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Doctor insights on: Lower Extremity Venous Duplex

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How can I have a ultrasound in the lower extremity that revealed venous insufficiency in the saphenous vein but no varicose vein?

How can I have a ultrasound in the lower extremity that revealed venous insufficiency in the saphenous vein but no varicose vein?

Saphenous vein Weak: A vein ultrasound can reveal early vein dysfunction in the saphenous vein (venous insufficiency with valve dysfunction) before it becomes clinically evident. The most common visible physical finding with saphenous reflux is either varicose veins or leg swelling. If the study is done early on in the condition before the dysfunction is severe, you can see the insufficiency without varicose veins. ...Read more

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Extremity (Definition)

Is appendage or body part that extends from the main body, such as arms or ...Read more


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Why is there such a drastic difference in the value of prox pfa psv between the right leg -82.3 vs left leg 64.4 on a lower extremity arterial duplex?

Why is there such a drastic difference in the value of prox pfa psv between the right leg -82.3 vs left leg 64.4 on a lower extremity arterial duplex?

Not enough info: That is not necessarily a drastic difference, and both may well be within normal limits. I would not be concerned about those numbers alone. The full leg ultrasound or pressure testing may provide more information. ...Read more

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Dr. Adam Smith
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What is bilateral lower extremity length dependent sensory polyneuropathy? And what causes it?

What is bilateral lower extremity length dependent sensory polyneuropathy? And what causes it?

BLELDSM made simple: In sensory polyneuropathy, sensory nerve fibers that carry info about temperature, touch, pain, & position are damaged & can't transmit signals. Length-dependent means limbs furthest away are 1st to be affected, as in both lower legs. Common causes include diabetes, nutrient deficiency, connective tissues disorders, infectious diseases, or toxins. Blood tests can rule out most of these causes. ...Read more

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Dr. Adam Smith
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I am 40 with unexplained lower extremity parapasesis. I cant move anything waist down. how much muscle loss/ nerve loss to expect.

I am 40 with unexplained lower extremity parapasesis.  I cant move anything waist down.  how much muscle loss/ nerve loss to expect.

Insufficient data: First of all, "paraparesis" MEANS lower extremity weakness. What does "unexplained" mean? That you can't explain it, or your doctors can't? Are you absolutely sure they didn't find a cause? Some patients just don't get it the first time around. - If the weakness is from the CNS (spinal cord), you'll get disuse atrophy. If PNS (lumbosacral plexus), you'll get neurogenic atrophy - much worse. ...Read more

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Can i bypass lower extremity with fasciotomy?

Can i bypass lower extremity with fasciotomy?

Sometimes: There are occasions where a vascular surgical bypass and fasciotomy are performed at the same time, vascular trauma, acute ischemic leg. There are occasions where bypass and fasciotomy are done separately. They are not the same procedure, so can not be used interchangeably. Fasciotomy allows the leg to swell with less risk for muscle and nerve damage, less risk for amputation. Be well. ...Read more

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What type of lower extremity pain is associated with ovarian cancer?

What type of lower extremity pain is associated with ovarian cancer?

Not a common feature: Leg pain is not a usual feature of ovarian cancer. A person with ovarian cancer may develop deep vein thrombosis in the legs and have pain, but that is not common. Unfortunately ovarian cancers do not cause specific symptoms, at least not in early stages. ...Read more

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Can a bad chiropractic adjustment of the lower extremity cause permanent disability? ex.pubic symphysis.

Can a bad chiropractic adjustment of the lower extremity cause permanent disability? ex.pubic symphysis.

Unlikely: Forces required to disrupt injure the human pelvic ring are massive in the lab and beyond what can be produced by hands applied externally ...Read more

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The other day 5 min after i had ate/drank lunch i had horrible pain in my left lower stomach and left lower extremity. What could that be?Also had b.M

The other day 5 min after i had ate/drank lunch i had horrible pain in my left lower stomach and left lower extremity. What could that be?Also had b.M

Several posibilities: This may have been an acute attack of diverticulitis, it could be due to kidney stones, and other possible causes. This may have nothing whatever to do with your having eaten recently. If this recurs you should definitely see a doctor and get evaluated. To expand on possibilities is impossible in this confined space. ...Read more

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Dr. Adam Smith
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