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Woman with leg pain caused by Peripheral Edema

Swollen Feet and Peripheral Edema: What to Do

Edema is a medical term that means swelling, particularly in the body’s tissues. Peripheral edema is swelling caused by the retention of fluid in legs, ankles, feet and even sometimes in the arms and hands. Peripheral edema happens when small blood vessels leak fluid into nearby tissues. The extra fluid build-up is what makes the tissue swell. It could be a sign of problems with the circulatory system, lymph nodes, kidneys, liver or heart muscles. Also, certain medications, infections and pregnancy can cause edema.

Why does Peripheral Edema Occur?

If you’ve ever sat on a long flight or stood for long periods of time at work, you may notice a mild and temporary water retention problem that will go away on its own—especially by raising the affected limb higher than your heart. Many women may experience peripheral edema during menstruation or pregnancy, both usually harmless. Other types of edema can be more serious due to:

  • Symptoms of a disease that needs treatment
  • An adverse effect of medication or an allergic reaction
  • A chronic condition, for instance lymphedema after cancer treatment or leg edema following deep vein thrombosis diagnosis

We briefly discussed edema swelling caused by water retention, which is manageable. On the more serious side, a variety of diseases can cause edema. Venous or vascular insufficiency can cause peripheral edema in the ankles and feet; this occurs when the veins are having trouble transporting enough blood back to the heart. Thus, fluid gathers in the legs and is forced out of the blood vessels into the surrounding tissue (ankles and feet). The presence of varicose veins can also cause edema. Other conditions that can cause peripheral edema are congestive heart failure, kidney and liver diseases, low protein levels in the blood, and severe lung conditions such as emphysema.

What are the Symptoms of Peripheral Edema?

Early signs of peripheral edema include:

  • Fullness or heaviness in the legs or arms
  • Increased abdominal size
  • Swelling or puffiness of the tissue directly under the skin
  • Skin that leaves a dent after being pressed for several seconds
  • Tightness or warmth of the skin near the edema
  • Difficulty in moving affected joint areas
  • Discomfort wearing certain clothing or jewelry

Consult with Lam Vascular & Associates

It can be very concerning to have unusual swelling in your legs and/or arms. But when discomfort progresses to pain, it is time to see your primary care physician or—better yet—the specialists at LAM Vascular & Associates. Especially if you are dealing with deep vein thrombosis, lymphedema or varicose veins, among other complex vascular conditions. Treatments focus on reducing swelling and alleviating pain. Options include a prescribed exercise program, medications, wrapping, massage, compression and minimally-invasive surgical procedures if necessary.

If you have any concerns, schedule an initial appointment and/or free screening with Lam Vascular & Associates, conveniently located in Dallas and Rockwall, Texas. We are here to help you return to the walk of life you deserve.

Ken happy to be free of PAD

Between the Good Lord and Dr. Lam, I am Finally Well

When Ken Taylor’s friend told him a joke about getting old, it really hit home. “He said, ‘You know how to tell you’re getting old? When you know more doctors than regular people!’” Ken gave it some thought and realized that seemed to be true for him!

From open heart surgery to a series of surgeries (four, to be exact) to address an artery blockage in his leg, Ken had spent a good deal of time visiting doctors and hospitals over the last few years. Read More

Raynaud’s Disease and PAD: The Differences

There appears to be some confusion surrounding the definitions of Raynaud’s disease and peripheral artery disease, PAD. We’re here to correct that. Raynaud’s syndrome is characterized by a spasm of the arteries in the extremities, especially the fingers; but sometimes includes the toes, ears, lips or tip of the nose. Spasms are typically brought on by constant exposure to cold temperatures or emotional stress. Read More

Bob Happy that Dr. Lam could help him with his Peripheral Artery Disease Treatment

Lifetime Athlete Says Dr. Lam is the Real MVP

What’s better than celebrating your 83rd birthday and your 55th wedding anniversary on the same day? Feeling great while doing it! Thanks to Dr. Lam at Lam Vascular & Associates, Bob Bustin was able to celebrate another year of life and another year of wedded bliss to his sweetheart Sally pain free!

Lifelong Kilgore resident Bob has been an athlete his entire life. After an impressive high school football career with all-district distinctions, Bob was named Most Outstanding Athlete in East Texas while at Kilgore College before going on to play football at Baylor University. Read More

Dr. Russell Lam Recognized As Castle Connolly Top Doctor For Fourth Straight Year

Since 2015, Dr. Russell Lam has been recognized as a Castle Connolly Top Doctor! Doctors from around the country nominate their peers who exemplify excellence in their respective fields.

Each year, more than 50,000 doctors from around the country nominate physicians they believe are worthy of the Top Doctor status. After all the nominations are in, the Castle Connolly research team reviews each doctor against a list of strict standards: Read More

Robert Aguire Happy After A Successful PAD treatment that allowed him to relieve Leg Pain

Expert Treatment, Worth the Distance – Richard’s Story

My name is Richard Aguire and I live in McAllen, Texas, about 550 miles southwest of Dallas. The population here is less than 170,000. If you’re reading this, I assume you have either been told that you have Peripheral Arterial Disease (PAD) or you are researching on your own because of symptoms which you or a loved one are experiencing. You are trying to decide what to do. I am here to tell you that there is an alternative to local medical care that is well worth investigating.

Foremost, if you have or believe you have PAD, see a vascular surgeon and ensure that they deal with PAD of the extremities. Review their qualifications. This is not treating a cold. Where did they go to medical school? Where did they do their Fellowship in Vascular Surgery? Have they published any articles? Do they continually research and what procedures, techniques and equipment do they use? Read More

What is Claudication?

Claudication. No, it’s not a fancy form of vacation. In fact, quite the opposite. Do your legs ever feel like they’ve partied a little too hard? Claudication is leg pain caused by limited blood flow, typically while walking or climbing stairs. The word “claudication” comes from the Latin term “claudicare”, meaning to limp.

Calf pain is usually the hard target for claudication because the accumulation of cholesterol plaques and fatty acids (due to atherosclerosis) often begins in the arteries farthest from the heart. If the plaque formation develops farther up the leg, pain from claudication may be felt in the thigh, hip or buttocks. Poor oxygen supply from claudication and its pain is due to narrowing or blocked arteries that carry blood to the leg.

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Thromboembolism and You

Here’s a word you don’t hear every day: Thromboembolism. What is it?

Simply, a thromboembolism is a blood clot formation that starts in the vein. It is also called venous thromboembolism (VTE). The blood clot dislodges from another site in the circulatory system and blood stream carries it to plug another vessel. The clot may plug a vessel in the leg, gastrointestinal tract, kidneys, lungs or brain.

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poor circulation dallas

Dr. Lam Saves Legs and Lives

Jan Happy that Dr. Lam Saved Her LegsPeripheral artery disease (PAD) does not have to ruin your life. Just ask Jan, who came dangerously close to having at least one and possibly both of her legs amputated in late 2017. Three different doctors told her the same story: There was nothing they could do to help Jan with her severe leg pain, other than amputation! “I just felt that if they cut off my legs, I would die,” said Jan. She finally met Dr. Lam at Lam Vascular & Associates in Dallas, Texas. Dr. Lam diagnosed and treated Jan’s peripheral artery disease, placing stents first in the right leg, and soon after, the left, in order to open up the arteries and restore blood flow.

Within a week of each procedure, Jan’s legs were much improved, the severe pain having subsided. She was able to return to regular activities such as shopping with friends and walking their new beautiful property with her husband, children, grandchildren and great-grandchildren. “Dr. Lam and his staff are so great and lovely,” said Jan. “They took such good care of me.”

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