Consultation with a phlebologist for diseases of the blood vessels

Vascular surgery (phlebology) is a field of surgery that deals with the diagnosis and treatment of blood and lymphatic vessels.

In recent years, due to the fact that significant experience has been accumulated in the field of diagnosis and treatment of venous diseases, and the frequency of requests for help specifically for these diseases has increased, phlebology has emerged as an independent branch of vascular surgery.

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Vascular surgery-phlebology in MedicCity

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Vascular surgery-phlebology in MedicCity

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Vascular surgery-phlebology in MedicCity

The management of vascular surgery includes:

According to WHO, one of the main causes of death and disability of people on our planet is untreated diseases of the cardiovascular system. Therefore, one of the main tasks is the correct and accurate diagnosis and treatment of heart and vascular diseases.

A phlebologist surgeon is one of the most in-demand specialties today.

According to the results of clinical studies conducted in European countries, chronic venous diseases affect up to 50% of the population, and 5–15% of them have decompensated forms (thrombophlebitis of deep and superficial veins, chronic venous insufficiency, trophic skin disorders (ulcers, dermatitis) and etc.).

By consulting with a phlebologist in a timely manner, you will avoid the serious consequences of vascular diseases - thrombophlebitis, thrombosis, trophic ulcers, amputation of limbs, renal failure, stroke, rupture of a vessel, etc. Dilated veins or spider veins on the legs are a good reason to meet with a vascular surgeon.

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Consultation with a phlebologist in MedicCity

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Consultation with a phlebologist in MedicCity

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Consultation with a phlebologist in MedicCity

Reviews of vascular surgeons indicate that most patients seek help from a phlebologist mainly with cosmetic complaints. However, varicose veins are not only an aesthetic problem.

Varicose veins lead to venous insufficiency, and there is also a high risk of thrombosis and inflammatory complications - thrombophlebitis, trophic changes.

And every good phlebologist will definitely tell you that any vein pathology requires professional diagnosis and the correct choice of treatment regimen and tactics.

When is a consultation with a phlebologist required?

You need to contact a vascular surgeon if you have the following symptoms:

In addition, if you suffer from diseases such as atherosclerosis, hypertension, diabetes mellitus, heart attack, stroke, it is extremely necessary to conduct an ultrasound examination of the vascular system. This will help prevent complications (stroke, gangrene, kidney failure, thromboembolism).

In order to prevent vascular diseases, people over 30 years of age need to visit a phlebologist annually. Women are advised to visit a vascular surgeon before and after each pregnancy and childbirth. Let your legs perform their primary function rather than struggle with the signs of bad veins!

The earlier treatment is started, the higher the likelihood of success - this principle is very relevant in vascular surgery.

Phlebology Center "MedicCity" in Moscow

Vascular surgery is one of the priority areas of MedikCity. Not every phlebology clinic has such technical capabilities for diagnosing and treating diseases of blood vessels and veins.

Each phlebologist at our clinic is fluent in all techniques existing in modern vascular surgery.

They say that the future lies with vascular surgery and minimally invasive methods!

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Vascular ultrasound in MedicCity

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Vascular ultrasound in MedicCity

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Vascular ultrasound in MedicCity

Our clinic is a medical institution that uses only modern (informative and safe) diagnostic methods and high-tech (almost jewelry) methods for treating diseases of the arterial and venous system.

The highest qualifications of doctors who have completed clinical training in leading centers of vascular surgery and phlebology are the key to accurate diagnosis and consistent treatment effectiveness.

By contacting the MedicCity clinic with even the most unclear complaints (for example, a feeling of heaviness in the legs), you will receive a full diagnostic consultation from a vascular surgeon.

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Sclerotherapy in MedicCity

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Sclerotherapy in MedicCity

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Sclerotherapy in MedicCity

A complete diagnosis of the state of the vascular system will not take much time. We have no queues, no waiting, no moving from place to place. We save your time and nerves: a vascular surgeon or phlebologist at the clinic will be able to immediately conduct accurate, modern ultrasound diagnostics and determine your treatment plan on the day of your visit.

 In addition, with us you can not only get an appointment with a phlebologist, but also get consultations with doctors from 30 other specialties (general practitioner, cardiologist, neurologist, orthopedist, endocrinologist, etc.). The last thing is important: perhaps the complaints you are complaining about are not related to vascular disease. A consultation with a vascular surgeon will help you understand the cause of the disease.

A good phlebologist will not only be able to cure vein disease, but will also try to prevent it.

Our phlebologist surgeon will answer the following questions:

• Do you have venous disease?
• What is the prognosis of the disease?
• What treatment methods can be used to solve your problem, what treatment tactics are optimal in your case?
• What is the expected result of treatment?
• What are the possible side effects?
• How to prevent the progression of the disease?
• What preventive measures are recommended for your disease?

We diagnose and treat the following diseases:

Diagnostics:

• comprehensive clinical and ultrasound examination of the vascular system: arteries and veins;
• Ultrasound duplex scanning of blood vessels with color mapping of blood flow is the best modern method for diagnosing the condition of arteries and veins. Ultrasound diagnostics clearly shows the doctor the condition of the venous bed, allowing the angiosurgeon and phlebologist to select adequate tactics for managing the patient.

Ultrasound vascular studies:

• Duplex (triplex) scanning of the arteries of the lower extremities
• Duplex (triplex) scanning of the arteries of the upper extremities
• Duplex (triplex) scanning of the veins of the lower extremities
• Duplex (triplex) scanning of the veins of the upper extremities
• Duplex (triplex) scanning of extracranial sections of the brachiocephalic arteries (main arteries of the head and neck)
• Duplex (triplex) scanning of the renal arteries
• Duplex (triplex) scanning of the abdominal aorta and its visceral branches, etc.

Treatment:

Our equipment:

Modern phlebology is unthinkable without accurate diagnosis!

Vascular surgery in Moscow is at a fairly high level. The MediCity Vascular Surgery Center has modern equipment that helps identify any pathology of veins and blood vessels in the early stages of the disease.

Duplex scanning is the most accurate examination, allowing the doctor to choose the optimal treatment method for each patient. The study combines Dopplerography (registration of venous blood flow) and ultrasound scanning mode.

The universal expert-level ultrasound scanner LOGIQ 7 (manufactured by General Electric) not only provides ultra-precise diagnostic data, but is also used directly during medical procedures (sclerotherapy, laser and surgical procedures).

For endovenous laser coagulation, we use one of the best medical lasers - Quadro Star+.

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Laser device QuadroStar Lipo

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Universal ultrasound scanner LOGIQ 7

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Ultrasound scanner VIVID i

Our phlebology clinic has a whole arsenal of European-made laser devices that allow us to treat a variety of manifestations of varicose veins - from “spider veins” to varicose veins of the lower extremities.

When carrying out therapeutic invasive manipulations, we use portable ultrasound machines VIVID i/GE with the B-flow function, allowing spectral Doppler in real time, which takes this research to a whole new level.

Source: https://www.mediccity.ru/directions/19

Cardiovascular surgeon (phlebologist)

A vascular surgeon deals with the diagnosis, treatment and prevention of vascular diseases (veins and arteries).

Diseases of the vascular system can manifest themselves in different ways. However, the most common reasons for contacting a vascular surgeon-phlebologist are symptoms such as:

• Swelling of the legs
• Leg pain (shins, calves, thighs)
• Feeling of heaviness in the legs, numbness in the legs
• The appearance of swollen, “tangled” veins, spider veins
• Feeling of pulsation in the area of ​​the vessel
• Headaches, dizziness

Initial consultation with a vascular surgeon-phlebologist

An appointment and consultation with a phlebologist takes place in the following format: the doctor carefully listens to the patient’s complaints and analyzes the symptoms, collects anamnesis, conducts a medical examination, and, if necessary, performs an ultrasound examination of both lower extremities. To clarify the diagnosis, the specialist prescribes some studies and tests. After this, the phlebologist surgeon makes appointments, describing the treatment regimen to the patient in detail. The price of the service is affordable for a wide range of patients, so it is extremely important to find time to visit a doctor in order to start treatment on time and avoid possible complications.

Repeated consultation with a phlebologist

A repeated appointment with a phlebologist surgeon is carried out after the patient has completed the prescribed therapeutic course or the necessary examination.

The price of the service is affordable for a wide range of patients, so it is extremely important to find time to visit a doctor to verify the results obtained or, if necessary, adjust treatment for the next period.

A repeat appointment with a doctor is the time to decide on the possibility of further treatment or the need for surgical intervention.

Additional studies that a vascular surgeon may prescribe during consultation:

• Duplex scanning of veins and/or arteries of the lower extremities, abdominal vessels, head and neck vessels, etc.
• Radiation diagnostics (magnetic resonance imaging, computed tomography with contrast, direct angiography)
• Laboratory diagnostics (various types of tests - biochemical blood parameters, etc.) and other studies

Duplex scanning of veins and/or arteries of the lower extremities, abdominal vessels, head vessels, etc.

Based on the results of research and examination, the vascular surgeon and phlebologist will select the optimal treatment.

Treatment of vascular diseases by a phlebologist

Depending on the identified disease, the phlebologist can prescribe various treatment methods:

• Conservative (medicinal) - various tablet drugs to improve microcirculation, tone of venous walls, thinning drugs, etc. Infusion therapy courses. Therapeutic exercise and recommendations for lifestyle correction. Also, if necessary, the vascular surgeon will recommend compression hosiery and its optimal parameters (pressure, length, etc.)
• Sclerotherapy (sclerotherapy) – injections into a vein of special substances (sclerosants) that “glue” pathologically dilated veins
• Surgical (the whole range of modern surgical treatment of varicose veins - combined phlebectomy, mniphlebectomy, radiofrequency obliteration of the veins of the lower extremities; endovascular treatment of atherosclerotic artery lesions - angioplasty, stenting)

If necessary, hospitalization is possible in the hospital of the Central Clinical Hospital of the Russian Academy of Sciences, or another clinic in Moscow.

Feedback from our patients about the level of medical service, objectivity of prices and treatment results is a powerful argument for contacting us.

At the CDC of the Central Clinical Hospital of the Russian Academy of Sciences, you will receive advice from a qualified experienced doctor - a cardiovascular surgeon and will be able to inexpensively undergo all the necessary tests at a time convenient for you.

The clinic has its own diagnostic center: a laboratory, departments of magnetic resonance and computed tomography (MRI and CT), x-ray diagnostics, and ultrasound of veins.

Experienced doctors of all specialties conduct consultations and conduct consultations.

Treatment and diagnostic center

Patients with the following diseases are treated in the vascular surgeon's office:

Varicose veins - often manifested by swelling and heaviness in the legs after physical activity and towards the end of the day, which disappear after resting in a horizontal position, cramps at night, "swelling" of the veins in the legs, the formation of venous "nodes", the appearance of spider veins, "mesh".

Depending on the stage of the disease, treatment of such patients can be either therapeutic (medicines, elastic compression, sclerotherapy) or surgical (combined phlebectomy, miniphlebectomy, radiofrequency obliteration of the veins of the lower extremities).

Such formations are removed by sclerotherapy (sclerotherapy) (a sclerosant is injected into the lumen of the vein), after which these formations completely resolve after 1-2 weeks, or by laser coagulation: a percutaneous laser effect occurs on the spider vein, after which these formations completely resolve after 1-2 weeks. 

Thrombophlebitis of the saphenous veins - the most common symptoms are pain and the appearance of compaction along the veins, redness of the skin along the compaction, swelling of the limb

Lymphoedema (the appearance of swelling of the legs for no apparent reason, a feeling of heaviness in the legs)

Atherosclerosis of the aorta and visceral arteries - renal arteries, arteries supplying blood to the abdominal organs (celiac trunk, mesenteric arteries) - frequent symptoms - a persistent, poorly corrected increase in blood pressure, a decrease in the size of the kidney, identified according to various research methods. Pain and discomfort in various parts of the abdomen after eating. Possible treatment options include endovascular treatment - stenting of the affected arteries, and bypass surgery.

Atherosclerosis of the arteries of the lower extremities - frequent symptoms - pain, coldness and numbness in the lower extremities, more often occurring when walking, can intensify in a horizontal position and in the cold season (the limb freezes faster)

Aortic aneurysm, aneurysm of the arteries of the upper and lower extremities - frequent manifestations - increased pulsation and sensation of a volumetric pulsating formation in the area of ​​the vessel (in the abdomen or in the extremities)

Atherosclerosis of the vessels of the neck (carotid arteries) and upper extremities - often gives symptoms such as headaches, dizziness, unsteadiness of gait, loss of consciousness.

Numbness and decreased exercise tolerance in one limb, the appearance of a difference in blood pressure in the upper limbs. Can lead to serious consequences, including stroke.

Treatment for this category of patients is combined: surgical (stenting or carotid endarterectomy is performed) and drug therapy as a complement to surgical treatment.

Make an appointment with a cardiovascular surgeon

You can get an appointment at the medical center by appointment. The service is provided for a fee, but its cost is objective and accessible to a wide range of patients.

You can make an appointment to be examined by a cardiovascular surgeon at the hospital by calling (499) 400-47-33.

The center's consultants will answer any questions: how much does an appointment cost, what tests are needed, when and where does a cardiovascular surgeon of the highest category see the doctor. You can also make an appointment on the website.

Source: https://www.ckbran.ru/clinic/doctor-consult/serdechno-sosudistyj-khirurg-flebolog

Phlebology

• Varicose veins
• Heaviness or pain in the legs.
• Tired legs, swollen legs, leg cramps, especially night cramps.
• Dilated veins.
• Vascular networks on the legs.
• Trophic disorders - darkening of the skin on the legs, thickening of the subcutaneous tissue.

Phlebology is a field of medicine that deals with the diagnosis, treatment and prevention of vein diseases. Phlebology is a field bordering on art, requiring highly qualified and experienced phlebologists.

After all, the causes of vein diseases are very diverse, and only by correctly identifying the cause can you correctly develop an individual plan for the treatment and recovery of the patient.

For a consultation with a phlebologist, it is not necessary to make an appointment at a district clinic and stand in queues; in special cases, you can go to a paid clinic or call a phlebologist at the clinic.

Varicose veins

Varicose veins are a disease of the veins (most often of the lower extremities), which is characterized by thinning of the veins, protrusion of venous vessels through the skin, and the formation of subcutaneous nodes. About 30% of the world's population suffers from the disease, which puts varicose veins in the forefront of the most common pathologies.

Thrombophlebitis

Thrombophlebitis is a disease of the veins, which is characterized by inflammation of the vessel wall and the formation of a blood clot that clogs the lumen of the vein.

Atherosclerosis

Atherosclerosis is a chronic pathology of the arteries, in which the walls of blood vessels harden and plaques form in them, interfering with the free flow of blood. The disease is characterized by deterioration of blood circulation in the body, causing numerous complications.

Venous edema

Venous edema is an increased volume of interstitial fluid in a vein. The condition can be determined by palpation or visually.

Varicose veins can manifest themselves at the beginning only as spider veins and small veins up to 1-2 mm thick.

With further development, the presence of varicose veins does not raise doubts in the patient; pain, heaviness in the legs, and swelling occur. Do not let the disease progress to the stage of ulceration; consult a doctor.

Surgeons, vascular surgeons, and phlebologists treat varicose veins in our country.

If you have initial signs of varicose veins, then following fairly simple rules will slow down, and in some cases, avoid its further development. First of all, do not get carried away with hot baths, saunas, or prolonged exposure to the sun.

All of the above reduces venous tone and leads to stagnation of blood in the lower extremities. Do not wear tight clothing, stockings or socks with tight elastic bands, as this will compress the veins.

Excess body weight and sports activities associated with large static loads on the legs (tennis, weightlifting, bodybuilding) increase venous pressure. High heels (above 4 cm) - our veins do not like them.

Take care of your veins, do not injure them

Visually noticeable signs of trouble include edema, swollen veins and the well-known “stars”, which are dilated blood vessels.

The presence of at least one symptom may indicate the presence of some venous pathology. It is very important not to delay treatment and not allow it to develop into a disease. Preventing venous disorders at the earliest stages and competent prevention is within the power of every person.

The causes of vein diseases are very diverse, and only by correctly identifying the cause can an individual effective treatment plan be developed.

Previously, a phlebologist with surgical intervention, because varicose veins could only be treated through surgical means. However, today a phlebologist solves all the tasks, in most cases, using non-surgical and practically painless methods.

In advanced situations, the phlebologist turns to the achievements of microsurgery, including laser surgery. Modern treatment methods make it possible not only to radically, but also safely solve the problem of vascular diseases.

It should also be said that consultation with a phlebologist is necessary not only in cases where you already clearly notice problems with blood vessels. It is best to contact a phlebologist specifically for the purpose of prevention. It is a phlebologist who can help women who are going to become mothers avoid problems with blood vessels, because pregnancy is a difficult test for the female body.

If you cannot come to the medical center for a consultation with a phlebologist, you can call a doctor at the clinic. A phlebologist in a clinic is a convenient solution .

• By what signs can you understand that problems with your legs are starting and you need to see a doctor?
• Legs are swollen, what to do, how to treat?

The first symptoms of varicose veins and venous insufficiency are the appearance of one or more of the following signs:

• feeling of heaviness in the legs and feet
• pain after active physical activity
• swelling (more towards the end of the day)
• cramps at night
• numbness when walking
• appearance of spider veins on the legs

But you need to know that the first and earliest symptoms of varicose veins, such as a feeling of heaviness in the legs, moderate pain in the legs, increased fatigue, also occur in the initial stages of arterial diseases, flat feet, and lumbar osteochondrosis. In such cases, it is impossible to make a correct diagnosis on your own - you need to consult a specialist, or even several - a phlebologist, a neurologist, a surgeon and an orthopedist.

It must be remembered that it is impossible to get rid of varicose veins by self-medication; you can only delay and aggravate the process. Early contact with a specialist for a full examination and prescription of adequate treatment is the key to recovery.

The exact cause can be identified only after examination and standard examinations: - complete blood count (detailed), prothrombin, fibrinogen, INR. — Doppler ultrasound of the vessels of the lower extremities — ECG — R-graphy of the lungs — Ultrasound of the abdominal organs and retroperitoneal space. Treatment tactics depend on the results obtained.

visiting a phlebologist at the clinic

Contacting a phlebologist - the doctor will give advice to a patient with venous diseases and develop strictly individual treatment plans depending on the disease, its form, stage and severity.

The presence of at least one of these symptoms may indicate the presence of some venous pathology.

Phlebologists at City Clinic will not allow it to develop into a disease

Do not delay treatment, visit our specialists or call a doctor at the clinic to get rid of pain or the risk of complications. Preventing venous disorders at their earliest stages is much easier than subsequently following the strict restrictions of doctors throughout your life,

Professional phlebologists at City Clinic will develop an individual treatment program. At your first visit or when visiting a phlebologist in the clinic, he will carefully listen to all your complaints, perform an examination and prescribe the necessary tests. After all these procedures, when the phlebologist has a complete picture of your disease, he will prescribe treatment that will be most effective.

If you come to the City Clinic or visit a phlebologist at the clinic on time, then, most likely, the specialist will simply make sure that there are no serious vascular lesions and will recommend a variety of measures, the main goal of which is prevention. As a rule, this is a specially designed diet, leg exercises and recommendations for changing your lifestyle.

A specialist may also recommend wearing compression tights and stockings, which are no less elegant than regular ones and will highlight the beauty of your legs. If you cannot come to a phlebologist’s consultation at the medical center, you can call a doctor at the clinic.

One of the tasks of a phlebologist is to prevent the development of diseases. You should not think that vascular pathologies can only be treated surgically. Surgical intervention will be required in advanced forms of the disease, when other means no longer bring a positive effect.

If the patient cares about his health and consults a doctor on time, then special exercises for the lower extremities, ointments and other products for external use, and special nutrition will help restore the beauty and health of the legs. Wearing compression garments recommended by a doctor is of great importance in the treatment of vascular diseases.

Elegant stockings, knee socks and tights, which are designed specifically for vascular rehabilitation, look elegant and beautiful.

 

Source: http://citiklinik.ru/medical/v-flebologa

Consultation with a phlebologist

A phlebologist treats leg veins. The treatment of a patient with a pathological condition leads to the organization of laboratory tests, diagnosis, prescription of therapy, and information about the prevention of pain. Statistics show discomfort in the lower extremities in every fifth member of society.

Almost all people have symptoms of abnormalities; vascular dysfunction occurs due to the influence of external factors. The risk of their occurrence is associated with people walking upright; the vertical position of the body increases the pressure on blood circulation. When a malfunction occurs in the body, muscle tone weakens and blood stagnation occurs.

facilitates timely detection of pathology . Consultation with a phlebologist is necessary for people who do not have discomfort in the blood flow or have hereditary risks.

The appointment is carried out with the detection of signs, a story about the organization of a proper diet, sleep and rest, physiological activity, and the elimination of risks. Need a doctor's consultation?

Do you need to consult a phlebologist?

Consultation with a phlebologist is necessary due to the occurrence of:

• Varicose veins - dilation, narrowing of blood vessels, leading to the formation of tangles, convolutions, this interferes with the natural flow of blood;
• Thrombophlebitis - the inflammatory process of blood clot formation;
• Venous insufficiency – a deviation in the outflow of blood;
• Phlebitis – inflammation of the veins;
• Thrombosis – the formation of blood clots inside blood vessels throughout life;

Thromboembolism - closure of a vessel by a thrombus that has entered the bloodstream after being torn from its attachment site. The most dangerous condition is thromboembolism.

A blood clot, breaking away from its place of concentration, circulates in the blood supply system, can enter a vital organ, disrupt its activity, and the result is sudden death.

 Consultation with a phlebologist is necessary in the early stages of symptom development for timely prescription of complex therapy, taking into account the individual characteristics of the patient’s body.

What diseases does the doctor treat?

A phlebologist is a specialist of narrow competence. People come to him with abnormalities in the vascular system of the lower extremities.

If disturbances appear in other parts of the body, he takes appropriate measures, organizes research and prescribes therapeutic measures.

In addition to consultation, the doctor’s profile includes therapeutic (selection of medications, ointments), surgical procedures (operations) if indicated. Everyone needs to know this. It is possible to stop the disease in the early stages; you need to consult a doctor.

Symptoms of vein diseases

A person who has a genetic risk for venous insufficiency may notice signs of the disease by monitoring their health. Main criteria:

• pain during active and passive movements (the patient carries out natural, daily activities - hygiene, going to the store or to work, jogging, experiences discomfort and a feeling of heaviness in the lower extremities);
• parts of the leg become numb, the sensation spreads over the entire surface;
• calf cramps at night;
• the color and structure of the skin have changed;
• spider veins appear;
• swelling appears, especially severe in the evening;
• fatigue, heaviness of legs during the day. If signs appear, consult a doctor!

What causes venous diseases?

The natural way of life and behavior in society involves increased stress on the lower limbs. They are the support of the body.

Blood circulation is carried out in the absence of pathology without cholesterol plaques or blood clots.

In a healthy person, the veins are trained and powerful; under the influence of certain factors, deviations in the blood supply occur. The influencing factors are:

• overweight (obesity), giving a large load;
• a sedentary lifestyle leads to blood stagnation;
• excessive physical activity and overexertion imply wear and tear on the body;
• diabetes mellitus - the lack of a sufficient amount of insulin does not allow carbohydrates to be processed, clogging with sugar occurs;
• heredity, genetic predisposition (the presence of deviations in the walls of the veins in close relatives);
• smoking (nicotine, toxic substances have a negative effect - oxygen transport slows down, blood viscosity increases);
• age-related changes.

Diagnostics

If signs of a circulatory system disorder occur, the patient needs to consult a phlebologist ; for this, you need to make an appointment with a phlebologist. An initial appointment with a phlebologist is indicated for timely collection of anamnesis and identification of the clinical picture.

He will tell you about possible deviations, taking into account the patients’ symptoms, and make a diagnosis in order to prescribe treatment. Diagnostics involves the following methods: Ultrasound examination - a special sensor informs about the speed of blood flow, the computer calculates the indicators.

General blood test, coagulogram.

         When the studies are completed, the patient is prescribed treatment taking into account individual characteristics and drug tolerance.

Treatment of lower extremities

Knitwear is chosen by patients with deep pathology of the circulatory system and trophic changes in soft tissues. Its preventive role in the prevention of thromboembolic complications operated in hospitals and clinics is noted.

Phlebology specialists consider sclerotherapy in extreme cases. As a result of the procedure, a drug that affects the vascular walls is injected into the damaged area. Its contraindications:

• The patient cannot move due to paralysis, arthritis;
• The presence of allergic reactions to drugs;

During the procedure, the air temperature is increased, implementation is mainly in winter, autumn, and spring.

Its implementation occurs painlessly on an outpatient basis; referral to a hospital is not required. After a few hours the patient can move, walk, and do his usual activities.

To maintain the health of the lower extremities, it is necessary to follow the rules for the prevention of diseases that appear in connection with venous insufficiency:

• avoid staying in a stationary position for a long time (standing, cross-legged) - do daily exercises, move more, walk (for “sedentary” work, get up from your chair every 10-15 minutes and walk around);
• introduce physical activity into your lifestyle - swimming, cycling, fitness, dancing;
• eliminate the possibility of gaining excess body weight - eat properly and according to a schedule, limit the consumption of high-calorie and unhealthy foods, increase the load on the body through sports;
• eliminate bad habits from life - smoking, drinking alcohol, taking drugs;
• wear loose clothing that does not tighten the skin;
• Do not stay in baths, saunas, or hot tubs for a long time.

            Keeping yourself in shape, adopting a healthy lifestyle, and paying attention to the primary signs will prevent the disease from reaching an advanced stage.

Specialist consultation required!

Consultation with a phlebologist in Moscow, in the later stages of diseases!

When a phlebologist is consulted already in the later stages of the disease, when medications, ointments and external fixation of blood vessels do not give the desired result, the issue of surgical intervention is considered.

Surgical methods include phlebectomy (removal of the affected area), thermal obliteration methods and sclerotherapy as a method of treating varicose veins by introducing into a vein a drug that causes a chemical burn and gluing the lumen of the pathologically altered vein.

The most radical method of curing most vein diseases is surgery. It does not provide a 100% guarantee that problems with dilatation or narrowing of blood vessels or thrombus formation will not arise elsewhere.

            Check your health now. Appointments with a phlebologist in Moscow in our clinic are carried out exclusively by qualified specialists! Don't forget to get a discount on your repeat consultation!

At the “Your Health Plus” medical center, repeated consultations with a doctor are provided at a discount. We have affordable prices for all types of services

Svyatovets Sergey Sergeevich

Surgeon, Phlebologist, Candidate of Medical Sciences

Motorov Roman Alekseevich

Phlebologist, ultrasound doctor

Consultation with a doctor (phlebologist) is carried out by appointment.

Price

Initial consultation

1500 rub.

Repeated consultation

1000 rub.

Sclerotherapy of 1 spider vein

3500 rub.

Sclerotherapy of 1 lower limb (thigh, lower leg)

9000 rub.

Source: https://vzplus.ru/services/konsultaciya-flebologa

Scandinavian Health Center

Service	Price
Appointment with cardiovascular surgeon L.D. first amb.	1800 a
Appointment with cardiovascular surgeon L.D. rep. amb.	1600a

Dmitry Sergeevich March 16, 2019  

Many thanks to Margarita Fedorovna for a successful and painless operation! From the first day on my feet, everything healed very quickly! Thank you Next

Prokopova Ekaterina Sergeevna December 25, 2018  

I would like to express my deep gratitude to Igor Vladimirov for his professionalism and golden hands. This is a doctor who clearly knows his job. Further

Denezhkina Anna December 12, 2018  

I would like to thank Margarita Fedorovna Ryakhovskaya for her professionalism and attentive attitude towards patients!

Provotorova O.V. March 26, 2018  

Ryakhovskaya Margarita Fedorovna is a doctor from God.

Romanov Vladimir Mikhailovich July 10, 2017  

The operation was performed in early January 2017 by Margarita Fedorovna Ryakhovskaya. From the bottom of my heart I want to thank her for her hands, Next

It is recommended to routinely visit a phlebologist in the following cases:

• obesity. Excess weight puts excessive pressure on the veins of the legs. The vessels swell and dilate;
• pregnancy. Varicose veins affect the veins of the lower extremities and pelvis. The risk of developing the disease increases with multiple pregnancies;
• taking hormonal contraceptives.
• genetic predisposition. If your relatives have varicose veins, you should undergo annual medical examinations, even if there are no symptoms of the disease;
• diseases of the cardiovascular system and diabetes. Disturbances in the functioning of the circulatory system increases the risk of vascular deformation;
• bad habits. Nicotine and alcohol negatively affect the walls of the veins;
• physical inactivity. Long-term static loads.  

After the examination, the phlebologist makes a diagnosis. The most common pathologies:

• Varicose veins are a disease of the superficial peripheral veins. Varicose veins cause blood vessels to dilate or become deformed. Pathological expansion of veins slows down the speed of blood flow, which leads to stagnation of blood and, as a consequence, to the appearance of edema and trophic ulcers (wounds that do not heal for years). The most dangerous complication of varicose veins is the formation of blood clots. The veins of the lower extremities are most often affected by varicose veins;
• postthrombotic disease - a condition after suffering thrombosis of the veins of the lower extremities;
• phlebopathy of various origins is a disruption of the functioning of the veins, which occurs due to a decrease in their tone. There is a difficulty in the outflow of blood with stagnation;
• thrombophlebitis - inflammation of a vein with the formation of a blood clot.

Symptoms

1. The initial stage of varicose veins causes inconvenience only of an aesthetic nature - a venous vascular network appears on the skin. Over time, red or purple webs spread across the skin. If you do not see a doctor in time, other symptoms appear:

• heaviness in the legs, worsening in the evening;
• swelling;
• pain;
• dilated vessels (veins).

Without treatment, varicose veins lead to serious consequences:

• dermatitis;
• bleeding from dilated veins;
• trophic ulcers;
• pigmentation - darkening of the skin;
• the formation of blood clots - blockage of blood vessels.

2. Phlebopathy is a condition of the venous system without visible external signs. Symptoms of phlebopathy:

• swelling of the legs at the end of the day;
• heaviness;
• tired legs;
• night cramps. 

3. Thrombophlebitis is a dangerous condition that often appears with varicose veins. Its symptoms:

• swelling;
• redness;
• local soreness;
• rise in temperature, fever, chills;
• the appearance of additional seals around the veins.

Treatment 

At the initial stage, conservative treatment is prescribed. It includes medication and compression therapy.

Drug therapy consists of the use of drugs - venotonics.

Compression therapy involves the use of therapeutic compression hosiery of varying degrees of compression. This external support constricts the veins, thereby improving blood flow and reducing swelling.

Radiofrequency ablation (RFA) is a method in which a radiofrequency catheter is inserted into a vein through a puncture under ultrasound guidance. Through the device, high temperature is applied to the vein wall. The vein sticks together and disappears over time.

Benefits of radiofrequency ablation:

• speed. The procedure lasts half an hour (one limb);
• aesthetics. There are no scars, scars or pigmentation left on the skin;
• safety. There is no recovery time required after radiofrequency ablation;
• The operation is suitable for people of any age.

The operation cannot be performed in the following cases:

• decompensated atherosclerosis;
• pregnancy, lactation;
• inflammatory skin diseases. 

Mini-phlebectomy or microphlebectomy is a method in which varicose veins are removed through punctures in the skin. Using a micro-tool, the doctor takes out the affected vein and removes it. There are no stitches. Mini-phlebectomy becomes an addition to radiofrequency ablation or is used as an independent method.

Advantages of mini-phlebectomy:

• quick effect. Protruding nodes disappear immediately after the procedure;
• safety. After microphlebectomy, no recovery time is required;
• The operation is suitable for people of any age;
• local anesthesia. Mini-phlebectomy does not use general anesthesia.

The operation cannot be performed if:

• pronounced swelling;
• thrombosis;
• infection;
• exacerbation of diseases. 

Sclerotherapy is a method by which vascular networks and small reticular veins are removed. A drug is injected into the vein with a thin needle, which glues the walls together. After the process is completed, the substance dissolves in the blood without consequences.

Benefits of sclerotherapy:

• speed. The procedure lasts from several minutes to an hour;
• painlessness. The administration of the substance does not cause discomfort;   
• aesthetics. 2-4 months after the procedure, there are no scars left on the skin, and the affected veins disappear.

The procedure cannot be carried out if there is:

• thrombophlebitis;
• diabetes;
• allergy to the substance;
• pregnancy, lactation period;
• inflammation at the injection site. 

There are three types of sclerotherapy:

• Microsclerotherapy is the administration of a drug through a thin needle. Used for small vein lesions.
• Echosclerotherapy is the administration of a drug under ultrasound scanning control. Used for large diameter veins if radiofrequency ablation is not indicated.
• Foam sclerotherapy is the administration of a drug that foams upon contact with air. As a type of microsclerotherapy, it can be performed under ultrasound guidance.

Source: https://www.SCZ.ru/medication/flebologiya/konsultacziya-vracha-flebologa/

Phlebologist in Moscow - prices, making an appointment and consultation with a phlebologist at JSC Family Doctor

NEAD EAD SEAD South Administrative District South-Western Administrative District CJSC Central Administrative District SZAO Northern Administrative District 01 02 03 05 06 07 08 09 1 0 1 1 1 2 14 18 15 16 17 Babushkinskaya Prospekt Mira Pervomaiskaya Baumanskaya Paveletskaya Teply Stan Shipilovskaya Prague Academic University Barrikadnaya River Station Oktyabrskoye Bratislava Taganskaya Academician Yangelya October Field

A phlebologist is a vascular surgeon involved in the diagnosis, treatment and prevention of venous diseases. Typically, an additional specialization of a phlebologist is ultrasound diagnostics, which is used to assess the condition of blood vessels.

The division of phlebology into a special section of vascular surgery is dictated by the structural features of the venous system and the veins themselves. Unlike arteries, veins do not have a pronounced muscle layer in their walls.

The movement of blood through them is ensured by pressure differences and contractions of the surrounding skeletal muscles. The valves in the veins prevent the backflow of blood and direct it away from organs and tissues to the right side of the heart.

The veins of the lower extremities are capable of depositing significant volumes of blood, however, with hereditary weakness of the vessel walls and disruption of the venous valves, stagnation of blood can cause varicose veins. Slowing down the flow of venous blood and damage to the vascular walls leads to the formation of blood clots, phlebothrombosis, and concomitant inflammation of the veins - thrombophlebitis.

Timely contact with a phlebologist, accurate diagnosis and well-chosen treatment for varicose veins allows you to restore proper blood flow and avoid dangerous complications.

If you need a good phlebologist in Moscow, contact Family Doctor JSC. Prices for services are listed below. You can make an appointment with a phlebologist by phone, as well as using a special service on our website.  

The competence of a phlebologist includes all diseases of the veins, including:

• restful legs syndrome is a complex of symptoms that arise due to stagnation of blood in the veins of the lower extremities, an “alarm bell” about the troubles of the veins and a high risk of developing varicose veins.
• Varicose veins are an irreversible expansion of veins, accompanied by thinning of the venous wall, lengthening of the veins and the formation of characteristic venous “nodes”.
• Phlebitis is an acute or chronic inflammation of the venous vascular wall, caused by various reasons, but more often accompanying varicose veins.
• Phlebothrombosis is a disease accompanied by the formation of blood clots in the veins that interfere with normal blood flow.  
• Thrombophlebitis is inflammation of the venous vascular wall in combination with venous thrombosis.  
• Chronic venous insufficiency of the lower extremities, characterized by impaired blood circulation and microcirculation in the tissues.
• Trophic ulcers of the lower extremities and other skin manifestations of venous circulation disorders.

• Heaviness and feeling of fullness in the legs, which occurs and intensifies towards the end of the day;
• cramps, “goosebumps” and unpleasant “scraping” sensations in the legs;
• rapid fatigue of the legs;
• spider veins, venous networks on the skin of the lower extremities;
• swelling of the lower extremities;
• dilation of veins noticeable to the eye;
• dryness, darkening and increased density of the skin, hair loss in the shin area.

When the first symptoms appear that indicate problems with the veins of the lower extremities, make an appointment with a phlebologist at the Family Doctor network of clinics. Modern diagnostic methods make it possible to detect venous diseases in the early stages of development and prevent complications.

For preventive purposes, consultation with a phlebologist is necessary if there is a high risk of developing venous disease, in particular in the case of:

• hereditary predisposition to varicose veins of the lower extremities;
• sedentary lifestyle;
• sedentary physical work;
• planning pregnancy or pregnancy itself if there is a high risk of venous disease;
• elderly;
• long-term use of combined oral contraceptives.

An appointment with a phlebologist begins with a survey (collecting an anamnesis), identifying possible risk factors for the development of venous diseases, examination and palpation of problem areas. Laboratory diagnostic methods are mandatory, including general and biochemical blood tests. To assess the state of the blood coagulation system, a coagulogram is prescribed.

Special methods for diagnosing vein diseases:

• Ultrasound of the vessels of the lower extremities is a highly informative research method that allows you to obtain complete information about the condition of the deep, perforating and superficial veins.
• Doppler ultrasound is a method used to assess blood flow through the veins.
• Phlebography is an X-ray examination method with contrasting of blood vessels, which makes it possible to detect problem areas and the presence of blood clots in the veins.
• Phlebomanometry is an invasive diagnostic method that allows you to determine the blood pressure on the walls of the veins.

A phlebologist is a universal specialist who has in his arsenal various methods of conservative and surgical treatment of vein diseases.

If you need a phlebologist in Moscow, contact Family Doctor JSC. The high qualifications of our specialists, the use of effective classical and advanced methods for treating vein diseases, and an individual approach to each patient guarantee you an optimal result, including from an aesthetic point of view.

In the treatment of phlebological diseases, methods such as:

• conservative therapy, including drug treatment and selection of compression stockings for the prevention of vein diseases and treatment of their initial stages;
• sclerotherapy - injection into a vein of a substance that “glues” its walls (used to treat “spider veins” and “venous mesh”);
• endovasal laser coagulation (EVLC) - “sealing” a vein using a light electrode inserted into it;
• phlebectomy – surgical removal of the affected area of ​​the vein;
• RFO - radiofrequency vein obliteration - a minimally invasive treatment method in which varicose veins are “soldered” using an electric current;
• installation of a subcutaneous venous port - may be required for patients who require intensive care, intravenous administration of blood components and a large number of drugs that can cause damage to the vascular wall.  

Name Cost

Primary appointment with a leading vascular surgeon	3 500
Primary appointment with a leading vascular surgeon (premium)	3 500
Appointment with a leading vascular surgeon based on examination results	2 520
Repeated appointment with the leading vascular surgeon	2 800
Repeated appointment with a leading vascular surgeon (premium)	2 800

Show all prices

Name Cost

Ligation of perforating veins of the leg	8 820

Name Cost

Foam sclerotherapy for varicose veins on the thigh (1 procedure)	6 070
Foam sclerotherapy for varicose veins on the lower leg (1 procedure)	4 970
Foam sclerotherapy for varicose veins of the lower limb (1 procedure)	9 710

Name Cost

Excision of varicose veins (combined phlebectomy)	53 270
Combined phlebectomy - Removal of the great saphenous vein with ligation of the saphenofemoral anastomosis, ligation of perforating veins, miniphlebectomy (1 limb)	54 950
Combined phlebectomy in the basin of the great and small saphenous vein, including ligation of the sapheno-femoral anastomosis, anastomosis with the great saphenous vein, ligation of perforating veins, miniphlebectomy (1 limb)	135 240
Miniphlebectomy (category 1)	14 370
Miniphlebectomy (category 2)	16 910

Show all prices Make an appointment

Dear patients! Please note that the cost of a visit to a doctor does not always coincide with the stated price of the appointment. The final cost of the appointment may include the cost of additional services.

The need for such services is determined by the doctor depending on medical indications directly during the appointment.

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Phlebologists

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