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Dr Polyxene (Polly) Kokinos is a ABMS Board Certified General And Vascular Surgeon with extensive training in the diagnosis and the treatment of vascular disease. Celebrating 25 years of service in San Jose as an independent community Doctor, Dr Kokinos has spent her entire career serving the South Bay Community as a Board Certified General and Vascular surgeon.

Her award winning South Bay Vascular Center and Vein Institute is the South Bay’s largest Vascular Surgery practice specializing in the treatment of vascular disease, including Peripheral Arterial Disease (PAD) Leg Swelling, the Treatment of Blood Clots (DVT’s), Varicose Veins and amputation prevention. Dr Kokinos and her ...

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Type "Varicose Vein" into Google search and in seconds, multiple links pop up; each one pointing to a different website; each website claiming that their “Vein Doctor” is the "best"; and each practitioner promising to rid you of your ugly, painful veins, leg swelling and non-healing ulcers. Lost in this hype, finding the right physician might seem impossible. When everyone in cyberspace claims to be the best and backs up their claims by citing an endless list of credentials, professional affiliations and most importantly, showing off their work: their before and after galleries... it gets confusing.

Choosing the best doctor for your specific condition can be a difficult decision a...

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Leg swelling is not a normal part of aging—
and can be a sign of serious issues.
by Polly Kokinos, MD, RPVI

Chronic leg swelling on one side (usually the left leg) may be caused by Iliac Vein Compression, which is a little-known but fairly common condition that occurs when the left iliac vein gets “squeezed” between the spine and the right iliac artery. Although this condition is not life-threatening, leg swelling can greatly impact one’s quality of life, and can lead to wound healing problems or deep blood clots.

Dr. Polyxene (Polly) Kokinos is the founder of South Bay Vascular Center and Vein Institute and one of Northern California’s most experienced and ...

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Leg Swelling may be the sign of a more serious health issue than one might expect. A recent article published by the Cleveland Clinic, one of the nations top medical facilities, is titled,

"When is Leg Swelling A Sign of Something Serious" Click below to read the entire article

This brief article does an exceptional job discussing leg swelling in easily understood terms and gives a clear warning at the end that we encourage patients to heed....

“Swollen legs are often a sign of a bigger problem... if you have leg swelling, you should get checked out by your primary care doctor to figure out what’...

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Most people know someone who has had a leg blood clot in their deep veins. It is something that is more and more common with the type of lifestyle that has become the norm in the 21st century.

People are becoming more sedentary, becoming more obese, having more surgeries, and travelling long distances in cars and planes. All of these things increase your risk for having a blood clot. How do you know if you have one and that you just didn’t sleep wrong on your leg or pull a muscle?

It is not always easy to tell. The only sure way to diagnose a blood clot is to get an ultrasound in an accredited vascular ultrasound laboratory. DVTs or deep venous thrombosis are a dangerous occur...

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Many patients as they get older, get up at night to go to the bathroom or because of difficulty sleeping. One serious problem that can wake people up at night is pain in their foot or toes.

This most often occurs in patients over the age of 65 who have a history of smoking, diabetes, high blood pressure, and/or high cholesterol. Some believe this is arthritis or gout, but it is often related to having poor circulation in the foot. The name for this in medical terms is “rest pain”. This is not “pain at rest” but rather pain that happens because the circulation cannot support the tissues even when they are at rest.

This is a sign of critical limb ischemia—a...

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A NY Times Health Care blog published in April of 2016 screamed out with the title "Millions With Leg Pain Have Peripheral Arterial Disease".

"More than eight million older Americans have a condition that can cause leg pain when they walk even short distances. Yet half of those who have the condition don’t know it and consequently don’t get treated for it, putting themselves at risk for a heart attack, stroke or worse.

The condition, called peripheral artery disease, or P.A.D., is marked by diseased or blocked arteries in the legs. More than half of those with such circulatory problems in the extremities also have coronary or cerebral artery disease, noted Dr. Iftikhar J. Kullo, a ...

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Do your legs hurt when you walk? Can you only walk a block or two before you start experiencing cramping in your hip or buttock? Often times, patients are told this is just a normal part of getting older and probably due to arthritis. But sometimes it isn’t. If your pain only happens when you walk a certain distance and stops when you stop walking, it may be a circulation issue known as claudication. Claudication is a vascular condition that occurs when your leg muscles do not get enough blood flow while they are being used. This is generally caused by a build-up of plaque in the arteries--known as atherosclerosis--in your abdomen or legs. This build-up of plaque on the inside of t...

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Most hospital surgeries require patients be put under general or epidural anaesthesia. Anaesthesia allows the patient to "sleep" through their procedures helping patients avoid both the physical and emotional stress of the operation. Anesthesia is also very important because it keeps the patient from moving during surgery. This "stillness" allows the surgeon to undertake their procedure without jeopardizing patient safety due to unwanted movement.

This same lack of movement, however might also cause other problems for the patient. The most concerning of these problems is the formation of a blood clot developing in the legs, or deep venous thrombosis (DVT) while the patient lies motionless ...

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People are more mobile today....everyday travelling to more and more places by plane, train, and automobile. Now, more than ever, vast numbers of business people and pleasure seekers cross the globe on a daily basis for work, opportunity and adventure.

As difficult (and as exciting as travel can be) extended periods of immobility during these long trips carries a hidden risk...a sometime fatal risk...especially if one is squished into the middle seat in the back of the plane for hours on end making it difficult to get up and move: the risk of developing a DVT (more commonly known as a blood clot) in the deep veins of their legs.

Veins are a network of blood vessels that work to return blo...

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