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Leg throbbing: Is Leg Pain at Night A Warning Sign of Vascular Disease?


Is Leg Pain at Night A Warning Sign of Vascular Disease?

Is leg pain at night often interrupting your sleep?  It could more than a normal sign of getting older.  Pain in your legs and feet at night, or when trying to sleep, is often a symptom of peripheral artery disease (PAD).

Peripheral artery disease leg pain can occur anywhere in your leg, but the most common places to feel pain are in the muscles of your calf, thigh or buttocks. The pain can range from mild to so severe you can barely walk a very short distance. PAD is a progressive disease. For some people, pain only occurs during the daytime. Others have pain when resting or at night.

Peripheral Artery Disease and Leg Pain at Night

The leg pain or muscle cramping caused by PAD is known as claudication. Symptoms of claudication can be triggered by activity, especially walking or climbing stairs. However, once you stop and rest for a few minutes, it’s not uncommon for the pain to subside.

Nighttime leg pain could be a sign of the worst form of PAD – critical limb ischemia (CLI). With CLI, the pain attacks in your legs or feet can persist for minutes to hours.  Leg pain at night can be a sign of a serious condition, and only a healthcare professional can diagnose you with PAD.

What is Peripheral Artery Disease?

Peripheral Artery Disease is a circulatory disease in which blocked arteries reduce blood flow to the extremities, most commonly, the legs and feet. PAD is a relatively common condition – in fact, an estimated 8.5 million people, and nearly 15% of people over the age of 70, in the United States have been diagnosed with it. i,iii  

What Causes Peripheral Artery Disease?

PAD is caused by atherosclerosis, or of the arteries. Hardening of the arteries is a condition that causes both coronary artery disease, which can lead to heart attacks, and PAD, which, if severe enough, can lead to amputation of a limb, or even death.2 And like coronary artery disease, PAD is a serious condition.

So…What is Atherosclerosis?

Atherosclerosis is a condition that’s common in older people in which fatty deposits accumulate inside the arteries, creating blockages. Theses blockages are made up of fats and cholesterol, and is referred to as plaque. As plaque builds up in the artery, the walls of the blood vessels begin to thicken, impeding blood flow.ii

It’s uncertain exactly what causes atherosclerosis, but many scientists and doctors believe that damaged arteries cause the plaque to form. Damage to arteries can be caused by:

  • High cholesterol
  • High blood pressure
  • Smoking iv

Other Signs of PAD

Know the warning signs. Leg pain is not the only symptom,  there are a number of other signs that could indicate that you have PAD, including:

  • Cramping or aching after walking or climbing stairs that subsides with rest
  • Numbness or weakness in your legs
  • A cold feeling in your lower leg or foot
  • Sores that won’t heal on your legs, feet or toes
  • A weak pulse in your ankles or legs
  • Shiny skin and/or a bluish tint to your legs
  • Loss of hair on your legs
  • Slow growing toenails v

Just like with other cardiovascular conditions, there are things you can do to help manage PAD, such as:

  • If you smoke, quit
  • Exercise if your doctor says it’s okay
  • Lower your cholesterol level
  • Eat a healthy diet, including foods low in saturated fat
  • Avoid over the counter cold medications that include pseudoephedrine (Advil® Cold & Sinus, Aleve-D® Sinus & Headache, Claritin-D®, Sudafed®, Tylenol® Cold, Zyrtec-D®, others) because they constrict your blood vessels and may increase your PAD symptoms.  v

If you think you may have peripheral artery disease, don’t put off seeing your doctor to discuss testing and PAD treatment options if needed.  The sooner you get diagnosed, the sooner you and your PAD specialist can determine if you are a candidate for minimally invasive treatments to slow down or stop progression of the disease.  Things can get  serious if PAD is left untreated, including amputation, stroke or death.  Finding PAD early can lower your risk of heart attack or stroke and save your limbs.

i Selvin, E., Erlinger, T.P., Prevalence of and Risk Factors for Peripheral Arterial Disease in the United States Results from the National health and nutrition Examination Survey, 1999-2000. Circulation, 2004, 110: p. 738-743.http://circ.ahajournals.org/content/110/6/738.full (accessed 8/18/2016)
ii American Heart Association (2017). Retrieved from www.heart.org.
iii Allison, M. A., Ho, E., Denenberg, J.O., Langer, R.D., Newman, A.B., Fabsitz, R.R., Criqui, M.H., Ethnic-specific prevalence of peripheral arterial disease in the United States. Am J Prev Med, 2007, 32(4): pp. 328-33. http://www.ncbi.nlm.nih.gov/pubmed/17383564 (accessed 8/18/2016)
iv The Mayo Clinic (2017). Peripheral artery disease. Retrieved from: http://www.mayoclinic.org/diseases-conditions/peripheral-artery-disease/symptoms-causes/dxc-20167421
v Mayo Foundation for Medical Education and Research (MFMER). (2015) Retrieved from: https://www.drugs.com/mcd/peripheral-artery-disease-pad

Heavy Legs Treatment | Heavy Legs Causes


In most cases, heavy legs caused by a vascular disease is a treatable condition. If you follow your doctor’s treatment plan, your symptoms will likely improve and may go away altogether. If you have been diagnosed with vascular disease your doctor should monitor you on a regular basis. 

People with PAD are six times more likely to have a cardiac event or stroke and should seek a specialist.

Most people don’t show signs or symptoms (asymptomatic) if they have a vascular disease

In some cases, people with vascular disease don’t show signs or symptoms and if left untreated, the condition can progress and develop symptoms. If left untreated, symptoms typically worsen and treatment may be necessary.

Manage Heavy Legs after Treatment

After treatment, your doctor will continue to follow long term on a routine basis as vascular disease is a chronic disease process.  This may require routine ultrasound studies as well as additional tests.

In cases of PAD you will likely be asked to make some adjustments to your diet and lifestyle in order to prevent further recurrences of heavy legs. These changes may include the introduction of daily exercise, adopting a healthy diet low in saturated fat and cholesterol, and high in whole grains, fruits, and vegetables. Your doctor may also make suggestions or prescribe medication such as long term use of aspirin or aspirin-like medications called antiplatelets.   You may also be recommended medications for controlling your blood pressure, glucose levels, and cholesterol if necessary. They will also tell you not to smoke, as smoking can significantly impact your treatment for PAD.

In cases of venous disease, you will be asked to continue the use of compression socks or stockings to help support venous health. Your doctor will also recommend routine exercise and alterations in diet to maintain a healthy weight.


Common medication to expect during the treatment period

If diagnosed with venous disease, you may be prescribed supplements such as Vasculera.

If you are diagnosed with PAD or a similar condition, you can expect to receive daily aspirin table along with cholesterol-lowering or high blood pressure medications. For instance, the most common cholesterol-lowering medications are called statins, such as Lipitor (Atorvastatin) and Crestor (Rosuvastatin calcium). Medications to control blood pressure are common and may include Lisinopril, Lotensin (benazepril), Capoten (captopril), and Vasotec (enalapril).

What happens if you don’t treat chronic heavy legs?

Long term outcomes of untreated heavy legs depends on the underlying condition.

If caused by underlying venous disease, the symptoms may progress and worsen affecting the ability to continue to be fully active. Chronic symptoms associated with heavy legs, such as swelling and discoloration of the skin may become more difficult and less likely to reverse. Untreated venous disease may put you at higher risk of developing DVT or blood clots.

If caused by arterial disease, the symptoms may progress leading to open sores or ulcerations due to reduced blood flow. Untreated PAD can lead to increased risk of amputation.

It’s crucial to work with your doctor to develop a treatment plan together.

What to expect when treating heavy legs with CVM?

The Center for Vascular Medicine (CVM) is dedicated to treatment of vascular diseases. CVM specializes in diagnosing and treating these “silent diseases”. The doctors and staff with work together with you to develop a treatment plan that is right for each individual patient.  It is the goal of CVM to improve the quality of life for our patients and to prevent the long-term risk of heart disease, stroke, and amputation. 

At the Center for Vascular Medicine, our mission is to help patients with their vascular diseases in a cost-effective and compassionate manner. We specialize in the diagnosis and treatment of venous and arterial diseases in the legs, feet, and pelvis. Our world-class providers are the most experienced in the specialty and work with patients to develop a treatment plan that is custom-tailored to their unique situation.

Typically, this process involves an initial consultation and ultrasound scan at one of our accredited facilities. After reviewing the results of your scan and obtaining a thorough medical history, our providers will discuss the results with you and help you decide on the next steps.

Our health care providers use several diagnostic tests to help determine what vascular diseases may be causing your symptoms. Our initial evaluations utilize ultrasound because this non-invasive imaging modality helps us verify our suspicions on whether your symptoms are caused by underlying vascular disease.

Radiating Pain in Your Leg? Best to See Your Doctor – Cleveland Clinic

If you experience a sharp, regular or recurring pain shooting or radiating down your leg (known as radiculopathy), you may suffer from a damaged nerve or herniated disk in your spine.

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When you feel that type of back or leg pain, contact your primary care physician. He or she can estimate the level of damage – from mild to severe – and will help you decide how to tackle the problem.

Level one: anti-inflammatories

Typically, your physician will first perform an informal examination. As long as you don’t show any signs of significant muscle weakness, the physician will usually prescribe an anti-inflammatory medication or a steroid dose pack.

If a nerve root is inflamed by a disk herniation or irritated by normal degeneration from aging, then the pain will often calm down.

Level two: physical therapy

If, after several weeks, the pain is not improving, the next step would be to initiate physical therapy to help strengthen and stretch the muscles supplied by the nerve. Doctors often recommend:

  • Stretching exercises.
  • Back-strengthening exercises.
  • McKenzie back program for a suspected disk herniation.

These exercises may alleviate the symptoms over time.

“In approximately 80 percent of patients with radiating leg pain, the pain will subside on its own without surgery,” says spine surgeon Tiffany Perry, MD.

Level three: injection

However, if the pain and other symptoms persist for more than six to eight weeks in spite of these measures, your physician may order x-rays or an MRI and may refer you to a interventional pain specialist or a pain management specialist.

A lumbar X-ray and/or an MRI scan can often help reveal the cause of the problem.

Scans may reveal:

  • A disk herniation causing nerve compression.
  • Nerve compression from age-related arthritic changes causing spinal canal or foraminal narrowing (stenosis).

If the scans reveal one of these conditions, the pain management physician may consider treatment with a spinal injection.

These injections are a focal steroid treatment targeted to the specific area of compression or inflammation to calm the nerve root, rather than a systemic anti-inflammatory steroid. This process may only require one injection or might require additional injections.

Level four: surgical evaluation

If spinal injections provide some relief but it is not long-lasting, a surgical evaluation would be the next step.

“At that point, we would examine the patient and review the imaging. Then we would discuss surgical options, including the risks and benefits, and most importantly, the anticipated outcome, says Dr. Perry.

Basic recommendations

Some general guidelines to addressing this issue include:

  • Consult your primary care physician when you experience persistent pain radiating down your leg.
  • Consider using an over-the-counter anti-inflammatory medication such as ibuprofen. These anti-inflammatory drugs can help relieve some of the pain. There are also other prescription medicines available. You should discuss them with your doctor.
  • Continue to exercise and do back-strengthening exercises. Also continue with your normal activities as you are able. If your muscles become unused and atrophy, that will weaken the body’s structural support system for your spine and make recovery more difficult.

What Causes Throbbing Veins Before Your Period?: Clement Banda, MD: Dermatologist

You may have plenty of symptoms tied to your menstrual period that already interfere with daily life for a few days each month. When leg veins begin to throb, too, a few days before your period, you have another distraction. However, it’s not your imagination. There are circumstances where hormones affect your veins, resulting in aching and throbbing. 

Whenever you have an issue that might be related to vein performance anywhere in your body, a visit to MD Vein & Skin Specialists is a smart choice. Dr. Clement Banda and our team have the knowledge and expertise to diagnose and treat your condition. Here’s what you need to know about vein throbbing related to your period. 

The power of progesterone

While estrogen takes most of the headlines as the primary female hormone, it’s not to blame for vein throbbing. Instead, it turns out that progesterone is the culprit. Its levels reach a peak just after the time of ovulation, about two weeks before menstruation starts. Your vein walls start to loosen due to this hormone surge, preparing them for the increased flow of blood. 

Strained valves

While this additional capacity for blood supports some aspects of your menstrual cycle, it places strain on valves within your veins. The key role of veins is to return blood from the body to the heart and lungs for oxygen replenishment before being pumped back out. 

A big challenge for the venous system is working against gravity, particularly up from the feet and legs. To assist the one-way movement of blood, your veins have valves that prevent the backward flow of blood when they’re working properly. 

When progesterone relaxes vein walls, these valves may not close completely, permitting blood to pool. These conditions define varicose veins when the issue becomes chronic, and additional pressure from pooled blood stretches vein walls even further. It’s this straining that causes the throbbing, discomfort, and pain you experience. 

Varicose vein treatments

The valves in your veins aren’t the only way your body ensures the forward movement of blood. The normal contractions of leg muscles as you walk or exercise create a pumping action that helps return blood to the heart. If you spend long hours standing or sitting because of work or hobbies, you add further strain on the valves.  

Even if you haven’t yet seen evidence of varicose veins through the skin of your legs, you may be able to reduce the aches and throbbing you experience before your period by treating your legs as though you have varicosity. Indeed one is likely to have varicosities under the skin which are just not visible to the naked eye in this situation.

You can help support your venous valves using these strategies: 

  • Leg exercises: particularly those that focus on the calves
  • Compression stockings: thigh-high garments that support your legs and veins
  • Foods rich in flavonoids: including bell peppers, broccoli, onions, spinach, garlic, citrus
  • Maintaining a healthy body mass
  • Avoid wearing shoes with heels greater than 1.5 inches

Dr. Banda can help you further with minimally invasive varicose vein treatments if your condition warrants. Contact MD Vein & Skin Specialists online or by phone to arrange a consultation. You can ease the discomfort of throbbing veins, so book your appointment now. 

Leg ache – causes and symptoms

Many people are bothered by painful aching legs. Although many of the causes of this problem are not serious, it is important to seek medical advice if your legs frequently give you pain or if you have some of the symptoms below.

Symptoms of leg pain

There are signs and symptoms of leg pain that can help your doctor find the cause. Features such as whether the pain is constant or intermittent. Did it come on suddenly? Where does it hurt? What does the pain feel like – is it a stabbing pain, a dull ache, a tingling sensation? Does the pain come on with walking or exercise? Is the pain associated with an increase in activity such as exercise? Is it worse at night?

When should I seek immediate medical attention?

There are some features of leg pain or leg ache that should cause you to seek immediate medical attention, such as:

  • if you have redness, swelling or warmth in your calf
  • If your leg is pale, swollen and abnormally cool
  • If you have calf pain after sitting for a long time, such as on a plane or train journey
  • If you can’t weight bear on your leg and are unable to walk
  • If the pain is persistent or getting worse
  • If you have a fever
  • If you have swelling in both legs

Causes of leg pain

There are many causes of leg pain, including:

Muscle cramps

Muscle cramps are uncontrollable, painful contractions of muscles. The calf muscles are a common group of muscles to be affected. The affected muscle will feel like it has balled up, and you may feel a lump. They may be associated with overuse or dehydration, and can usually be relieved by stretching out the affected muscle. Leg cramps  commonly occur at night, often after exercise.

Muscle strains, tendonitis, and shin splints

Injuries to the muscles, such as muscle strains when muscle fibres tear, are a common cause of leg pain. The muscles in the leg commonly affected are quadriceps, hamstrings and calves. Sports injuries are a common cause of muscle injuries.

Tendonitis is another common cause of leg pain and can affect the Achilles tendon (Achilles tendonitis or the medial tibial tendon (causing shin pain or ‘shin splints’). Compartment syndrome causes lower leg pain or calf pain, accompanied by burning or tingling sensations. The pain of compartment syndrome can increase on activity, to the point the person may have to stop exercising.

Stress fractures are small fractures (cracks) in the bone, often caused by overuse. The pain of stress fractures usually gets worse during exercise and goes away or decreases on rest.

Deep vein thrombosis (DVT)

Deep vein thrombosis happens when a blood clot forms in a vein deep within the body – often in the calf. It can result in a blood clot travelling to your lung and causing a pulmonary embolism. DVT is a serious cause of leg pain that needs immediate medical attention. Symptoms include swelling, redness and pain, with the leg feeling warm to the touch.

Varicose veins

Varicose veins are enlarged, twisted and swollen veins, often found in the legs. They are blue or dark purple in colour. Symptoms of varicose veins are a heavy feeling and dull ache in your legs; possibly there may be cramping. The skin may feel irritated.

Intermittent claudication

One of the more serious causes of leg pain is intermittent claudication. This is due to narrowing of the arteries in the leg, known as peripheral vascular disease or PVD, and occurs during exercise, such as walking.

When the leg muscles are being used, they require increased oxygen. If the arteries are narrowed, not enough blood — necessary to provide the oxygen — gets to the muscles, resulting in pain.

People with claudication find that they can walk only a certain distance before leg pain forces them to stop for a rest. After a few minutes, they can usually carry on for a while until the next attack.

Claudication is more common in smokers, overweight people, people who have diabetes, and people with high blood pressure and increased cholesterol in the blood.
If ignored, the poor circulation can lead to leg ulcers and even gangrene, meaning the possible amputation of toes or feet.

When claudication is suspected, various tests can determine the degree and site of any narrowing of the arteries. Surgical treatment can sometimes help improve the situation, but equally important are lifestyle changes such as stopping smoking, a graduated exercise programme and losing weight.

As well as being important in its own right, claudication caused by PVD can alert your doctor that you may have problems with narrowing of other important blood vessels such as those supplying your heart or brain.

Restless legs syndrome

Restless legs syndrome is characterised by discomfort and an urge to move the legs. The other symptoms are variable, but include pain in the legs, and are usually worse at night.


Cellulitis is a bacterial infection that commonly affects the skin of the lower leg. It is a dangerous infection which requires immediate treatment with appropriate antibiotics. The skin feels warm to the touch and may feel swollen and tight. If you experience fevers or chills, you should get emergency medical help immediately.


Gout is caused by a build-up of uric acid in the blood, which then forms crystals in the joints. It affects the big toe joint commonly, but can also cause pain in the knee and ankle joints.


Sciatica is a type of nerve pain, which results in pain radiating down the leg along the path of the sciatic nerve. It is usually only present in one leg at a time. The pain may feel like a tingling or a pins and needles sensation. Sciatica is often caused by a herniated disc in the spine compressing the sciatic nerve.

Nerve pain

Damage to the nerves in the feet or lower leg is a possible complication of diabetes and is known as diabetic neuropathy. It can cause tingling or burning sensations, pain in the lower leg and feet, numbness and sensitivity to touch.

Tests and diagnosis

There is no one specific test to diagnose the cause of leg ache or pain. Depending on your symptoms and a physical examination of your leg(s), your doctor will decide whether you need any tests, such as imaging tests.

Treatment for leg pain

Treatment for leg pain depends on what is causing your pain. For minor leg pain that is the result of sports injuries or overuse injuries, you may be able to treat this at home. Sports Medicine Australia recommends the RICER protocol (rest, ice, compression, elevation of your leg and referral), although there is now debate around the use of ice in soft tissue injuries. Over the counter pain relief, such as paracetamol or NSAIDs, may be helpful.

If your leg pain is the result of vascular disease (circulation problems), your doctor may suggest lifestyle measures to reduce your risk of heart disease and stroke, in combination with medications to control your blood pressure or cholesterol, if appropriate.

Leg cramps usually respond to stretching.

Prevention of leg pain

Leg pain due to overuse injuries or sports injuries may be avoided by warming up before activity and stretching afterwards. Make sure you don’t increase the intensity or duration of your activity too quickly.

Leg pain caused by circulation problems may be avoided by getting enough regular exercise, maintaining a healthy weight, not smoking, and other lifestyle measures. Be sure to keep your blood pressure, blood sugar and cholesterol under control.

What doctor should I see for leg pain?

Your GP should be able to help diagnose the cause of your leg pain and suggest appropriate treatment. Depending on the cause, other healthcare professionals who may be involved in your care include sports physicians, sports podiatrists, physiotherapists or medical specialists.

1. Therapeutic Guidelines. Restless legs syndrome and periodic limb movements of sleep/wakefulness. Published November 2017. © Therapeutic Guidelines Ltd (eTG December 2019 edition)
2. Therapeutic Guidelines. Peripheral arterial disease. Intermittent claudication. Published March 2018. © Therapeutic Guidelines Ltd (eTG December 2019 edition)
3. Sports Medicine Australia. Shin pain. https://sma.org.au/resources-advice/injury-fact-sheets/shin-pain/
4. Sports Medicine Australia. Soft tissue injuries. https://sma.org.au/resources-advice/injury-fact-sheets/soft-tissue-injuries/
5. RACGP. Dr Evelyn Lewin. Is it time to rethink RICE for soft-tissue injuries? 15 October 2019. https://www1.racgp.org.au/newsgp/clinical/is-it-time-to-rethink-rice-for-soft-tissue-injurie

Johns Hopkins Health – Don’t Take Leg Pain Lying Down

Date: July 18, 2012

Treatments are available for even the most severe peripheral arterial disease

It’s no secret that clogged arteries can wreak havoc on your heart. But what you might call poor circulation actually may be a potentially dangerous blockage of large arteries in the legs. This peripheral arterial disease (PAD) is caused by the same kind of fatty deposits or plaque that can build up in the coronary arteries leading to the heart.

Although the disease is often linked to diabetes, the truth is we’re all prone to PAD as we age, says Mark Lessne, M.D., a Johns Hopkins interventional radiologist, with one in five people older than 65 suffering from the condition.

For people with moderate to severe PAD who may need revascularization (rerouting of blood vessels) to restore blood flow to their legs, the good news is Johns Hopkins features an expert multidisciplinary team with interventional radiologists, podiatrists and surgeons all working together to determine a person’s treatment options, including interventional radiology and vascular surgery.

Interventional radiology is minimally invasive, requiring a needle-sized incision, Lessne says. During the procedure, the doctor passes a catheter into the blocked artery, inflating a tiny balloon to open the blockage and positioning a tiny metal stent to keep the artery open. “Most often, there’s a shorter recovery time and fewer complications,” Lessne says, adding that there is a trade-off. Depending on where the disease is, the effects of interventional radiology may not last as long as vascular surgery.

In some cases, vascular bypass surgery is an alternative. Thomas Reifsnyder, M.D., chief of Johns Hopkins Bayview’s Division of Vascular Surgery, is an expert in using a segment of a person’s vein to bypass the troublesome blockage.

People who have the most advanced stage of PAD, known as critical limb ischemia, face nonhealing ulcers and gangrene, prompting some physicians to recommend amputation. Reifsnyder emphasizes the importance of getting a second opinion from Johns Hopkins.

“I frequently get phone calls from physicians and family members of patients telling me their loved ones are going to require an amputation,” he says. “When I see those patients as a second opinion, frequently the repair or surgery to save that limb is easily done and is something that can absolutely change a patient’s life.”

When Achy Legs Are a Warning
The classic symptoms of peripheral arterial disease (PAD) are cramplike leg muscle fatigue or heaviness, and discomfort or pain that occurs in the buttocks, thigh or calf muscles while walking or climbing stairs. The pain typically ceases five to 10 minutes after you rest or stop the activity. Also be on the lookout for symptoms such as numbness, tingling and weakness.

Watch and listen to Johns Hopkins vascular surgeons discuss the symptoms and risks of peripheral arterial disease. Visit hopkinsmedicine.org/healthseminars.

For more information, appointments or consultations, call 877-546-1872.

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10 Signs You May Be Suffering from Nerve Pain – Neuropathic Therapy Center

By Dr. Bussell – March 21, 2017

Where does it hurt?

Your arms, hands, legs or feet? Is your entire body suffering from a stabbing, throbbing or numbness that even the simple act of walking becomes like an everyday chore?

If so, this pain you are feeling is known as neuropathy pain, which is nerve pain as the result of a lack of blood flow to the heart. This can cause certain parts of the body to feel discomfort and pressure making every day activities such as standing, balancing or picking up a spoon near impossible.

But don’t worry, you’re not alone.

Nerve pain is common in most diabetic and chemotherapy patients, as well as individuals suffering from a broken ankle or foot. Let’s take a moment to look at some of the more common signs to neuropathy pain.  Ask yourself do I have one or all of these pain symptoms?

  1. Numbness or tingling in feet and hands
  2. Loss of balance and falling
  3. Throbbing and sharp pain
  4. Extreme sensitivity to touch
  5. Dropping things with your hands
  6. Muscle weakness
  7. Heavy feeling in arms and legs
  8. Dramatic drop in blood pressure
  9. Difficulty digesting
  10. Excessive sweating

If you answered yes to one or all of these, you may be experiencing nerve pain. Recognizing this is the first step to getting the help you need.

So, how can you treat nerve pain?

For starters, a healthy diet and active lifestyle can contribute greatly to easing every day pain. Secondly, rest easy knowing there is a team ready and able to assist you at our new neurovascular clinic opening May 2017. It is here where our Intraneural Facilitation or INF™ treatment will be able to improve blood flow and reduce discomfort with three unique hold positions.

Trust me when I say this will be a game changer in pain relief.

Imagine getting up each morning, standing on your own and walking outside without any pain. That’s what I like to call a success.

Are you ready to experience a pain-free life?

90,000 Pulse determination and vascular auscultation +7 (800) 222-70-43


Hypoplasia of the left vertebral artery

Hello. I have been in pain for a long time. Nausea. Vomiting. Impaired coordination. Unsteadiness. Severe headaches. What examination should be done so that they will turn to you for help? ”

Answer: Make MSCT of the arteries of the neck and brain with contrast.

Thromboangiitis obliterans

Hello. My mother is 58 years old, a disabled person of the 1st group. She had both legs amputated below the knees due to thromboangiitis obliterans.They underwent an examination for an ultrasound of the vessels of the NK. What additional research needs to be done …

Answer: And what about the stumps now?

Leg amputated

My brother had his leg amputated in December 2019 due to atherosclerosis, after which he developed gangrene. In January, they underwent re-amputation. It’s March now, but the wound isn’t healing. We did CT of vessels ….

Answer: What to do? Restore blood flow. Send a link to MSCT of vessels.


Hello, my dad had gangrene on his right leg on the big toe, his toe was amputated, the treatment prescribed by the doctor does not help, there are pains, a large crust and there was pus, ointments were smeared…

Answer: It is urgent to perform ultrasound of the arteries of the limbs and MS CT scan with contraction, after receiving the results of the examination, we will be able to offer you the best method of treatment.

How to treat trophic ulcers and finger necrosis.

Hello. After examination at the Donetsk Institute of Emergency and Reconstructive Surgery. In K. Gusak (DNR) my husband was diagnosed with coronary artery disease: atherosclerotic cardiosclerosis. CH2a. GB 2st. risk 3. Left ventricular thrombus….

Answer: Good afternoon. The left leg suffers from ischemia, i.e. lack of blood flow. So that she does not bother, you need to restore blood flow. I need an operation. Perform CT angiography of the abdominal aorta and lower limb arteries (up to the feet) ….

Red spots.

Hello, I broke my leg in September, but after 4 months, red spots in the form of bruises appeared on my leg, and they never go away. WHAT CAN BE?

Answer: Good afternoon. It is unqualified to make a diagnosis without examination.See a traumatologist.

Wet gangrene

Hello! My dad (70 years old) has wet leg gangrene, we live together in the same apartment with a small child (2 years old), is this situation dangerous for the baby? Thank you!

Answer: Good afternoon. Gangrene is dangerous if an infection is attached to it. Show the patient to the surgeon.

Atherosclerosis of the lower extremities.

Hello, my dad is sick, he is 81 years old. atherosclerosis, calcification of the vessels of the lower extremities. In Perm, doctors did everything they could (incl.including angioplasty, which did not bring results). At the moment …

Answer: Most likely you can, but you need to see the patient in person. You cannot establish a forecast by correspondence.

Upper limb occlusion

My mother is 68 years old, since August 2019, for the first time, very severe pain in the elbow on the right appeared. Gradually, the pain intensified and spread down the entire arm, conservative treatment without effect. Consulted by the neurosurgeon of the Federal Center for Scientific Research in the city of …

Answer: Perform CT angiography of the upper limb arteries.Send the link to the study by mail [email protected]

Atherosclerosis of the lower extremities

Do I need surgery or therapeutic treatment

Answer: It all depends on the specific situation. Primarily clinical manifestations. See your vascular surgeon for a personal appointment.

Ask a question
90,000 Restless Legs Syndrome: When Night Becomes Torture

  • Sally Abrams
  • BBC Correspondent

Photo Credit, Getty Images


Restless Legs Syndrome turns into nights torture

For many years, Mary Rose struggled to fall asleep or sleep without waking up due to leg pain that resembled an insect attack.

“Imagine that you have a swarm of bees under your skin that fly and sting you. It really, really hurts,” she says, describing her feelings.

Mary Rose has a so-called restless legs syndrome that prevents her from sleeping at night.

“I want to scratch my feet, get out of bed and walk around. It was impossible to lie down and sleep because my legs twitched uncontrollably all night,” she explains.

The symptoms were so painful that in the evenings she did not want to go to bed.

Mary Rose does not remember when the problem began, but doctors could not diagnose her for several years.

“People said – you just have cramps. You need to take quinine or put bark in your bed. So I did,” she recalls.

Of course it didn’t get any better. She tried rubbing the ointment on her legs to reduce the stabbing sensation, but the effect was not enough for the whole night. The doctors were also unable to help her relieve her pain.

The need not to sleep, but to move

One day she was advised to visit a sleep clinic in London, where she is now undergoing treatment under the supervision of doctor Guy Leschziner.

“Restless Legs Syndrome is a common nerve disorder that makes a person feel the need to move, especially at night, and is most often accompanied by discomfort in the legs,” says Leschziner.

“This condition affects about 1 in 20 people. It can cause severe sleep deprivation,” he explains.

Sometimes Mary Rose only got a few hours of sleep, and sometimes even less.

“I had nights when I did not sleep at all.If I was very tired, I could sleep, then wake up for an hour or two, and sometimes get out of bed, “she says.

Restless legs syndrome is often hereditary, but it occurs for other reasons. lack of iron in the body or pregnancy, and usually the disease is easy to cure.

For some people, it may be enough to simply give up coffee, alcohol and certain medications, and also do light exercise (stretching the muscles and massage the legs).But in some cases, drug treatment is also required.

Mary Rose’s condition requires medication, so Leschziner resorted to varying medications to control symptoms. This seems to be paying off, unless the patient tweaks the dose.

“I no longer have restless legs!” She says with joy.

Distraction Strategy

Although the treatment is working, Mary Rose still cannot sleep completely through the night.

“It is with great regret that I have to admit that although my legs are more controlled, it has not helped my sleep pattern. I still wake up at about three in the morning,” she says.

According to Leschciner, this is normal.

“What you are describing is quite common among people who have lived with sleep disorders for many years.Sleep is a learned habit, “he says.

The fear of the night ahead and constant sleep interruption can last for many years.

Photo Credit, Getty Images

Photo Caption,

Audiobooks and music can help reduce brain activity and help a person fall asleep

He said that sometimes people need to retrain to sleep in order to understand that the bed is for sleep, not for the agony associated with a hard night.

Mary Rose has developed her own strategy to combat insomnia.

“Listening to audiobooks or music, my brain starts to slow down, after which I’m ready to sleep. But this does not mean that I get more than two hours of sleep,” she says.

“Basically, this means you are distracting yourself,” Leschziner says. “When you think about the story or the music you are listening to, you no longer have to think about falling asleep, and therefore your brain switches to passive mode and then sleep begins as if by accident. ”

Checking the horse’s leg pulse | EquiLife.Common crawl en

In this article we will talk about checking the pulse in the horse’s legs.

Regular palpation of the horse’s feet will allow you to judge about possible hoof inflammation or other health problems.

Blood enters the hoof through three arteries. Inflammation in the foot leads to restriction of free blood flow, which means increased blood pulsation.

That is, the stronger the inflammation, the stronger the pulsation will be felt.

If the horse is healthy, the pulsation of the blood will be felt as very weak.It is almost impossible to feel it about palpation. Try to check the pulse of several horses. Every horse is different, so the pulse will be felt and felt differently.

What should alert you?

A strong pulsation should immediately grab your attention. But do not be in a hurry to panic, make sure that you “took readings” correctly, check all 4 legs and compare your feelings.

Strong throbbing indicates inflammation and / or pain.

If the pulsation is felt in only one leg? This is a local problem. Perhaps this is a bruise, a puncture, or a local abscess caused by other reasons.

But if two (more often front) legs, or all four, are suspicious, then the problem may be more serious and this may indicate laminitis.

Pay attention to the general condition of your horse, whether there are changes in behavior, activity. If the behavior is normal and the pulsation is not strong, you can take note and observe.But here are obvious changes in the horse’s activity and strong pulsation in the legs, this is already a reason to sound the alarm.

In the initial stages, quickly noticed laminitis can be cured. Therefore, paying attention to the horse’s behavior and regularly feeling the pulse on the legs (for example, while reading) is an important and necessary procedure.

Now the most important thing – where to palpate?

It is very important to know the specific points on the horse’s leg.

90,000 Burns veins in the legs, what to do and how to treat

Burning sensation appeared in the vessels of the legs.

From this heat, discomfort arises, which interferes with fully working during the day and having a normal rest at night.

It would seem that it just burns a vein in my leg. It’s OK. But this unpleasant sensation affects overall health. After all, if a person does not get enough sleep on a regular basis, then his immunity decreases, and the body becomes vulnerable to many pathologies.

In addition, a burning sensation in the legs occurs with varicose veins. In this case, such a symptom is only one of the signs of a dangerous disease.So it is unwise to ignore it, because in the later stages, swollen veins can cause fatal complications.

Now many people do not pay attention to mild discomfort and go to doctors only in extreme cases. This is not always dangerous. If the vein burns for one day, and then the sensation disappears, then the doctor’s help may not be required. But when the symptom lasts for weeks or months, it’s time to think about a professional diagnosis.

To eliminate the burning sensation, you need to know its cause.

So further we will talk about the main pathologies that cause discomfort in the veins.

What causes a burning sensation in the veins of the legs?

Unfortunately, it is extremely difficult to immediately determine the cause of this problem, since a burning sensation in a vein does not indicate a specific disease. Moreover, sometimes it is not associated with severe pathologies.

All causes of a symptom can be divided into two groups: physiological and pathological.

Physiological factors:

  • Wearing uncomfortable shoes

In such shoes, the pressure on the legs increases, which disrupts blood circulation and affects the nerve endings.Problems with veins can also occur.

  • Long immobility

In some cases, burning in the legs is observed in the morning. In motionless legs, blood circulation deteriorates, which means that the pressure on the venous walls increases. In addition, some people sleep in an uncomfortable position. This also affects the blood vessels.

  • Sudden change in leg temperature

If people are in the cold for a long time in unsuitable clothes, their veins narrow.Indoors, the body heats up, which causes the vessels to rapidly expand – sometimes this causes severe pain and burning.

Fractures and other mechanical damage can affect nerve endings. The result is a feeling of numbness. Or a burning sensation.

  • Dewatering

When moisture is released from the body, it also loses calcium, magnesium and other minerals. It affects tissues and blood vessels. The person feels tingling, burning, and sometimes cramps.

  • Heavy physical activity

Sometimes a burning sensation occurs in tired leg muscles. It does not last long. Usually the problem goes away after a good rest.

  • Lack of vitamins

Vitamin deficiency affects the general condition of the body, and also provokes various symptoms. Including burning.

Heavy smokers often experience discomfort in the legs due to oxygen deprivation and lack of vitamin C.The reason is that smoking harms the respiratory system and disrupts blood circulation.

As you can see, there are a lot of physiological reasons for burning veins.

However, in most cases, the symptom quickly disappears when the factor of its appearance is eliminated. Even without medical attention.

Pathological factors are more dangerous:

  • Diseases of the joints

In rheumatism, arthritis and other pathologies, inflammation often passes from connective tissues to blood vessels.Patients feel a burning sensation and tingling sensation.

  • Diabetes mellitus

Many complications of this disease affect the veins. In particular, from time to time there is a burning sensation in the vessels.

  • Fungal pathologies

When fungus affects the foot, it causes an unpleasant odor, flaky skin and brittle nails. In addition, some patients complain of tingling and burning sensations.

  • Spine problems

We are talking about injuries and various diseases. For example, scoliosis or herniated discs can compress some blood vessels, causing a burning sensation.

Certain clothes, shoes and cosmetics cause an allergic reaction that causes itching and burning.

Large neoplasms compress nerves and veins. In this case, the burning sensation may not stop all day.Sometimes there is severe pain.

  • Diseases of the heart and blood vessels

With varicose veins and other pathologies of the veins, patients suffer not only from burning. This is usually just the first symptom. Then edema, spider veins and thick twisted vessels appear.

It is much more difficult to get rid of a burning sensation in the legs with varicose veins than from discomfort after injuries or excessive exertion. Disease manifestations may subside.But they will not disappear without treatment of the pathology itself.

Therefore, a little later we will talk about modern methods of dealing with varicose veins.

In the meantime, let’s finish the story about burning in blood vessels.

If your veins burn, is it dangerous?

Depends on the cause of the symptom.

First of all, evaluate how often this problem occurs. For example, it can occur after exercise or other physical activity. Or when wearing uncomfortable shoes.Such moments can be noticed by every person.

However, professional diagnostics is still necessary, because only a doctor can make an accurate diagnosis.

So if there is a burning sensation in a vein in your leg, consult a doctor. It is not necessary to run to the clinic on the day the symptom appears, but you should not postpone the consultation either.

The burning sensation itself is not dangerous. But if it was caused by a serious pathology, then it is best to identify it as early as possible. This way you can begin treatment before complications turn your life into a nightmare.

True, there is another problem.

First you need to choose the right doctor.

Which doctor should I contact if you experience burning and tingling sensations in your feet?

First of all to a therapist.

Burning sensation is a common symptom that provokes many diseases. Therefore, it is not immediately possible to choose the right specialist.

Preliminary inspection required.

The therapist will check the vessels that disturb you, listen to complaints and study the medical history.He also orders tests:

  • General blood test

Measurement of hemoglobin and erythrocyte count.

Protein level check.

  • Blood biochemistry

Calculation of cholesterol levels in case of suspected atherosclerotic vascular lesions.

  • Glucose level

Analysis for diabetes mellitus.

Identification of cardiovascular diseases.

After checking the test results, the doctor can refer you to a highly specialized specialist: phlebologist, neurologist, orthopedist, endocrinologist.

Knowing exactly why the veins in the leg burn, these doctors will easily eliminate the problem. Or not easy. If the symptom is caused by a serious illness, it can take a long time to fully recover.

Fortunately, therapies are constantly evolving.

For example, advanced methods of dealing with varicose veins are now actively used.

Modern methods of treatment of vein diseases 90 100

Earlier, after removing the swollen blood vessels, noticeable marks remained on the skin – sometimes scars stretched from the feet to the knees. New operations do not have such disadvantages.

For the treatment of varicose veins, the following procedures are used:

  • Endovasal laser coagulation

Usually doctors prescribe this operation when the veins are dilated up to 10 mm. It also helps to eliminate trophic ulcers and benign vascular neoplasms.

At the beginning of the procedure, the doctor pierces a hole in the diseased vessel. A catheter with a laser is inserted inside. The phlebologist treats the walls of the vein, which causes them to become inflamed and block blood circulation. So then the blood flows through other vessels.

The operation lasts from 30 minutes. Local anesthesia is used for pain relief. Except for one puncture, the doctor does not damage the skin, so the treatment does not leave scars or scars.

  • Foam Sclerotherapy

With this procedure, doctors remove varicose veins from 10 mm.The therapy is suitable for the treatment of great and peripheral vessels.

A sclerosant is used to destroy the veins. But in an unusual, foamy form. The doctor injects the substance into the diseased vessel, after which the foam is absorbed and damages the venous walls.

Foam sclerotherapy effectively removes even large varicose veins, and lasts no more than 20 minutes.

  • Miniflebectomy

Removes the largest twisted vessels up to 18 mm in diameter.The operation helps to eliminate the consequences of thrombophlebitis of the main saphenous veins. And removes edema.

The phlebologist pierces a small hole in the skin next to the diseased vessel. Then he pulls out a vein with hooks. The doctor treats one area at a time – until the varicose vessel disappears completely. So you need to make some holes in the skin.

The operation takes up to 60 minutes. Patients fully recover in no more than 10 days.

Today, these treatments are considered the safest and most invisible.After them, the legs look the same as before. Only without twisted veins.

Where can you cure varicose veins with modern methods?

Such operations are performed in several clinics, but phlebologists with extensive experience in performing them are not everywhere. So we suggest contacting the Vein Institute.

We will help you to have healthy veins 90 100

The success of therapy and quick recovery largely depend on the skills of phlebologists. The more experience, the less the risk of mistakes.

That is why the most experienced specialists in venous diseases work in our phlebology centers in Kiev and Kharkov. Among them there are candidates and doctors of sciences.

However, even our young phlebologists have been treating vascular pathologies for several years. Each of them performed hundreds of independent operations and thousands of diagnostic studies.

We have been performing low-traumatic procedures for 15 years. During this time, over 4,000 of our patients have got rid of thick varicose veins using these methods.

But not everyone needs the operation. First, we try to slow down the development of varicose veins and remove its symptoms with the help of conservative therapy. It doesn’t always work out. But the earlier a person turns to us, the higher the chance to stop the pathology without surgery.

Come to the Vein Institute clinic and consult a phlebologist if your leg veins burn. We will make a diagnosis in just 30 minutes.

Doctors of the clinic “Institute of Vienna”

Surgeon of the highest category, phlebologist

Experience: 21 years

Surgeon of the highest category, phlebologist

Experience: 20 years

Phlebologist of the highest category

Work experience: 34 years

Dermatologist higher.cat., director

Experience: 20 years

First category surgeon

Work experience: 15 years

Surgeon, phlebologist

Work experience: 17 years

Surgeon, phlebologist

Work experience: 5 years

First category surgeon

Experience: 12 years

Vascular surgeon, chief physician

Work experience: 11 years

Vascular surgeon, phlebologist

Experience: 10 years

Vascular surgeon, phlebologist

Work experience: 8 years

Vascular surgeon, phlebologist

Work experience: 5 years

Vascular surgeon, phlebologist

Work experience: 8 years

90,000 Information on Peripheral Neuropathy | Memorial Sloan Kettering Cancer Center

This resource provides information on what peripheral neuropathy is, its causes and symptoms.

Peripheral neuropathy (peh-RIH-feh-rul noor-AH-puh-thee) is a general term used to describe the changes that occur when peripheral nerves are affected. Peripheral nerves are all nerves outside the brain and spinal cord. There are 3 types of peripheral nerves:

  • Sensory nerves , which help you to feel pain, temperature, vibration, as well as touch and orient yourself in space.
  • Motor nerves , which help you move and maintain muscle tone.
  • The autonomic nerves control processes within your body that occur automatically, such as how fast your heart beats and how much you sweat.

to come back to the beginning

Symptoms of peripheral neuropathy 90 100

Many people with peripheral neuropathy have sensory changes in their toes, feet, fingers, hands, or face. These sensations may not extend beyond the wrist or ankle.

Symptoms of peripheral neuropathy differ depending on which peripheral nerves are affected. Sometimes only one type of nerve is affected. Most often, several types are affected at once, and therefore you may have several symptoms.

  • If sensory nerves are affected, you may experience a “pin and needle” or “electric shock” sensation. You may also feel cold, tingling, tingling, or burning sensations in your hands and feet. Some people become very sensitive to touch, while others feel numb.
  • If your motor nerves are affected, you may have muscle weakness, cramps, and twitching. You can also lose balance and coordination. This can make it difficult to walk, drive a car, or handle small objects (such as a pen or shirt buttons).
  • If your autonomic nerves are affected, your heart may beat faster or slower than normal. In addition, you may sweat more or less than usual and notice bowel and bladder problems.

Be sure to discuss your symptoms with your doctor or nurse. They can suggest ways to treat these symptoms.

Symptoms of peripheral neuropathy may come on suddenly or develop slowly. They can appear and disappear or appear to a greater or lesser extent at a certain time. Depending on what caused your peripheral neuropathy, your symptoms may improve over time or be lifelong.

to come back to the beginning

Causes of peripheral neuropathy 90 100

Diabetes is the most common cause of peripheral neuropathy. Other reasons include:

  • Taking certain medications, including certain types of chemotherapy. For more information, see the Chemotherapy section below;
  • lung cancer;
  • multiple myeloma;
  • alcohol abuse;
  • Certain other forms of cancer (eg, induced neuroleukemia).

If you have any of these possible causes of peripheral neuropathy, tell your doctor or nurse about them. Tell them what medicines you are currently taking, including over-the-counter medicines, and what medicines you have taken regularly in the past.

Sometimes there is no obvious cause of peripheral neuropathy.


Certain common types of chemotherapy drugs can also cause peripheral neuropathy.Below we list them and the symptoms these drugs can cause.

  • Bortezomib, carfilzomib
    • May cause numbness, pain, or burning sensation in the legs or arms.
  • Cisplatin, carboplatin, oxaliplatin and thalidomide
    • May cause difficulty in positioning arms and legs. This is called positional sensitivity. That said, you can slip out of your shoes or slippers if they are not laced up or covered up to the middle of the top of your foot.
    • You may not feel the surface under your feet when walking. You may feel like you’re wearing socks on your bare feet, or like you’re walking on broken glass.
  • Paclitaxel, docetaxel and nab-paclitaxel
    • May cause problems with touching the shape of an object in the hand or handling small objects.
  • Vincristine, vinblastine and paclitaxel
    • May cause problems in distinguishing between warm and cold.

When using any of these drugs, you may also have trouble performing activities that require muscle strength and coordination. For example, you may find it difficult to move your foot from the accelerator pedal to the brake pedal while driving. Some patients also describe sensations of muscle spasms, heaviness, virtually none of the swelling, and weakness in the arms or legs.

Some of these symptoms may improve (diminish) during the first 6-18 months after treatment.

to come back to the beginning

Treatment of patients with peripheral neuropathy

Read the resource Treating Patients with Peripheral Neuropathy for information on ways to control the course of peripheral neuropathy, including ways to control its symptoms and patient safety tips.

to come back to the beginning

90,000 Heavy legs are no longer a problem!

The topic of this publication concerns very many adults – more than half of them regularly face the problem, which will be discussed later, namely, heaviness in the legs or, as it is also called, the syndrome of restless legs.It is worth exploring this issue in more detail not only because patients come to pharmacies and ask for help with the choice of means that can alleviate this condition, but also because the pharmacy employees themselves, due to the nature of their work, very often experience such an uncomfortable state. Women face heaviness in their legs more often than men, and, which is especially unpleasant for the beautiful half of humanity, the consequences of such a condition can progress and lead to an unaesthetic cosmetic defect.If you do not pay attention to this condition in time and do not take measures, you will need the help of a doctor, and it is possible that in the future, surgical intervention. And the time for discussion is the most appropriate – in the hot summer time, this trouble annoys much more often, and the symptoms are more pronounced. So, we present to your attention a detailed educational program on this topic and, of course, a set of recommendations, following which you can return the former lightness to your legs even after the hardest working day!

In 1672English physician Sir Thomas Willis described the condition of patients who could not sleep due to convulsions, as well as movements of the arms and legs. Sir Willis wrote that fatigue and trembling can be so severe that patients are unable to sleep as if they were being tortured.

T. Willis was the first to describe what is now called restless leg syndrome. Despite the fact that the causes of its occurrence are completely unknown, according to most researchers, chronic venous insufficiency plays a decisive role in its development.Overstretched and overflowing veins do not have time to pass blood at the right pace, excess fluid accumulates in the tissues, leading to their swelling and causing pain, burning sensation, numbness, etc.


The origins of the problem can be found in ancient times, when a representative of a new species appeared – man. He was distinguished from other animals by a high level of intelligence, which could be immediately guessed by his proudly raised head. It was this posture, unprecedented in the animal world, that allowed a person to take a dominant position among other species, because upright posture freed his hands and allowed them to be used for labor.And as you know, it was labor that made a person a person.

However, it was precisely this that served as the reason that, after thousands of years, modern man, after a long day of work, began to experience lead heaviness in his legs.

The human blood supply system is designed in such a way that blood is pushed out by the heart and moves through the arteries under pressure, but it returns back through the veins, overcoming the force of gravity

The mechanism is quite simple: stagnation of blood and interstitial fluid occurs in the lower extremities.The human blood supply system is arranged in such a way that the blood is pushed out by the heart and under pressure moves through the arteries, while it returns back through the veins, overcoming the force of gravity.

This process occurs due to the fact that there are valves in the venous vessels that prevent blood from flowing in the opposite direction, and the main driving force, as a result of which the fight against gravity is ensured, are muscle contractions, which, like pumps, compress the veins …

It is the rhythmic and regular contraction of the muscles that ensures proper blood circulation.If the muscles contract little and rarely (as well as strongly, but statically), then venous congestion in the lower extremities is guaranteed sooner or later. This is why athletes can boast of a healthy cardiovascular system, while weightlifters often have vein problems.

If a person spends all day on their feet at work, their muscles do not provide enough contractions. However, there is nothing useful in sedentary work – in this case, the venous vessels of the legs are in a pinched state all day.

Thus, venous insufficiency lies in wait for those who are overweight, lead a passive lifestyle or are exposed to prolonged static stress. The high-risk group includes teachers, salespeople, hairdressers, surgeons and other professionals that require prolonged upright position. They are joined by people of sedentary specialties (cashiers, accountants, as well as students, etc.). The danger lies in wait for managers, who often have to travel on business trips (especially by airplanes).

However, in such a situation, it would hardly be adequate to advise you to change your favorite job to one that will contribute to a constant rhythmic load on the lower limbs (for example, a courier), or to abandon such benefits of civilization as personal and public transport, an elevator, an escalator.

Violation of venous blood flow in pregnant women should be given special attention, since in about 50% of women, venous insufficiency appears during the first pregnancy, and with repeated pregnancies it increases by another 20-30%.

Recommendations of societies for the struggle for a healthy lifestyle are teeming with such difficult-to-implement advice, but people who fully comply with them are perhaps quite difficult to find, at least in our country. The best way out is to understand the problem in more detail and find solutions that are easy to implement.


The second risk factor for venous insufficiency is gender. Women experience this condition more often than men.This is facilitated by several factors: fluctuations in the level of hormones throughout the menstrual cycle, dyshormonal states, menopause, taking hormonal contraceptives; pregnancy and childbirth, which provoke stagnation of blood in the veins of the lower extremities, the habit of wearing high-heeled shoes.

Men also have venous insufficiency. A risk factor for developing the disease is bodybuilding or weightlifting.

Violation of venous blood flow in pregnant women should be given special attention, since in about 50% of women, venous insufficiency appears during the first pregnancy, and in repeated pregnancies it increases by another 20–30%.The mechanism of development of venous insufficiency during pregnancy is as follows: the volume of circulating blood in the body increases by an average of 20-30%, and the growing uterus compresses the vessels of the small pelvis, preventing the return of venous blood.

In addition, progesterone, the level of which in the blood rises towards the end of pregnancy, softens the walls of the veins, and they expand under pressure, the valves do not close completely and cannot prevent the reverse flow of blood. All this complicates the work of the venous system and is the reason for the development of venous insufficiency.

That is why not every woman can boast that during pregnancy she never experienced heaviness in her legs, did not complain of swelling of her legs and the inability to put on her usual shoes.

The already mentioned seasonality is also present: in the summer, due to changes in fluid exchange in the body and the blood circulation process, due to high temperature, symptoms occur more often and in greater numbers. Many of those who are forced to work in the summer know what swollen leaden legs are.

Overweight often leads to venous congestion. In this case, not only the volume of circulating blood increases, but also the amount of interstitial fluid. Increasing the amount of subcutaneous fat puts the same pressure on the veins as tight clothing, interfering with the outflow of blood. It is probably not worth touching on this problem in detail, since this is a real scourge of our time, requiring a separate discussion due to the fact that it entails a whole bunch of pathological changes in the body.However, venous congestion is another argument in favor of normalizing your body weight.


People with this pathology complain of fatigue, heaviness, pain in the legs and the appearance of cramps in the calf muscles. By the end of the day, the legs are buzzing like cast-iron, the feeling of numbness, running creeps, bursting, heaviness and pain in the feet and legs worries, and the shoes, which were just right in the morning, begin to press unbearably in the evening. In addition to the listed symptoms, malaise can be manifested by swelling of the lower third of the legs and feet by the end of the day, unpleasant sensations in the form of crawling creeps or a burning sensation.

If you take active measures at the first symptoms, then beautiful legs and an easy gait are provided for you for many years

In some cases, it is with the onset of these symptoms that such a serious disease as varicose veins begins. Therefore, caring for your feet should be started without waiting for serious complications.


What to do to get rid of heaviness in the legs and avoid further development of venous insufficiency, and subsequently varicose veins? If these symptoms occur regularly, you should consult a phlebologist who will help determine how likely the development of chronic venous insufficiency is, and, if necessary, will prescribe adequate treatment.However, if you take active measures at the first symptoms, then beautiful legs and an easy gait are provided for you for many years. Simple rules will help with this.

After returning home, it is best to lie down and place your legs so that they are at or slightly higher than your heart. You can put a pillow under them, lean on the back of the sofa. After lying down for 10-15 minutes, you will feel that the heaviness goes away. This method is considered one of the elements of prevention of venous insufficiency and varicose veins.

Monitor your own body weight. Extra pounds increase the load on the vascular system and impair blood circulation not only in the legs

For people with an active lifestyle, an alternative to the named method would be sports – athletics or outdoor sports will have an even more pronounced effect, while the health benefits will be much greater.

Try to wear tight underwear and clothing, particularly jeans, as little as possible.Women seem to be more attractive in them, but they forget that tight clothing interferes with normal blood circulation. If your job involves being on your feet all the time, wear special compression stockings, tights or knee-highs. Unlike tight clothing, they compress the legs but not the upper thighs and do not obstruct venous drainage and reduce leg swelling. The dangers of shoes with heels have already been said.

Do a light preventive massage of the legs before taking a shower: with your hands, with a special massage brush, and after water procedures – with wiping movements of a soft terry towel from the bottom up the flow of venous blood.

Monitor your own body weight. Extra pounds increase the load on the vascular system and impair blood circulation, not only in the legs. Pregnant women are advised to adhere to all of the above rules. Since they are in a special risk group, it is not recommended to overload their legs. It is necessary to regularly change the position of the body. If you have to sit for a long time, then from time to time you need to walk.

If the work is associated with a long stay on your feet, then every hour you should do several squats or, if possible, occupy a horizontal position for 10-15 minutes.Particular attention should be paid to your health in the summer. Restless legs syndrome can be especially common during hot seasons.


People who are constantly in the same position (standing or sitting) during the working day should take advantage of every opportunity to warm up, do a few squats, even just change the position.

To relax the muscles of the legs and restore blood circulation, do simple exercises in the evenings:

1.Stand on a step or a sill, transfer your body weight to the front of your foot. The back is straight, the legs are not too tense. To maintain balance, you can first hold on to the wall with your hand. Breathe evenly. Sway back strongly, trying to maintain balance at the expense of your legs. Then slowly, counting to 10, return to the starting position. Rest a little, and then repeat the exercise 2 more times.

2. Sit on a chair, spread your legs wider. Remember how a centipede moves, funny fingering with its numerous paws, and try to do something similar.Start the movement with your toes, pressing them to the sole, and then unclenching them. In this case, the entire stop should work, imitating the movement of the wave. Do not lift your feet off the floor. Finish the exercise when you feel that your legs are tired.

3. Try to pick up a coin from the floor with your toes – start with the largest coins, as you improve, go to fifty dollars, and then to pennies.


Our educational program would be incomplete, especially considering the subject matter of the publication, if we did not mention the existence of remedies that can alleviate the symptoms of tired legs and significantly brighten up the evening after a hard day at work.Or maybe the feeling of lightness that they will bring will even allow you to continue it in a more active manner – the legs that have felt lightness will themselves carry you for a walk, playground or disco. And rightly so, because summer should be remembered as joyful and cheerful.

We present a novelty that promises to be a reliable assistant in regaining lightness of legs – VENOSPRAY. This crunchy gel with a cooling effect, containing panthenol and bioflavonoids, improves blood circulation, quickly eliminates leg fatigue, feeling of heaviness and tension, reduces tissue swelling and restores well-being, brings a feeling of renewal, lightness and vitality.


Bioflavonoids – improve venous outflow, thereby have an anti-inflammatory effect, prevent the appearance of leg edema, protect capillaries, increasing their resistance.

Panthenol – has a strong moisturizing effect, is used to care for dry skin, helps to preserve its youth and beauty.

Menthol – tones, brings an unforgettable feeling of freshness and lightness.


– instantly eliminates leg fatigue, feeling of heaviness and tension, restores good health;

– well absorbed and does not leave a greasy film;

– useful when traveling;

– brings an unforgettable feeling when applied;

– Safe for use during pregnancy and lactation.

An easy gait and beautiful, slender, and, therefore, healthy legs are the right and dignity of any woman.Let your gait be free, flying, and your legs delight you and delight those around you. o

Oleg Ternovenko
(based on materials provided by SDM-Pharma Health & Beauty LLC)

90,000 Varicose veins: causes, symptoms and prevention

Varicose veins are enlarged veins. Any superficial vein can become varicose, but the veins in the legs are most commonly affected. In an upright position (standing and walking), pressure in the veins of the lower body increases.

For some, varicose veins and spider veins are just a cosmetic problem, but for many people varicose veins can cause heaviness and swelling in the lower extremities. Sometimes varicose veins lead to more serious problems – trophic ulcers.

Treatment can include both measures to prevent the development of chronic venous insufficiency, and surgical procedures to remove veins (by various techniques).

Read more about the treatment of varicose veins.

Symptoms of varicose veins 90 100

Varicose veins may not cause pain. Signs that suggest varicose veins include:

  • Dark purple or blue veins
  • Veins that appear twisted and bulging; they are often like cords on your feet

When painful signs and symptoms occur, these may include:

  • Feeling of pain or heaviness in the legs
  • Burning, throbbing, muscle spasms and swelling in the legs
  • Itching around one or more veins
  • Discoloration of the skin around varicose veins

Spider veins are similar to varicose veins, but smaller.These veins are closer to the skin’s surface and are often red or blue.

Spider veins are found on the legs but can also be found on the face. They vary in size and often look like spider webs.

When to see a doctor

If you have symptoms of chronic venous insufficiency, and you want to establish the exact cause and completely get rid of the discomfort, then sign up for a consultation right now. Employees of the Phlebological Center of the V.V. Veresaeva will check the state of the vascular bed and give individual recommendations based on the experience of treatment of the best clinics in the USA and Europe.

Causes of varicose veins

Weak or damaged valves can lead to varicose veins. Arteries carry blood from your heart to your tissues, and veins return blood to your heart. The veins in the legs work against gravity.

Muscle contractions in the lower legs act as a pump, and the elastic vein walls help blood return to your heart.Tiny valves in your veins open when blood flows to your heart and then close to stop the flow of blood back. If these valves are weak or damaged, blood can flow back and accumulate in the vein, causing the veins to stretch or twist.

Risk factors

These factors increase the risk of developing varicose veins:

  • Age . The risk of varicose veins increases with age. Aging causes wear and tear on the valves of the veins, which help regulate blood flow.Ultimately, wear and tear causes blood to flow back into your veins.
  • Floor . Women are more likely to develop this disease. Hormonal changes during pregnancy, premenstruation, or menopause can be a factor because female hormones tend to reduce the elasticity of the vein walls. Hormonal drugs such as birth control pills can increase your risk of developing varicose veins.
  • Pregnancy . During pregnancy, the volume of blood in your body increases.This change supports the growth of the fetus, but can also lead to the unwanted side effect of dilated leg veins. Hormonal changes during pregnancy may also play a role.
  • Family disease . If other family members have had varicose veins, you are more likely.
  • Obesity . Being overweight puts additional pressure on your veins.
  • Standing or sedentary . Your blood does not flow as well if you are in the same position for a long time.


Complications of varicose veins, although rare, may include:

  • Ulcer . Peptic ulcers can form on the skin near varicose veins, especially near the ankles. A discolored patch on the skin usually appears before the ulcer forms. See your doctor right away if you suspect you have an ulcer.
  • Thrombus formation . Sometimes deep veins in the legs become enlarged. In such cases, the affected leg may become painful and swollen.