Total Vein Care

Physicians & Surgeons, Vascular Surgery, Clinics, Physicians & Surgeons

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25 Years

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(970) 498-8346Call Visit WebsiteVisit Website Map & DirectionsDirections1136 E Stuart St Ste 4102Fort Collins, CO 80525 Write a ReviewWrite Review

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Hours

Regular Hours

Mon - Fri:	8:00 am - 5:00 pm

Total Vein Care

General Practitioners

Medical Weight Loss
Unless there is an obvious cause of lymphedema, work-up should include a venous ultrasound to rule out CVI. In obese patients, fat cells can obstruct the lymphatics. Weight loss is often required for effective lymphedema therapy. In morbidly obese patients, gastric bypass is sometimes required. Lymphedema produces unique physical findings, including swelling of the top of the foot, deepened folds of skin over the ankle, and a positive Stemmer's sign, the inability to pinch the skin at the base of the second toe. With severe lymphedema, the skin can erode, producing a large quantity of thin, watery drainage, or lymphorrhea. This skin erosion does not resemble a venous ulcer. Unlike other types of swelling, lymphedema does not respond to diuretics. It is treated by decongestive therapy, consisting of manual lymphatic drainage (MLD), a specific massage technique used to relieve lymphatic obstruction, and compression. MLD is a very gentle technique, as lymphatics are just deep to the skin. Older patients can be taught to perform MLD since it is not physically demanding. Pneumatic compression pumps can also be very effective managing lymphedema. Bronze skin discoloration is easily distinguished from the skin changes of CVI. Redness of the skin associated with lymphedema is often confused with an infection. Unless there is fever, or other sign of infection, the red color in the skin is from inflammation of the lymphatics from chronic obstruction. The redness does not respond to antibiotics. These are all signs of lymphedema and they respond to decongestive therapy.

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