Patients with orthopedic leg problems such as arthritis of the knees or ankle problems may be accompanied by other problems such as deep vein thrombosis, calf swelling and other signs of venous insufficiency. Bulging and ropey varicose veins may cross the front of the knee making injections or surgical incisions across the knee challenging. Chronic swelling secondary to venous insufficiency may contribute significantly to extremity discomfort in patients with arthritic knees so preoperative venous investigation for possible deep vein thrombosis (blood clots) and venous insufficiency (leaky vein valves) should be considered in this subgroup of patients.
Studies have demonstrated lower rates of postoperative deep vein thrombosis in patients undergoing total hip replacement who have had their varicose veins (venous insufficiency) fixed before their joint replacements than those with varicose veins with no vein treatment. Morbidity following total knee replacement is also reduced in patients undergoing treatment for venous insufficiency prior to their orthopedic interventions. Edema is reduced and mobility is increased allowing earlier ambulation and return to normal activity.
Dr. Magnant Speaking on Orthopedic Leg Pain