Vein thrombosis is treatable, both medically and surgically. Stockings (tight compression) to press the lower extremity to aid circulation and medicines help many. If your husband takes these medicines and wears the stockings, the pain will reduce considerably. He should not walk for prolonged time or stand at one place for a long time. If he needs to, then he should keep moving his legs. At times stripping and sclerosing treatments help.
I am a 70 year old male. 17 years ago had angiogram/plasty which went badly resulting in emergency bypass . 8 years ago had heart attack, treated with 3 days on heparin. 4 years ago had partial colectomy and 6 months chemo. Have peripheral neuropathy in legs and hands from FOLFOX.
For the last 6 months I have been very fatigued after little exercise. Mostly sedentary and 30 lbs overweight. Blood pressure good but slow pulse and can't take beta blockers.
In this there is pressure on the brachial plexus (bundle of nerves and blood vessels in the armpit) and the subclavian artery and this can compress or irritate these structures and cause symptoms such as abnormal sensation, cold extremity, claudication (pain), and lymphedema (swelling of lymph channels), discoloration (bluish or red if veins are pressed) in the involved extremity. Usually this affects only the upper limbs or arms.
If the pain radiates to the lower extremity, specially if in the appropriate distribution, this could be a radiculopathy, or something like a "sciatica". It is important to determine if this is associated with neurologic deficits like sensory disturbance, weakness or loss of reflexes in order to determine what is the condition, and what treatment is required. With this, some maneuvers may elicit the pain, like stretching the leg and maneuvers to stretch the "nerves".
Unilateral lower extremity swelling can result from venous thrombosis, venous insufficiency, venous obstruction by tumor, lymphatic obstruction from tumor, or lymphatic destruction from tumor, radiation, or filariasis.
For more info: https://www.aafp.org/afp/2013/0715/hi-res/afp20130715p102-f1.gif
Bilateral lower extremity swelling suggests a systemic cause, such as heart failure, liver failure, kidney failure, protein-losing enteropathies, or severe malnutrition.
For more info: https://www.
I think another angiogram is your best option personally. It will show how clear your vessels are but ask them to do a FFR on your coronary arteries. This is a tiny sensor which gives the cardiologist the blood flow rate. Without this test, they are simply going by visual signs which is an inaccurate method. I would like to know what your BP was to lower your EF to 15%?
I would definitely have thought this could be due to your thyroid issues also but if your TSH has now normalized then likely not. Peripheral (lower extremity) edema can be due to multiple issues including venous insufficiency (leaky veins), heart failure, liver disease/cirrhosis, thyroid problems or abdominal issues. As you can see, there are many causes. However, in combination with shortness of breath with exertion, I would always want to rule out heart disease or issues first.
When this muscle shortens, this can press on brachial plexus (bundle of nerves and blood vessels in the armpit) and the subclavian artery and can compress or irritate these structures and cause symptoms such as abnormal sensation, cold extremity, claudication, and lymphedema (swelling of lymph channels) in the involved extremity.
It can also be pinched cervical spinal nerve. Hence MRI of the neck should be done. It can also be median nerve compression at the wrist or carpal tunnel syndrome.
Apparently, the doctor believes the presence of edema suggests DVT otherwise coumadin would not be prescribed. Coumadin helps prevent clots. For some insight the lower extremity DVT is much more likely to cause pulmonary embolism (lung clots) and that is very serious medical condition.
40 seconds) - normoalbuminemic edema
• Systemic venous hypertension
– Congestive heart failure
– Pericardial diseases, tricuspid valve disease
• Regional venous hypertension
– Inferior vena cava syndrome
– Venous thrombosis
– Lower extremity venous insufficiency
excerpt from Edema - Brad Anawalt, MDVA Puget Sound University of Washington
In 09/2008, I was hospitalized for 1 week with cellulitis of my left lower extremity. I was on iv vancomycin and another antibiotic that escapes me right now. During my hospital stay, my leg was very swollen and tight and was told as the infection deceases, so would my swelling in the leg. I have been assured that the infection is gone, but I still suffer with daily swelling of my lower leg immediately upon getting up in the morning and putting my leg down.
37 year old female presented with ataxia, lower extremity numbness, blurred vision, eye pain and unilateral hearing loss. MRI of the brain and spinal cord were negative. Evoked potentials demonstrated a spinal cord lesion. Optho diagnosed optic neuritis with a positive OCT test. The hearing loss has no other cause, but is being worked up. Over the next few months, hand numbness and weakness developed as did further lower extremity numbness and left sided foot drop.
She is currently in the hospital with more blockages. They are performing the angiogram now. She is 73 yrs old and still pretty spunky. My question is, will she need surgery again? And if so, what are the odds of the surgery being successful and making a full recovery?
I am an MD. During residency, I gave birth, & developed significant postpartum depression & profound fatigue. I was unable to return to work. One year later I was still sleeping 14 hours/day. Overnight PSG: no OSA; mostly stages 1&2, paucity of REM. MSLT: MSL 6.3 min w/no REM (I do take Welbutrin, a REM-suppressant). Dx: idiopathic hypersomnolence vs narcolepsy w/o cataplexy. Meds didn’t help. 3 years later, repeat OPSG+MSLT: MSL=6.3 min, 1 REM episode at 4.5 min.
I had 3 stents placed in the lower extremity [left femoral artery they closed up ,blockage. I then had to have a bypass .Left iliofemoral endarterectomy and left femoral to above the knee popliteal prosthertic bypass. My questions should the three stents that are not being used , be removed or left in m leg.
an angiogram is the images taken using a catheter, injecting radio isotopes into the
blood vessels to show up on an imaging system. As I've said before, all procedures carry some element of risk but some are obviously much lower than others. Angiograms are about the lowest you can get, but by law you have to be warned you could end up with a stroke or other organ damage if some plaque is knocked out of place.
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