Vein Treatment Varicose Veins Laser Lipo & Vein Care Center Ask the Doctor

I have perpetually cold feet and occasional tingling in my feet and ankles. I also have a number of large varicose veins in each leg, so do you think that my circulation in my feet will improve if I have ELA?

Venous circulatory symptoms usually manifest with leg heaviness, pain that increases during the day, and skin changes at the inner ankle of redness and/or brown discoloration. The symptoms of coldness of the feet are not typical of venous disorder. Inadequate arterial circulation can be associated with coldness, but also usually have a very characteristic pattern of increasing coldness and pain when walking a distance which is fixed and reproducible.

A professional exam to palpate foot and ankle pulses should be able to evaluate arterial insufficiency. Coldness of the feet and hands with normal artery pulses is usually indicative of a condition known as Raynauds Disease which is a neurologic triggering causing constriction of the small arteries in these areas which is the body’s normal defense response to environmental cold.

In individuals with Raynauds Disease, the “trigger level” is set a more sensitive level than average. This is almost always benign condition treated with socks. Another possible cause of coldness in the feet can be nerve damage but often there will be other associated changes in sensation. Thus, in summary, an Endovenous Laser procedure for varicose veins may be of benefit for your vein problems, but it may not help your coldness in your feet.

- Dr. Wright

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