Summary of responses for Varicose Veins
Cheryl Lewis
Description
Collection
Title:
Summary of responses for Varicose Veins
Creator:
Cheryl Lewis
Date:
12/15/2005
Text:
Below are listed the majority of the responses - It was fairly split between
don't worry and try a double-upright system. I would have liked to try
an anterior OTS carbon-fibre AFO but central fabricated devices are not
eligible for governemnt funding in Ontario, Canada. I decided to make a
simple posterior leafspring AFO. Since the patient had no concerns with the
veins causing problems, he had no history of ulcerations, non-diabetic with
good sensation and no edema issues, I felt that there wouldn't be any
problems with the design. He has agreed to wear compression stockings if
there are any problems. I will keep the list informed if anything develops!
Thank you to everyone who responded!
Cheryl Lewis Bsc(HK), CO(c)
Clinical Orthotic Consultants of Windsor
Responses for Severe Varicose Veins and AFO use
As far as varicose veins are concerned as long as the surface of the AFO is
smooth and the patient wears a proper sock between the orthosis and their
skin they rarely have problems even though it looks terrible. As far as
compression stocking are concerned they would be a good choice. Sometimes I
will recommend a low level graduated compression stocking(15-20 mm comp) so
that the patient can see the difference and get acclimated to the pressure.
In most cases the patient does very well. As far as the undiagnosed Baker's
Cyst, that is something the patient should have checked by his physician,
preferably a vascular specialist but if the Cyst is not open or very painful
the doctor may ignore any additional treatment.
I doubt that you will have any problems, it has been my experience that
patients know their tolerances with v.v. I would make sure that he wears
a sock prior to donning the afo. Good luck.
is the patient diabetic? i wonder if he doesn't feel pain because of that.
also, could you reduce the proximal trimline to reduce pressure on the
baker's cyst? this sounds like a complicated problem, and myself, i would
contact the physician with my concerns before proceeding to fabrication,
just to cover all the bases. he could be telling you he doesn't wear
pressure stockings, and his physician may be under the understanding that he
does.
i look forward to hearing how this all works out. I have had to deal with
venous ulceration over an area that the brace covers, but never a varicosity
like you have described.
Consider double upright system.
don't worry and try a double-upright system. I would have liked to try
an anterior OTS carbon-fibre AFO but central fabricated devices are not
eligible for governemnt funding in Ontario, Canada. I decided to make a
simple posterior leafspring AFO. Since the patient had no concerns with the
veins causing problems, he had no history of ulcerations, non-diabetic with
good sensation and no edema issues, I felt that there wouldn't be any
problems with the design. He has agreed to wear compression stockings if
there are any problems. I will keep the list informed if anything develops!
Thank you to everyone who responded!
Cheryl Lewis Bsc(HK), CO(c)
Clinical Orthotic Consultants of Windsor
Responses for Severe Varicose Veins and AFO use
As far as varicose veins are concerned as long as the surface of the AFO is
smooth and the patient wears a proper sock between the orthosis and their
skin they rarely have problems even though it looks terrible. As far as
compression stocking are concerned they would be a good choice. Sometimes I
will recommend a low level graduated compression stocking(15-20 mm comp) so
that the patient can see the difference and get acclimated to the pressure.
In most cases the patient does very well. As far as the undiagnosed Baker's
Cyst, that is something the patient should have checked by his physician,
preferably a vascular specialist but if the Cyst is not open or very painful
the doctor may ignore any additional treatment.
I doubt that you will have any problems, it has been my experience that
patients know their tolerances with v.v. I would make sure that he wears
a sock prior to donning the afo. Good luck.
is the patient diabetic? i wonder if he doesn't feel pain because of that.
also, could you reduce the proximal trimline to reduce pressure on the
baker's cyst? this sounds like a complicated problem, and myself, i would
contact the physician with my concerns before proceeding to fabrication,
just to cover all the bases. he could be telling you he doesn't wear
pressure stockings, and his physician may be under the understanding that he
does.
i look forward to hearing how this all works out. I have had to deal with
venous ulceration over an area that the brace covers, but never a varicosity
like you have described.
Consider double upright system.
Citation
Cheryl Lewis, “Summary of responses for Varicose Veins,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/225924.
