Ortho-Venous Disease
The Princeton Vascular Center is the first of its kind to have established a multi-specialty approach to spider and varicose vein disease. In bringing together board-certified experts in both vascular surgery and cardiovascular specialties, we have developed a unique model for vein treatment. This collaboration establishes... more
Leg pain is one of the most common issues patients face and it’s not surprising to learn that orthopedic issues and vein disease can be seen together. In fact, both conditions affecting one patient can be quite common as the two conditions are seen frequently in individuals over age 40. Some have coined the term “orthovenous” disease and the impact of vein disease can be quiet significant for patients considering orthopedic surgery. This includes patients who have not only undergone previous knee or hip surgery but also considering procedures in the future. It’s important for both doctors and patients to be aware of the signs and symptoms of venous insufficiency.
Orthopedic patients suffering from leg swelling, visible or varicose vein pain, leg cramps, Charley horses, and restless legs likely have underlying vein disease. These patients should consider a venous evaluation prior to any major orthopedic surgery. Post-operatively, if swelling continues beyond the typically expected period, a similar evaluation would be recommended.
Although there is a lack of abundant literature regarding the treatment of venous disease prior to orthopedic surgery, the available research has shown that patients who have their venous problems addressed prior to knee replacement or arthroscopy have a better outcome. Patients were noted to lessen the risk of leg swelling and deep vein thrombosis postoperatively when the venous disease was managed prior to surgery. Similarly, decreased swelling has been observed to improve wound healing and physical therapy.
Vein treatment by closing defective veins is minimally invasive, taking approximately one hour with rapid recovery times. While anyone suffering from vein disease will likely benefit from a vein evaluation, patients undergoing orthopedic surgery may be a special population that should seek earlier treatment Additional research is needed to verify some of the earlier findings and beliefs within the orthopedic and vascular community.
If you have leg pain and are under orthopedic evaluation, be sure to consider your vein health also. If you have itchy veins, swelling, leg heaviness or skin discoloration – request a varicose vein doctor to evaluate your leg pain. Remember, untreated vein disease can improve how you feel and recover after orthopedic surgery.
