LEG SWELLING: SYMPTOMS AND SIGNS

Do you Suffer From Iliac Vein Compression?

To answer that question, take a few seconds to consider the following:

  • Are your legs swollen? Is your left leg larger than your right?
  • Is it harder to slip one shoe on in the morning than the other?
  • Have you had cosmetic or other surgical procedure done and not gotten the outcome you wanted?
  • Are you a cancer patient undergoing treatment or procedures?
  • Have you ever suffered from a blood clot or (DVT) in your leg
  • Do you visit a wound care clinic with little to no success?

If you’ve answered yes to any of these questions, you MAY be suffering from a well known, but previously difficult to diagnose problem called May-Thurner’s Syndrome.

May Thurner’s Syndrome, also known as iliac Vein Compression, is a condition where the main artery supplying blood to the leg pushes down or compresses the main vein taking blood back to your heart. In the illustration below you can see in the far right graphic a “representation” of this compression. One way to help think of what happens when a patient suffers from iliac vein compressions is to consider what happens when a car tire partially runs over a garden hose in your driveway.

If the hose was “on” when you drove over it, water will continue to come out of the hose end but the flow rate will decrease. In a similiar way, blood returning to your heart will continue to flow if you have developed iliac vein compression, but the rate at which it returns is slowed down, resulting in a pooling of blood (i.e. swelling) in your leg.

Chronic pain and swelling in one leg (especially the left side) may be caused by Iliac Vein Compression. This is a little-known but fairly common condition that can greatly impact your quality of life—and may lead to more serious complications. In fact, studies have shown that in a full 30% of ALL people, the left iliac vein can be significantly compressed by the right iliac artery resulting in some kind of leg symptom….aching, heaviness, and most commonly, swelling or non-healing of wounds in the leg veins.

Swollen legs ARE NOT a normal part of aging or weight gain. And it’s not something you have to “just live with.”

Leg swelling is a special area of interest of Dr. Polly Kokinos, and she has been active in doing clinical research to find better ways to diagnose and to treat this condition. To diagnose and to treat this condition and the potentially deadly side effects caused by it (Blood Clots or Deep Venous Thrombosis) Dr. Kokinos has assembled a highly skilled team of vascular ultrasonographer’s who have developed a specialized screening protocol to evaluate for Iliac Vein Compression. Using state of the art ultrasonic imaging technology Dr. Kokinos’ Registered Vascular Ultrasonographer’s use this new protocol to scan up into the abdomen of their patients to examine the physics of the blood flow in this area. If a compression is identified during this ultrasound exam, Dr. Kokinos is able to further verify and treat this problem using a super specialized device called IVUS (Intra-vascular ultrasound) where she can insert a miniuture camera into the actual vein to determine the length of the compression after which she can place a stent to “re-open” this compressed vessel to re-establish normal blood flow.

To date, Dr. Kokinos has successfully performed over 200 of these iliac vein stent procedures in her state of the art out-patient angiography suite. She has lectured extensively at major vascular surgery meetings on her approach and success helping patients reduce leg swelling, increase the rate of wound healing and return to a normal way of living and is seen by her peers as an expert in this technique.

If you are currently experiencing a swollen leg, have a non healing leg, foot,or ankle wounds or have ever suffered a blood clot (DVT) please contact our office at 408-376-3626 to schedule an appointment.

Don’t suffer from swollen legs or non-healing leg ulcers any longer.

We can help!

A SWOLLEN LEG IS NOT NORMAL

Leg Swelling: Iliac Vein Compression
Chronic pain and swelling in one leg, (especially the left side) may be caused by iliac Vein Compression. This is a little-known but fairly common condition that can greatly impact your quality of life – and may lead to more serious complications. Leg swelling is NOT a normal part of aging or weight gain. And it’s NOT something you have to “just live with.”

Leg swelling is a special area of interest of Dr. Polly Kokinos, and she has been active in doing clinical research to find better ways to diagnose and to treat this condition. South Bay Vascular Center and Vein Institute is recognized as the leading treatment center for evaluating and treating left leg swelling. If you have been told there is nothing to do for your leg swelling, call us at 408-376-3626 for an evaluation. We offer hope when others say there is none!

About Iliac Vein Compression:
Iliac vein compression (also known as May-Thurner Symptom) is an anatomic condition that occurs when the left iliac vein gets squeezed and compressed between the lumbar spine and the right iliac artery. This compression prevents the adequate drainage of blood from the leg, which can cause serious problems such as swelling, aching, blood clots, and non-healihg ulcerations. (See Diagram)

Symptoms:

  • Swelling, heaviness and aching in one leg, especially the left leg
  • Recurrent blood clots, especially in the left leg
  • Non healing wounds or dark dry skin in the ankle or shin

Solutions
South Bay Vascular Center and Vein Institute is the leading leg swelling clininc in Northern California offering cutting-edge treatment options that very few other facilities can deliver. We are at the forefront of diagnosing Iliac Vein Compression using regular vascular ultrasound and in treating it with the newest endovascuar techniques using IVUS (intravascular ultrasound) and stents in an outpationt office setting.

If you or a loved one are suffering from leg swelling or any other vascular problems, please call our office today at 408-376-3626 to schedule an appointment. Our offices in Campbell and Gilroy remain open to safely treat patients even during the COVID-19 crisis.

COULD THAT LEG PAIN BE PERIPHERAL ARTERY DISEASE

Dr. Polyxene (Polly) a vascular surgeon located in San Jose, CA specializes in the diagnosis and treatment of peripheral artery disease. In private practice for 24 years, Dr. Kokinos has served the South Bay Community as an independent physician for her entire career and has built her practice by delivering exceptional outcomes and by providing hope for patients suffering from complex vascular disease.

Graduating high school at 14 years old, Dr. Kokinos enrolled at Barnard College (Columbia University) and after finishing in 3 years, earned a coveted spot in Columbia University’s prestigious medical school by the time she was 16 years old. Finishing medical school at 20, Dr. Kokinos was accepted at UCSF Surgical, the top ranked general surgery residency program in the world. Seven years later, Dr. Kokinos was accepted into Washington University in Saint Louis, the number one ranked Vascular Surgery fellowship training program in the United States. Finishing her training at 29 years old, Dr. Kokinos was the youngest board certified vascular surgeon in the country. Continuing her unmatched reputation as a vascular surgeon, Dr. Kokinos continues to be recognized by her peers as a gifted clinician, Vascular Surgeon and overall leader in her field.

Experience matters when it comes to your health. In private practice for 24 years, no other vascular surgeon in Northern California can claim the depth and breath of vascular surgery experience nor the specialized facilities needed to treat complex vascular disease that Dr. Kokinos can share. Unmatched in her experience and capabilities, Dr. Kokinos offers hope when others say there is none.

Unlike doctors leaving Big Box Medical Systems (Kaiser, PAMF, Stanford, Sutter) to enter private practice in search of financial payouts, Dr. Kokinos has spent her entire career focused on the “Why” behind an illness. Rather than simply treating the symptom, Dr. Kokinos takes the time to understand a patients symptoms so that her patients have real solutions to living a healthy life. Instead of a medical career driven by production metrics and profitability, Dr. Kokinos has built her career around a patients needs and not an institutions needs

Of particular interest to Dr. Kokinos is the diagnosing and treatment of peripheral arterial disease and chronic limb ischemia. As the only vascular surgeon in the South Bay to own and operate their own state of the art nationally accredited ambulatory surgery center and full time vascular ultrasound laboratory, Dr. Kokinos provides unmatched care for her patients suffering from this disease. Dedicated entirely to the treatment of vascular disease, Dr. Kokinos’ surgical suite has the most advanced imaging and device technology found anywhere in the world.

Partnering with the community to provide the best information possible, Dr. Kokinos encourages anyone suspecting to be suffering from PAD to read the following article. Published by her peers at Harvard University Medical School we believe this article can help our patients better understand the symptoms of PAD. After reading this article, if you or anyone you know suffers from or thinks they may be suffering from Peripheral Artery Disease we encourage them to schedule an appointment at 408-376-3626 to discuss their symptoms. In the meanwhile, we hope you find the following article educational.

https://www.health.harvard.edu/diseases-and-conditions/could-that-leg-pain-be-peripheral-artery-disease

DR. KOKINOS SELECTED TO SPEAK AT 2017 UCSF VASCULAR SYMPOSIUM

Dr. Kokinos is honored to be a featured speaker at this years world renown UCSF Vascular Symposium. Dr. Kokinos will present her on-going research on the treatment of venous ulcers. This years session will be presented on April 6, 2017 in San Francisco, CA. Congratulation’s Dr. Kokinos on your selection as a speaker.

Dr. Kokinos is a Board Certified Vascular and General Surgeon and is the medical director of the wound care clinics at Verity’s O’Connor Hospital in San Jose and St. Louise Hospital in San Martin Ca. Together with her partner, Dr. Carlos Pineda, Dr. Kokinos operates the leading varicose vein treatment center in Northern California and has provided specialized vein care treatment and repair for over 20 years. Recognized as the leading Vein Specialist and Varicose Vein Doctor in Northern California, Dr. Kokinos is known as the Doctor’s Doctor and is honored to work alongside her patients to help them return to a healthy and normal lifestyle.

DR. KOKINOS SELECTED TO PRESENT AT THE AMERICAN VENOUS FORUM

Dr. Kokinos will be presenting an abstract on her clinical research regarding iliac vein compression at the national American Venous Forum in New Orleans early next year. This meeting is the largest venous meeting of the year, and is sponsored by the Society for Vascular Surgery.

Dr. Kokinos has been recognized nationally as an expert on May-Thurner’s Syndrome, or iliac vein compession. This problem can cause symptoms of (predominantly) left leg swelling, heaviness, aching, deep venous clots, and non-healing ankle or leg wounds. She has performed more intravascular ultrasound exams and stents of the deep venous system than any other doctor on the West Coast in the last year. She will be presenting her clinical research on using regular ultrasound, done by the specially trained registered vascular technologists in the ICAVL accredited Institute for Vascular Testing to diagnose this fairly common but widely underdiagnosed issue. Previously, patients needed to get CT scans which used significant amounts of radiation and contrast for the diagnosis. This problem is not only seen because of a common anatomic situation, but also often as a result of an undiagnosed blood clot (DVT) in the iliac or femoral vein after orthopedic, back, or gynecologic surgery.

If you have one leg that is more swollen or painful than then other, or have had a leg blood clot in the past, please call us at 408-376-3626 or visit us at www.southbayvascular.com.

SOUTH BAY VASCULAR CENTER LAUNCHES NEW WEBSITE

South Bay Vascular Center and Vein Institute is pleased to announce the launch of their new website. The new site is designed to offer patients an easy to read, customer friendly option for interacting with our practice. Our goal with the new site is:

  • To provide our patients and prospective patients a more complete understanding of our practice; who we are and what we do.
  • To help educate our patients on the available options for the diagnosis and treatment of their vascular medical issues.
  • To improve our customer service for patients by giving them the ability to submit their insurance information on line, in advance of their visit, in an effort to both streamline their visit and to verify coverage.
  • To provide a portal through which patients can download all of their check-in and registration documents, as well as their pre-operative and post-operative medical instructions directly from the website.

South Bay Vascular Center and Vein Institute is proud to celebrate its 20th year serving the patients of Silicon Valley, South County and beyond. With the opening of our new angiography suite in Campbell, CA. our practice continues to be on the cutting edge of Vascular medicine. Advancements in medical imaging and devices have enabled our surgeons and interventional radiology partners to treat circulatory issues in our new state of the art center in ways that were never before possible, greatly enhancing our ability to serve the vascular surgery needs of our patients.

Dr. Kokinos, a nationally recognized ABMS Board Certified General and Vascular Surgeon, and her staff are pleased to meet and to discuss treatment options for all your vascular related issues. If you suffer from leg swelling, non-healing ulcers and wounds, experience complications following cosmetic vascular procedures (varicose and spider veins etc) have been diagnosed with a Blood Clot or DVT, we are here to help.

Don’t continue to suffer alone…we can provide guidance and help when you feel like there are no answers to your medical condition. Give us a call to discuss your treatment options and we can help you “Get your life back.”