Ultrasound Guided Sclerotherapy (UGS) is a good option.
An alternative to active treatment is to wear Compression Stockings. This is usually a temporary measure, as most patients don’t like to wear compression stockings through the warmer months.
The major causes of leg swelling are listed below:
- Varicose Veins – impaired drainage by varicose veins due to incompetence (chronic venous incompetence).
- DVT (Deep Vein Thrombosis) – impaired drainage due to obstruction of the vein by a clot.
- External compression of the veins or lymphatic system – tumour, left iliac compression syndrome
- Heart failure – increased back-pressure on veins due to an impaired heart pump
- Lymphoedema – decreased drainage of the tissues of the leg due to an impaired lymphatic system
- Lipoedema – accumulation of fat causing swelling
- Renal impairment – protein loss from the kidneys causes tissue swelling
- Liver impairment – decreased production of protein by the liver causes tissue swelling
An initial assessment of leg swelling will include a leg ultrasound at Palm Clinic to confirm or exclude venous incompetence. If this is confirmed then treatment will be offered for your varicose veins which resolve the leg swelling.
Treatment of varicose veins for leg swelling is covered by medical insurance. Palm Clinic is an affiliated provider to Souther Cross Healthcare for leg swelling caused by varicose veins. Palm Clinic is also a preferred provider for NIB (formerly Tower) Insurance.