Vein doctor needed in WV - Do I have acute lipodermatosclerosis? Patient shares images - consider seeing Dr. Daugherty

Last Updated: 8/8/2012

Responses

Consider seeing Vein Experts member:   Stephen F. Daugherty, MD, FACS, RVT, RPhS VeinCare Centers of Tennessee 647 Dunlop Lane, Suite 100  Clarksville, TN 37040 Google Maps / Directions  866-340-0197  Visit Website Submitted by Peggy Bush, APN - 8/8/2012

Submitted by D - 8/8/2012

I would recommend seeing venous specialist who can do a pelvic ultrasound (US) to rule out iliac compression. Most US’s don’t look above the groin level. However, if this is normal, it may be lymphatic in origin. They should also check to see if the deep veins are refluxing. Hopefully, this will gradually improve with time. Try the University Hospital in your area. Someone there should be able to do a pelvic ultrasound. Submitted by Dr. Bush - 8/5/2012

I have swelling in the leg that the disease indicates. The pictures I have found on-line look like ones I have seen of the disease. The calf area has a brown pigmentation to it and is hot to the touch and I continue to have the feeling I am being poked by a needle. Compression stockings don’t seem to be helping as well as icing or elevating the leg. My orthopedic doctor has sent me to two vascular doctors who have done ultrasound to rule out dvts and that’s all they tell me. It’s been two months since my surgery with no improvement and I have a wife and seven kids to support. My short term disability will run out in a month and right now I don’t feel I can go back to work with the selling as it is. I thank you for your response and am just searching for answers so I may get well. Sincerely Yours Submitted by D - 8/5/2012

Why do you think you have lipodermatosclerosis? Do you have skin changes? It is not uncommon to have persistent leg swelling after knee surgery. There are two reasons for this venous or lymphatic issues. I would think since you have had a normal US that this is probably lymphatic which may gradually get better over the years. There is no magic cure for swelling after knee surgery. I would suggest you wear compression stockings, periodic leg elevatitons during the day and you might want to consider a mild diuretic or an herbal supplement (rutetosides). Submitted by Dr. Bush - 8/4/2012

I had total knee replacement on 6/11/2011. I have had swelling problems in the lower leg since then. I have had four ultrasounds to rule out dvts and believe from my research on-line I have developed acute lipodermatosclerosis..Can you recommend a physician close to me in WV to see.