Capitol Vein Blog

Thursday, October 25, 2012

Uncommon Vein Problem Found in Winchester, VA Patient

One of our patients came from Winchester, Virginia to our Leesburg office with an interesting problem. The patient was a 34-year-old nurse at the Winchester Medical Center.  Over the past several years, she had developed symptoms that included left foot and ankle swelling.  The symptoms worsened as the day progressed and improved with leg elevation. The swelling had become so pronounced that her left shoe was too tight at the end of her nursing shift.

Many patients with varicose veins develop lower leg swelling as the vein blood settles in the ankle and foot. This can be relieved by the use of support hose, but in this woman’s case, she had no varicose veins anywhere on her leg.

We performed a venous ultrasound exam that showed normal flow in the leg veins, but there was evidence of a vein problem in the pelvic region. Further testing revealed that the patient had what's known as May-Thurner Syndrome, where the major left leg vein (iliac vein) is compressed by the artery. This is an uncommon finding in patients with left leg swelling, but a condition that an experienced vascular and vein doctor can detect.

Her treatment included the placement of a stent in her iliac vein, allowing left leg venous circulation to return to normal. Her foot swelling disappeared within days! She is now at work with no difficulty and is thrilled with her results.

We encourage patients with varicose veins, leg swelling, and restless legs to visit us at any of our four Maryland, West Virginia or Virginia offices for evaluation. Both Dr. Rosenberg and Dr. McNeill are diplomates of the American Board of Phlebology and are experts in treating all aspects of venous disease.

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