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ORTHOPEDICS / Anesthesiology and Pain medicine

Date
2025-01-30
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16

Lower extremity varicose veins / Neuroplasty / Balloon angioplasty / Cartilage regeneration / Nerve block / TPI / C-arm block / MBB / Gout / Joint treatment / Arthritis / Tennis elbow / Chronic back pain / Disc / Rheumatism / Peripheral neuritis / Plantar fasciitis / Muscle damage


Lower extremity varicose veins


 1. Main symptoms of varicose veins in the lower extremities

◐ Heaviness in the legs: Your legs feel heavy because a lot of blood is flowing into the veins.

◐ Pain and tingling: You may feel pain or tingling in your legs.

◐ Cramps while sleeping: You may experience symptoms of leg cramps while sleeping.

◐ Itchiness: You may feel itching around your lower extremity varicose veins.

◐ Edema: Your legs may swell due to increased pressure in the veins.

◐ Skin changes: If the condition progresses, skin lesions such as recurrent eczema, pigmentation, and congestive ulcers may occur.

◐ Cramps and fatigue: You may feel cramp-like pain or fatigue in your legs.

◐ Restlessness: You may feel restless and have difficulty keeping your legs still.

◐ Burning sensation: You may feel a burning sensation in your legs.

◐ Appearance changes: Your veins may appear abnormally swollen and twisted.

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 2. Diagnosis of Lower extremity varicose veins


 Physical Examination


While standing, observe the veins of both legs from all directions.

Check for symptoms such as unsightly veins, heaviness in the legs, cramps, and swelling that can be confirmed with the naked eye.


 Duplex ultrasonography (DUS)

 ◐ This is the most important and essential examination.

 ◐ Check for the presence and location of reflux of blood due to venous valve dysfunction.

 ◐ Check for anatomical problems with B-mode images, and evaluate the direction, speed, and amount of blood flow with Doppler.

 ◐ Diagnostic criteria for reflux:

     Deep veins: 1.0 seconds or longer

     Superficial veins: 0.5 seconds or longer

     Penetrating veins: 0.35 seconds or longer


Most lower extremity varicose veins can be diagnosed with the naked eye, but Duplex ultrasonography is essential for accurate diagnosis and treatment planning. Since the results may vary depending on the skill of the examiner, accurate examination by a specialist is important.


 3. Various complications of Lower extremity varicose veins


 ◐ Skin ulcers: Occurs when the skin tissue is not supplied with sufficient blood due to Lower extremity varicose veins

 ◐ Phlephitis: Symptoms of inflammation in the veins, accompanied by pain

 ◐ Pigmentation: Brown or dark spots appear on the skin

 ◐ Chronic venous insufficiency: Continuous decline in vein function, causing various symptoms

 ◐ Superficial venous thrombosis: Symptoms of blood clots in veins near the skin surface

 ◐ Bleeding: In severe cases, veins rupture and cause bleeding

 ◐ Dermatitis: Inflammation of the skin, accompanied by itching


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 4. Neuroplasty 


■ Neuroplasty (Epidural Decompression)


Representative non-surgical treatment for disc and neural canal stenosis


A representative non-surgical treatment that can treat post-surgical syndromes such as lumbar disc and cervical disc, and its greatest advantage is that it has fewer scars and side effects and is highly stable, allowing for repeated treatment.


 ◐ StabilityScar bleeding 

 ◐ Local anesthesia

 ◐ Short procedure time

 ◐ Same-day discharge


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After local anesthesia around the tailbone, a special catheter with a diameter of 1~2mm with a needle is inserted into the affected area to treat inflammation, swelling, and adhesion by injecting high-concentration saline solution and anti-inflammatory enzymes.


In particular, cervical neuroplasty is a high-difficulty procedure and is performed only in a small number of hospitals in Korea. It is a safe procedure that can be applied to people with high blood pressure, diabetes, heart disease, etc. who have difficulty with the procedure, and has the advantage of fewer side effects and scars after the procedure.


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Before the procedure        After the procedure


Neuroplasty improves the problem of drugs not reaching the lesion and flowing out due to adhered discs and nerve inflammation. It confirms the exact lesion site through real-time imaging and directly injects the drug to eliminate adhesions and relieve inflammation.


■ Neuroplasty (Balloon Expansion)


Introducing new medical technology!

Our own catheterization


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This is a treatment method that relieves nerve inflammation by directly administering drugs while checking the treatment area in real time with C-ARM after inserting a thin catheter tube of about 2mm through the tailbone.

About 90% of patients with disc herniation can expect improvement through this procedure.


Catheterization target

 ◐ Cervical disc

 ◐ Pain after cervical surgery

 ◐ Ossification of posterior longitudinal ligament of the cervical spine

 ◐ Acute and chronic cervical pain

 ◐ Degenerative diseases of the cervical spine

 ◐ Spinal stenosis

 ◐ Spinal compression fracture

 ◐ Some cancer-related pain

 ◐ Degenerative diseases of the spine

 ◐ Herniated intervertebral disc

 ◐ Pain syndrome after spinal surgery

 ◐ Pain after nerve damage due to traffic accidents