Diagnosis

Different vein diseases can have similar or even identical symptoms. Therefore, vein diagnosis is just as important as treatment. As the largest vein clinic in the sector, the Baltic Vein Clinic offers all modern diagnostic methods to ensure that the selected therapy is accurate, error-free, and as effective as possible.

Baltic Vein Clinic offers diagnosis for preventive purposes and in case of suspected disease or to understand the correct method of treatment.

115 K. Barona Street, Riga

+371 67 84 72 00

venuklinika@vc4.lv

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WE RECOMMEND DIAGNOSTICS IN THE FOLLOWING CASES:

If relatives have a history of vein diseases

If only one parent has varicose veins, boys may inherit it in ca. 25% and girls in 62% of cases. If both parents (approx. 90% of cases) suffer from varicose veins, there is a risk of inheriting the disease. Varicose veins may usually skin a generation.

Around the age of 30–35 years

Varicose veins are very common in women during this period (leg vein problems are much less common in men than in women). However, if the disease is inherited, it can progress in girls from the age of 13-14 years.

Vēnu problēmu risks grūtniecības laikā un pēc mazuļa piedzimšanas paaugstinās

If you smoke and take contraception

If smokers taking hormonal contraception have varicose veins, the risk of thrombosis increases tenfold. Hormonal contraception is not recommended even for passive smokers. If a woman is prone to varicose veins, hormones will increase the risk. The progesterone contained in the hormonal medicines relaxes the smooth muscle layer in the vein wall. It is more difficult for a vein to ensure correct blood flow from the foot to the body. The reverse blood flow caused by gravitational forces (from top to bottom) starts. It is advisable to have your veins diagnosed before taking hormonal medicines, as the first signs of varicose veins cannot be seen with the naked eye.

After childbirth

Pregnancy is also a risk factor. During this period, hormonal changes occur in the woman's body, and the level of female hormones in the blood rises, as a result, the walls of the veins become weaker. In late pregnancy, when the baby compresses the pelvic veins, additional pressure builds up, which interferes with normal blood circulation, so varicose veins can continue to develop after the baby is born.

If the popliteal vein is compressed for a long time

If you squat for several hours, for example, in a flowerbed, blood circulation is impaired. Athletes who often strain their leg muscles are more likely to have vein problems.

If you are overweight or do manual work

Overweight increases the strain on your legs. Prolonged and regular (more than 4 hours) exposure to heat or physically demanding work can worsen the condition of the veins, as the blood vessels dilate, and their functional abilities decrease.

Paceles vēnas nospiešana piespiedu pozīcijā

Augstpapēžu apavi ir riska faktors gan plakanajai pēdai, gan vēnu saslimšanām

Wearing high-heeled shoes

High heels contribute not only to flat feet and increased foot sweating (the sweat glands on the balls of the feet near the toes are compressed), but also to varicose veins. Wearing high-heeled shoes strains the calf muscle, which is the main venous pump, and blood congestion is formed in the veins, which promotes the development of varicose veins. It is no accident that women develop varicose veins 3 to 4 times more often.

In case of discomfort

If there is non-specific discomfort in the legs, they feel tired all the time, as if they are filled with lead, there is swelling, aching pain in the calf area (sometimes cramps in the calf muscles).

Duplex ultrasound

DUPLEX ULTRASOUND

This device is used to measure the blood backflow in the veins and to identify the severity of damage to vein valves and damaged areas of the veins. It allows accurate and prompt assessment of venous reflux in deep and superficial veins, evaluating them visually and diagnosing thrombosis and other vein pathologies. When veins are examined using duplex ultrasound, accurate information about the condition of deep and superficial veins can be obtained within approximately 10-20 minutes.

It is identified:

whether the veins are sick and should be operated;
whether the blood vessels are healthy, located close to the skin and pose a cosmetic issue only.

Bluish veins (spider veins) are sometimes visible in the legs, but they are completely healthy. Most often, thin skin is to blame for this cosmetic defect, as the vascular network is clearly visible through it. In these cases, the appearance is often improved if the skin is lightly tanned.

The duplex ultrasound method is also applied to identify the extent of the planned surgery and to carry out accurate preoperative vein marking. The vein diagnosis only provides accurate information when the patient is examined standing up or in a tilted position with the legs down, so that the force of gravity has a proper effect on the blood flow. The examination report is best represented visually, with marked damaged vein segments on the diagram and indicating both the duration of venous reflux and the vein diameter.

Computed tomography phlebography

COMPUTED TOMOGRAPHY PHLEBOGRAPHY

Veselības centrs 4 offers computed tomography to its patients. Computed tomography phlebography is mostly indicated for deep vein thrombosis of unclear aetiology or in case of congenital vein diseases.

Advantages

Other examination methods allow only to examine the deep veins segmentally, but computed tomography phlebography shows the entire deep vein system.

How is examination carried out?

During the examination, a contrast medium is slowly injected into the superficial vein of the leg with a tourniquet applied so that the contrast medium fills the deep veins. When the appropriate filling has been achieved, as established by CT monitoring, a quick scan of the limb is performed and the enhancement in the deep veins is obtained.
The examination is performed in the computed tomography office of Veselības centrs 4 using a new Siemens Somatom Definition AS computed tomography device.

WE OFFER COMPUTER TOMOGRAPHY PHLEBOGRAPHY AS A PAID SERVICE AND AS A SERVICE FUNDED BY THE NVD (NATIONAL HEALTH SERVICE).

For appointments please call: 67847200, mob. 25600798, e-mail: venuklinika@vc4.lv. For your convenience, you can get an appointment with our specialists at www.piearsta.lv. Address: 115 K. Barona Street, Riga.