Vascular Care Specialists | Arterial Disease, Mesenteric Artery Stenosis and Wound Care

Symptoms

Symptoms That May Prompt You To Come And See Us

  • Leg pain / swelling / discoloration
  • Preparation to start PD or Hemodialysis
  • Wounds on legs or feet
  • Blurred vision / tingling / numbness in face that has been ruled out for a stroke
  • Numbness / tingling in legs
  • Ongoing abdominal / back pain
  • Painful / bulging veins
  • Pelvic pain that has been ruled out by a gynecologist

Leg Pain

Leg pain can be a frustrating experience, striking suddenly or creeping in gradually. It can be a dull ache or a sharp stab, localized in one spot or radiating throughout your leg. While sometimes fleeting, leg pain can also significantly impact your ability to walk.

What Causes Leg Pain?

The good news is, leg pain itself isn't necessarily a cause for alarm. It's often a symptom of something else going on in your body. Common culprits include:

  • Injury: Strains, sprains, and other injuries can cause pain in your bones, muscles, ligaments, or tendons.
  • Wear and Tear: Over time, everyday activities can lead to wear and tear in your joints, causing pain.
  • Overuse: Pushing yourself too hard during exercise or physical activities can put stress on your legs and lead to pain.
  • Circulatory Issues: Conditions like blood clots, varicose veins, and poor circulation can all contribute to leg pain.
  • Medical Conditions: Various medical conditions, such as arthritis, sciatica, and infections, can also manifest as leg pain.

Simple Solutions vs. Seeking Expert Help

While some leg pain may respond well to simple at-home remedies like rest, ice, and pain medication, it's important to know when to seek professional help. Here are some signs you should see a vascular expert:

  • Pain that persists or worsens: If your leg pain doesn't improve within a few days or gets progressively worse, it's time to consult a doctor.
  • Swelling, redness, or warmth: These symptoms could indicate an infection or blood clot and require medical evaluation.
  • Difficulty walking or moving your leg: Leg pain that significantly impacts your mobility warrants professional attention.
  • Fever or other concerning symptoms: If leg pain is accompanied by fever, chills, or unexplained weight loss, it's crucial to seek medical advice.

Vascular Experts: Your Partners in Leg Pain Relief

Don't suffer in silence with leg pain. A vascular expert can help diagnose the underlying cause and recommend the most effective treatment plan to get you back on your feet pain-free. Let us put your mind and leg at ease – contact us today to schedule an appointment.

Preparation to start PD or Hemodialysis

Whether a patient needs peritoneal dialysis (PD) or hemodialysis (HD), our vascular surgeons play an integral role in creating the necessary access points for these procedures and maintaining the access. They also remain responsible for addressing any complications that may arise, such as clotting, stenosis, or infections.

Our skilled, experienced vascular surgeons perform the surgical procedures required to establish dialysis access and provide a reliable entry point for the blood to get removed, filtered, and returned to the body. Furthermore, our vascular surgeons ensure that access, including an arteriovenous fistula (AVF) or arteriovenous graft (AVG), remains patent and functional.

Symptoms of complications affecting AVF access may include:

  • Swelling
  • Pain/ discomfort in the access area
  • Difficulty achieving adequate blood flow during dialysis
  • Signs of infection like redness, warmth, or drainage

If complications arise, our vascular surgeons recommend and perform procedures like angioplasty, stenting, or surgical revisions to restore a patent and functional access.

About peritoneal dialysis

Peritoneal dialysis is a type of dialysis treatment that utilizes the peritoneal membrane, a semi-permeable membrane that lines the abdominal cavity, as a natural filter. During PD, a sterile solution called dialysate gets introduced into the peritoneal cavity through a catheter. The dialysate absorbs waste products, excess water, and toxins from the bloodstream through the peritoneal membrane. After a dwell time, the dialysate is drained from the body, carrying the waste products along with it.

Wounds On Legs or Feet

When wounds fail to heal properly due to underlying vascular issues, it’s essential to contact our office for care.

The following list contains several symptoms and warning signs that may indicate the need for an assessment and intervention by our skilled, professional team:

  • Non-healing or slow-healing wounds on the legs or feet, despite proper wound care, can be a red flag.
  • Other indicators include leg pain or cramping during physical activity (a symptom of PAD)
  • Skin discoloration or changes in skin temperature or texture.
  • In severe cases, individuals may experience gangrene

Diagnosis and care

In all cases, our professional team will evaluate the underlying cause and determine the best course of treatment. Our vascular surgeons work closely with other healthcare professionals, such as wound care specialists, to ensure comprehensive and coordinated care for patients with leg and foot wounds.

Blurred Vision / Tingling / Numbness In Face That Has Been Ruled Out For A Stroke

If you experience persistent or recurrent episodes of blurred vision, tingling, or numbness in the face, and a stroke has been ruled out, contact our office. These symptoms can sometimes indicate carotid artery disease or other vascular conditions affecting the blood flow to the brain and facial areas.

Carotid Artery Disease

The carotid arteries are the main blood vessels that supply oxygenated blood to the brain. If these arteries become narrowed or blocked due to the buildup of plaque (a condition known as carotid artery stenosis), it can lead to reduced blood flow and oxygen supply to the brain and facial regions, with symptoms like blurred vision, tingling, or numbness in the face.

Other vascular disorders

It’s also worth noting these symptoms can also arise from other vascular disorders, such as vasculitis (inflammation of blood vessels) or certain connective tissue diseases that can affect blood vessels.

Skilled diagnostics and care

Our office will perform diagnostic tests, such as a vascular ultrasound, to evaluate the condition of your carotid arteries and other blood vessels supplying the brain and facial areas.

Depending on the underlying cause, treatment options may include lifestyle modifications, medication, or surgical interventions like carotid endarterectomy or carotid artery stenting to improve blood flow and prevent potential complications like stroke or transient ischemic attacks (TIAs).

In all cases, early diagnosis and appropriate management by our vascular specialists are crucial in preventing further complications and ensuring optimal outcomes.

Numbness / Tingling in Legs

Numbness, tingling, and pain in the legs can often be traced back to vascular issues that restrict blood flow. Peripheral artery disease (PAD), a buildup of plaque in the arteries, is a common culprit. Other potential vascular causes include blood clots, aneurysms, and vasculitis (inflammation of blood vessels). Without adequate blood circulation, the legs don't receive enough oxygen and nutrients, leading to nerve damage and symptoms.

Symptoms of Vascular Leg Issues

  • Numbness or tingling in the legs, feet, or toes
  • Leg muscle cramps or Charley horses with activity
  • Leg pain that occurs with walking and is relieved by rest (claudication)
  • Skin discoloration or shininess on the legs
  • Impaired wound healing on the legs or feet
  • Weakness or heaviness in the leg muscles

At Vascular Care Specialists, we provide expert care to diagnose and treat vascular system disorders. Our goal is to improve blood flow to the legs and alleviate the numbness, tingling, and other symptoms caused by vascular issues.

Ongoing Abdominal / Back Pain

If you experience persistent abdominal or back pain, it's crucial to seek medical attention promptly.

Vascular conditions causing ongoing abdominal/back pain may include:

Abdominal Aortic Aneurysm

Persistent abdominal or back pain can be a symptom of an abdominal aortic aneurysm, a potentially life-threatening condition in which the aorta, the main blood vessel carrying blood from the heart, becomes enlarged and weakened. Other symptoms may include a pulsating sensation in the abdomen, nausea, and shortness of breath. Left untreated, an abdominal aortic aneurysm can rupture, causing internal bleeding and possibly death.

Peripheral Artery Disease

Cramping pain in the legs, buttocks, or lower back, especially when walking or exercising, could be a sign of peripheral artery disease (PAD). This condition occurs when the arteries supplying blood to the legs and other extremities become narrowed or blocked, reducing blood flow. In addition to pain, PAD symptoms may include numbness, weakness, and skin discoloration in the affected limbs.

Renal Artery Stenosis

Ongoing abdominal or flank pain, coupled with high blood pressure, could indicate renal artery stenosis, a narrowing of the arteries supplying blood to the kidneys. This condition can lead to kidney damage or failure if left untreated. Other symptoms may include fatigue, loss of appetite, and fluid retention.

Skilled diagnostics and care

As experienced specialists, our vascular surgeons will provide a comprehensive assessment and perform diagnostic tests, such as ultrasound, CT scans, or angiograms, to identify your underlying vascular condition and recommend/perform the appropriate treatment, including minimally invasive procedures or surgery to repair or bypass the affected blood vessels.

Painful / Bulging Veins

Bulging veins, also known as varicose veins, can be a painful and unsightly condition affecting many people. These veins become enlarged, twisted, and protruding, often caused by increased pressure or weakened vein walls. Varicose veins can occur in various parts of the body, but they are commonly found in the legs and feet.

Some common symptoms associated with bulging veins include:

  • Visible, twisted, and protruding veins, often appearing blue or purple in color
  • Aching, heaviness, or cramping in the affected limbs
  • Swelling in the legs or ankles
  • Itching or burning sensation around the affected veins
  • Restless leg syndrome
  • Skin discoloration or ulcers in severe cases

Remember, it’s essential to contact our office if you experience any of these symptoms. Bulging veins can lead to more serious complications if left untreated.

Pelvic Pain That Has Been Ruled Out by a Gynecologist

Pelvic pain is often associated with gynecological conditions, but it can also arise from vascular disorders affecting the blood vessels supplying the pelvic region. These vascular conditions may not be immediately apparent, and their symptoms can mimic other pelvic disorders— making proper diagnosis crucial.

Symptoms of Vascular Pelvic Pain

The symptoms of vascular pelvic pain can be varied and non-specific. Some common indicators include:

  • Persistent, dull aching or throbbing pain in the pelvic area
  • Pain that worsens with physical activity or exercise
  • Pain that radiates to the legs, buttocks, or lower back
  • Numbness, tingling, or weakness in the legs or pelvic area
  • Discoloration or coolness in the legs or pelvic region

When pelvic pain is suspected to be vascular in nature, our professional team’s involvement may include:

  • Conducting comprehensive evaluations, including physical examinations and imaging tests (ultrasound, CT scans, or angiograms)
  • Identifying underlying vascular conditions, such as atherosclerosis, arterial dissections, or vascular malformations
  • Recommending appropriate medical treatments or minimally invasive endovascular procedures
  • Performing open surgical procedures, such as bypass grafts or vascular reconstructions, in severe cases
  • Collaborating with other specialists, including gynecologists and pain management experts, to provide a multidisciplinary approach to care.
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Vascular Care Specialists | Abdominal Aortic Aneurysm, Dialysis Access and Carotid Artery Disease