What is Venous Insufficiency?

Venous insufficiency, stasis, and ulceration are interconnected conditions related to impaired blood flow in the veins, particularly in the lower extremities.

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Venous insufficiency affects how blood flows back to your heart. This can lead to stasis, a stagnant pool of blood that puts extra pressure on the lower legs, especially around the ankles. Over time, this pressure can weaken the skin and contribute to the formation of ulcers which are open sores that are slow to heal.

Patients with this condition experience swelling in their ankles during the day. The swelling can decrease with rest and leg elevation, but it will not resolve on its own. If venous problems in the lower extremity are not resolved, they can lead to leg ulcers and amputation later on.

This condition is common in those who:

  • Are over the age of 50
  • Frequent flyers
  • Have a sedentary lifestyle
  • Have comorbidities such as overweight, high blood pressure, kidney failure, history of DVT (blood clot in leg), or congestive heart failure (CHF)
  • Have varicose veins
  • Went through multiple pregnancies
  • Underwent surgery or injury in the lower limb

What can my podiatrist do for me?

Podiatrists are specialists who are equipped to offer non-surgical care and intervention for vein-related issues. With their expertise, they can swiftly diagnose the underlying causes and recommend effective solutions for quick and effective recovery.

Even a large venous ulceration can heal in less than 2 months with the correct care.

  • Specialised wound care if wounds are present
  • Specialised compression bandaging
  • Long term compression therapy
  • Lower limb offloading
  • In-clinic therapy for enhancing limb circulation and wound healing
  • Prompt referral for vascular surgery if required

Why is compression therapy so important?

Compression therapy is a crucial and important element for venous insufficiency management. This aids to alleviate symptoms, promote healing and effectively reduce tissue swelling. Compression plays a vital role in redirecting excess fluids back into the blood vessels. It also enhances the delivery of oxygen to the surrounding tissues, creating an environment conducive to healing. This is crucial for individuals with venous leg ulcers, as oxygen supply plays a pivotal role in the wound healing process.

When combined with appropriate wound care practices, compression therapy will provide more desirable outcomes compared to standard wound care alone. This comprehensive approach addresses both the underlying vascular issues and the specific needs of the wound, leading to faster healing of venous leg ulcers.

Our dedicated team of podiatrists ensures the best practices for application of compression therapy and meticulous wound management, aiming to heal leg ulcers, prevent infections, and minimise the risk of leg amputation. This holistic approach is designed to optimise patient outcomes in the intervention and care of lower extremity venous conditions.

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Common Symptoms

Feeling of heaviness in the legs
Taut, thickened and darkened skin of lower limbs
Hair loss on shins and feet
Frequent leg cramps
Varicose and spider veins
Skin sores that ooze, crust or look scaly

How It Looks Like

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I came in for knee pain and my leg was changing colour, which was scary. It didn’t seem to be getting any better and was turning darker instead so I thought it was actually a sign of diabetes! Thankfully, my podiatrist Georgina Tay identified that I had a condition called venous stasis instead. I also fell down many times and hurt my thigh so I went to the polyclinic but they only gave me injections. Gina discovered that I had a host of other problems as well such as lower back pain, elbow problems, and an ingrown toenail issue! I used to go to pedicurists to get my nails cut and I didn’t realise that I was actually worsening the condition because they were cutting down the sides of my nails. I went through multiple sessions of EMTT, SIS, and shockwave for the pain, swelling and weakness, and also had a small procedure done for my ingrown toenail. Now I can honestly say that my conditions have improved so much and I can walk more stable and pain free. I feel more light and my leg doesn’t look so dark anymore. Thank you so much East Coast Podiatry!

Briget Tan

Our Podiatry Care Strategy

100% non-invasive methods to improve your ankle in 4-8 weeks

An ankle specialist, such as a podiatrist, will be able to perform a thorough foot assessment using diagnostic tools, such as a musculoskeletal diagnostic ultrasound to determine the source of your ankle pain. If surgery is required, your podiatrist will refer you to a trusted foot and ankle doctor for surgical solutions.

A thorough assessment of your ankle

Immobilising the area with splints

Utilising technological therapies

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Michael Lai
Principal Podiatrist

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