Pain during walking (claudication) – venous claudication may be difficult to differentiate from arterial claudication by the history on itself.
Ulcers – venous ulcers that are the hallmark of chronic venous insufficiency are often found in the peri-malleolar area. The clinical findings in patients with chronic venous insufficiency may be classified according to the CEAP classification or to the venous clinical severity score. Complicated varicose veins – pain, superficial thrombophlebitis, hematoma, bleeding (that can be severe secondary to venous hypertension. Complex varicose disease – this pattern is actually a diffuse combination of symptoms such as pain, edema and skin changes. Venous hypertension syndrome – leg pain when standing and leg pain when the leg is dangled.
Leg swelling – This is a common syndrome in elderly persons that do not move much (so the calf muscle pump is not very active).
Complex multisystem venous disease – a combination of symptoms is present, however as opposed to complex varicose disease, it is more severe. As in many other vascular conditions, venous insufficiency is diagnosed by combining the history, physical examination and proper imaging studies. The most important component of conservative treatment of venous insufficiency is compression (stockings). Compression has been found effective in healing ulcers in a 2009 Cochrane database review, and it is probably more important than the type of dressing that is applied beneath the compression. Pharmacological treatment has but a small role in the treatment of chronic venous insufficiency.
Preventing saphenous venous reflux has been cited as an important factor in ulcer healing and recurrence prevention. Treatment of varicose veins with laser ablation and by radiofrequency ablation is described elsewhere as is treatment of perforator veins with subfacial endoscopic perforator surgery (SEPS).
Several other interventional treatment options have been shown to improve ulcer healing and reduce symptoms of venous insufficiency including pain and swelling.
The stigmata of aging skin include wrinkles (rhytides), furrows, sagging, and sunken cheekbones (Fig. Photo (sun) damage is the most common and most pervasive change of aging (white) skin, commonly identified as solar lentigines and actinic keratoses (see Fig.
Solar or traumatic purpura (also known as senile purpura) is a common and benign condition of extravasated blood in the dermis characterized by ecchymotic, purpuric patches on the forearms, arms, or legs of older persons. Pruritus (itching) is a common condition of advanced age, affecting nearly one half of older adults (older than 60 years) at some time, usually without a rash. Seborrheic dermatitis is a common type of eczema characterized by scaly, red plaques on the scalp, face, and central chest. Other causes of leg ulcers in the elderly are neuropathy, trauma, neoplasia, infection, panniculitis, and pyoderma gangrenosum. Vascular insufficiency can represent venous insufficiency or perhaps even venous thrombosis, valvular incompetence, or arterial insufficiency. Varicosities (varicose veins) occur commonly with venous insufficiency, characteristically as tortuous vascular channels on calves, thighs, and popliteal fossa. Common skin conditions in the elderly include: actinic damage, benign and malignant growths, pruritus, eczematous dermatitis, purpura, and vascular insufficiency.
Intrinsic and extrinsic factors affect the structure and function of the skin and contribute to disorders of aging skin. Because your feet are so far away from your heart, it takes them much longer to heal than other parts of the body – this is because it takes much longer to circulate blood from your heart to your feet. Swelling of the feet and ankles is normally caused by a serious condition of either the heart, kidneys, of blood vessels.
It has shown that massaging your foot with warm mustard oil will help to relieve swelling and pain in the feet and ankles. Applying this to the affected area will help to reduce the excess of fluid in your foot or ankle and relieve swelling and pain in the affected body part. This will help to remove any salt that is in your urine and in turn will help to reduce swelling in your foot or ankle. Boil one or two glasses of water with a half teaspoon of molasses and a tablespoon of saunf. Over the past year, my friend Dave at PaleoHacks has been working on a secret cookbook with world-renowned Le Cordon Bleu chef Peter Servold.


Retention of water or edema refers to enormous accumulation of water in the capillaries or body tissues or in the circulatory system. In most cases, it is due to premenstrual syndrome, menopause, thyroid malfunctions or side effects of certain medications. Raisins, apricots, avocados, dates, kiwi, melons and prunes are also rich sources of potassium. A false notion of drinking less water as a means to treat edema prevails among certain sections of the population. In contrast, the recommended daily intake of eight to ten glasses flushes out the toxins and removes the excess salt that causes fluid retention.
Exercise and regular movements of the body can help the lymphatic system drain fluid out of the tissue spaces. Diuretics are drugs that reduce the amount of water in the body.A  Replacing over the counter diuretics with the mild natural alternatives, not only flushes out the extra fluid from your body, but also cleanses the blood. The most commonly used natural diuretics are Burdock root, rose hips, lily of the valley, Holy thistle and Jaborandi. Certain herbs dilate the blood vessels and regenerate them, improve circulation and also eliminate fluids from the body. Uva ursi tea is commonly consumed before menstruation to heal bloating before menstruation. Massaging the swollen areas of the body with essential oils like lavender, rosemary, grapefruit and juniper is highly recommended. Applying ice packs on the affected area can improve circulation and reduce fluid accumulation.A Try these remedies to remove the extra fluids from our body.
These include hyperpigmentation, stasis dermatitis, lipodermatosclerosis (which is subcutaneous fibrous tissue), atrophie blanche (hypopigmented scarring denoting previous ulcer that typically has patechial lesions in it), corona phlebectatica, thickening and induration.
The condition usually follows minor trauma and commonly affects those who take aspirin or other blood thinners (Fig.
Typically, they are greasy brown hyperkeratotic plaques that appear stuck to the skin surface; they can appear anywhere, except for palms and soles, and tend to congregate on the trunk.
Patients with chronic renal or hepatic insufficiency, anemia, thyroid disease, diabetes mellitus, drug allergy, or underlying malignancy might have itch with or without a rash.
Treatment should include weight reduction when warranted, compression stockings to reduce edema, leg elevation as much as possible, and reduction of prolonged standing. Risk factors include immobility, fecal or urinary incontinence, diabetes, glucocorticoid use, and poor nutrition.
Evaluation and treatment are usually straightforward, and diagnostic testing is usually not necessary. Given the increasing number of elderly patients in the United States, disorders of aging skin are becoming a significant part of general dermatology. This normally occurs in the ankles, feet, and legs but it can also affect any area of your body. With diabetes and metabolic syndrome growing at skyrocketing rates, it’s now very common to suffer from swollen legs, feet and ankles due to poor circulation and cardiovascular problems, as well as common injuries.
Put your leg up in front of you so it is elevated and apply an ice pack to the swollen area, or a bag of ice wrapped in a clean towel. Get a slice of cucumber and place it on your foot, wrapping it with a cotton cloth or a bandage. It is recommended to rotate your ankle 10 times every 30 minutes to encourage blood flow in the affected area.
She loves to write about natural health solutions, women health, nutrition, diet and green living. Sometimes sticking to a diet very high in salt content or not drinking enough water can cause water retention.
Make these fruits and vegetables a part of your daily diet to eliminate the extra fluid from your body. The increased perspiration during exercising eliminates the extra fluid and salt from your body. If heavy duty exercises are not your preference, brisk walking for half an hour a day can flush out the fluids. It is prepared by boiling two spoons of dried parsley leaves in a cup of boiling water for ten to fifteen minutes. It is also important to stay away from processed and canned food and anything with high sodium content.


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Bacteria called staphylococcus and streptococcus are responsible for this type of infection.
Sometimes iliac vein obstruction can be found and fixed, however bilateral disease should be sought. This chapter reviews the more common disorders of aging skin, such as actinic (photo) damage, pruritus, eczematous dermatitis, purpura, and venous insufficiency.
Asteatotic eczema, or winter itch, often affects aging skin, usually as itchy, scaly, cracked, red plaques on the extremities, most commonly the legs.
Affected areas require regular lubrication with emollients and topical corticosteroids if eczema occurs. Lipodermatosclerosis is an uncommon sequela of chronic venous insufficiency and is characterized by subcutaneous fibrosis with firm, indurated plaques on the legs.
An understanding of the changing structure and function of aging skin helps to address the disease processes and their treatment.
It can be very painful and if not treated right away, can cause permanent damage to your lower limbs. The water levels in our body are regulated by hormones and other complex metabolic processes.
Retention can at times be of serious concern as it may occur due to kidney problems or liver malfunctions. Their presence reflects appreciable sun exposure and can portend an increased risk of sun-induced skin cancer.
For patients with a rash, the treatment is the same, plus treatment of the skin disease (usually a secondary eczema) with topical or systemic corticosteroids. Treatment includes shampoo for the scalp, such as those containing zinc pyrithione, selenium sulfide, or ketoconazole, and a mild topical corticosteroid. If venous or stasis ulcers develop, they are typically shallow and irregularly shaped and usually occur just above the medial malleolus. Patients with stasis dermatitis and chronic leg ulcers have an increased risk for contact dermatitis, based on the likely use of multiple topical medications.
All patients need an adequate diet, with vitamin supplementation, and treatment of any underlying conditions. Dab the area until the towel dries and then repeat this process for twenty minutes, twice a day.
Angiomas are benign vascular growths that commonly occur in adults as red macules and papules on the trunk and proximal extremities. Treatment involves compression, leg elevation, and often débridement, sometimes followed by skin grafting. Keep slippers by the door for when you come Continue Reading >How do I know if I have poor circulation? Similar to seborrheic keratoses, therapy for angiomas is usually not necessary unless they are pruritic, irritated, or inflamed. Aspirin or pentoxifylline is a helpful adjunctive treatment to improve peripheral blood flow, allowing ulcers to heal more rapidly. Selection depends on the state of the ulcer (infected, soupy, or clean), the amount of exudate, ulcer depth, and patient compliance. Treatment and prevention options.Jun 20, 2014 by footsmartblogCold Feet, Cold Legs, Compression Hosiery, Leg Elevators, Poor Circulation0 CommentDo you have poor circulation? Malignant potential is extremely low, but left untreated, approximately 5% to 20% of actinic keratoses deteriorate to invasive squamous cell carcinoma within 10 to 25 years.3 Actinic keratoses deserve treatment to forestall progression into squamous cell carcinoma. Options include local destruction with either cryotherapy (liquid nitrogen) or curettage and the topical application of 5-fluorouracil (Efudex, Fluoroplex, Carac), imiquimod (Aldara), or diclofenac (Solaraze) for more extensive disease. Obviously, sun avoidance and the use of sunscreens help to minimize photo damage, solar lentigines, and actinic keratoses. Muscle action, particularly in the calves, constricts the blContinue Reading >What are the Symptoms of Poor Circulation?
If so, you may have attributed it to “poor circulation.” What exactly are the symptoms of poor circulation, and how can you treat or prevent it all together?



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