DEAR DR. ROACH: I’ve persistent venous insufficiency. My physician tells me there may be nothing for it however compression socks, and I can not put them on. — S.G.
ANSWER: Persistent venous insufficiency is a illness of the veins, mostly within the legs. It’s characterised by dilated (varicose) veins, drained or heavy legs, ache and swelling. Whereas there are various causes of persistent venous insufficiency, corresponding to a blood clot, most individuals with this situation don’t have any different motive for it past the truth that the vein valves, that are supposed to maintain the blood from going backward, generally fail to do their job as we grow old. The veins get dilated and leaky because the stress within the veins goes up.
Earlier than I focus on compression stockings, I wish to discuss two necessary therapies that I hope your physician mentioned with you. The primary is which you could cut back the stress within the veins of your legs by elevating them. Expertise has proven that elevating your legs above your coronary heart three or 4 occasions each day for 30-minute periods can have a giant profit in lowering the signs of persistent venous insufficiency. The second is the significance of getting common train. Strolling causes common muscular contractions that assist the veins return blood again to the center. Even one 10-minute stroll per day (or a couple of walks!) can have extra profit on high of the leg elevation.
I’ve but to fulfill an individual who cordially preferred compression stockings. They’re tight and never all the time simple to get on. One piece of recommendation is that, particularly as an individual begins utilizing them, having a second pair of fingers may be very useful to getting them on. As soon as they’re on, they work. They are often fairly uncomfortable at first, however because the legs change into much less swollen, the stockings really feel much less tight. There are instruments to assist individuals get them on, and gloves that make it simpler to seize the compression stockings. Your physician ought to be supplying you with exact directions on the size and desired compression of the stockings, and a surgical provide retailer or specialty pharmacy can measure you for the right measurement. On the whole, stockings are worn in the course of the day and eliminated at evening.
Ulcers is usually a complication of persistent venous insufficiency. An ulcer ought to be evaluated by a specialist, corresponding to a wound care nurse. Common skincare along with the elevation, train and compression stockings may also help stop ulcers from growing.
DEAR DR. ROACH: I perceive that hair loss just isn’t a life-threatening drawback and that there are various extra critical points for the medical neighborhood to concentrate on. Nevertheless, hair loss does deliver with it a good quantity of hysteria and stress to many people, which lead to numerous bodily and psychological well being points. I imagine medical science does perceive the reason for widespread hair loss, so why hasn’t a profitable remedy been developed? — B.A.
ANSWER: As a result of scientific work is difficult and takes a very long time. Sure, there are various critical medical points, and actually sensible scientists are investing monumental sources into them. However I’ve seen simply how a lot women and men are keen to pay to maintain or get again their hair — the revenue motives are monumental.
Sadly, the science is difficult. A fantastic deal is understood on the molecular stage about how hormones work together with hair follicles, however way more must be identified earlier than this difficulty may be “cured.” For now, minoxidil (Rogaine) and androgen blockers like finasteride (Propecia) present some profit.
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Dr. Roach regrets that he’s unable to reply particular person letters, however will incorporate them within the column at any time when doable. Readers could electronic mail inquiries to [email protected] or ship mail to 628 Virginia Dr., Orlando, FL 32803.