▲During the outpatient visit, the right foot was edematous, tight and red. After staged treatment, it can be seen that the swelling of the right foot gradually subsided and the color returned to normal.

(Photo courtesy/Cai Chenggen)

Text/Cai Chenggen

A nearly 70-year-old elder came into the outpatient clinic and complained that his right lower limb had been repeatedly swollen for the past year. It would look normal when he woke up in the morning, but it would start to swell in the afternoon, and he would feel tight when wearing shoes, making walking uncomfortable.

I wanted to say that the blood circulation might be poor, so I used walking exercise to improve it. The result was that the feet became more and more swollen as I walked.

The patient himself has rheumatoid arthritis, and he regularly uses drugs to control it in the rheumatology and immunology department. He also thinks that it may be related to his own disease. After many times of drug adjustment and combined use of diuretics, the swollen feet still have not improved. Therefore, Refer me to my outpatient clinic to check for vascular related issues.

Please read on...

▲The new minimally invasive venous surgery shows that the thigh wound is small, and you can get out of bed and walk normally the next day.

(Photo courtesy/Cai Chenggen)

New Minimally Invasive Vein Surgery Ends Edema

After a series of imaging examinations, the ultrasound examination did not find deep vein thrombosis, but found that there were two problems of iliac vein stenosis and lower extremity varicose veins. After staged minimally invasive surgery (iliac vein stent and venous laser ablation surgery), Finally solved this stubborn edema problem, so he no longer faced the trouble of getting more and more swollen when walking.

Swelling of the feet is a very common clinical problem. Heart, liver, and kidney problems tend to cause bilateral foot swelling.

As for the edema of one foot, it is necessary to quickly rule out whether there is deep vein thrombosis. Because the veins with thrombosis, the earlier the treatment, the better the effect. After the golden time, you will face the sequelae of post-thrombotic syndrome. Constant swelling and recurrent inflammation.

However, if deep venous thrombosis is ruled out, it is necessary to thoroughly check the veins of the lower extremities. From the veins on the soles of the feet to the iliac veins in the pelvis, different inspection methods must be used to confirm whether there is something wrong with the structure and function of each part.

Now surgery can use minimally invasive vascular intervention, so that the venous problems can be completely improved.

Otherwise, when the edema of the lower extremities continues to worsen, not only the pigmentation of the skin of the lower legs will continue to deepen, but also skin inflammation and infection will begin to appear.

When repeated calf cellulitis infection, the elderly will have a gradual decline in immunity and the risk of sepsis. Therefore, the initial swollen feet must be dealt with carefully. It will not only affect the walking function of self-care, but also cause Potentially life-threatening infection crisis.

(The author is a Cardiovascular Surgeon at Yida Cancer Treatment Hospital)

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  • rheumatoid arthritis

  • edema

  • diuretics

  • lower body

  • Health Net - Bones

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