Middle-aged and elderly people often have leg pain, go to vascular surgery

The first reaction of middle-aged and elderly people over 50 years old who have leg pain is to go to an orthopedic clinic. But in the eyes of vascular surgery experts, only see orthopedics is likely to let the lower limb atherosclerosis occlusive killer become a “fish in the net”, thus delaying the disease, serious cases even to amputation. The middle-aged and elderly leg pain is best to register two departments at the same time: one is to go to orthopedics to see; the second to listen to the vascular surgery doctor how to say. “This will enable early detection of vascular disease in the lower limbs, which will lead to early treatment and improve the patient’s quality of life.” Misconceptions Leg diseases do not want to live Human blood vessels are like water pipes, over time, will also grow “scale”. Now there are two major types of vascular diseases that are already known to patients, namely cardiovascular disease and cerebrovascular disease, “are life-threatening diseases, so we are more concerned.” Lower extremity vascular disease, especially lower extremity arterial occlusive disease is also very common vascular disease, it is estimated that the number of new cases each year is basically equivalent to the number of new cases of cardiovascular disease, but the lower extremity arterial occlusive disease is still very low concern, mainly because the early symptoms of lower extremity arterial occlusive disease and the symptoms of degenerative orthopedic diseases of the elderly are somewhat similar; in addition, patients often think that the disease on the legs do not kill, so the degree of attention is not enough. In fact, if the treatment is not timely, the disease in the leg will not only affect the patient’s usual activities, but in serious cases, the leg may even be amputated. About one-third of his patients come to see him for lower extremity atherosclerosis occlusive disease at each clinic visit. The early symptoms of these patients are usually cold, numb legs and feet, leg cramps; continue to progress to “claudication”, that is, the patient walks a couple of hundred meters or even dozens of meters, the leg pain began, sit down to rest for a while the pain is relieved, continue to move the pain will reappear. If the “limping” stage is not treated, “resting pain” will appear, that is, the patient will have lower limb pain even when lying down and sleeping. If this stage is not treated, the development of lower limb necrosis and amputation will occur, and in serious cases, even life threatening. The reason vascular lesions and “three high” related to why some people will appear lower limb atherosclerosis occlusive disease? Zou vascular lesions and “three high” related to hypertension, hyperlipidemia, hyperglycemia are high risk factors for lower extremity atherosclerosis occlusive disease, “a history of more than 10 years of diabetes patients almost all have lower extremity vascular lesions, just a different degree.” The onset of lower extremity atherosclerosis occlusive disease is also closely related to age, the older you are, the higher the incidence, more than 80% of people over 70 years of age have lower extremity vascular disease lesions. In addition, smoking and being overweight can also increase the probability of developing lower extremity arterial occlusive disease. The most important thing is early diagnosis and treatment of lower extremity arterial occlusive disease. If an elderly person has leg pain, especially when accompanied by cold feet, numb feet and other symptoms, it is recommended to visit the vascular surgery department, sometimes the doctor can feel the back of the foot to determine whether the patient’s lower extremity arteries are “blocked”. Once diagnosed with lower limb atherosclerosis, patients should first control hypertension and other underlying diseases; if plaque has appeared in the lower limb arteries affecting blood flow, we must “unblock the pipeline”. Zou Yinghua said, now the technology is more mature, doctors can through the dorsalis pedis artery, anterior tibial artery, posterior tibial artery, popliteal artery, brachial artery, radial artery and other parts of the puncture, intravascular dilation and stent treatment to restore the smooth flow of blood vessels. If one of the following symptoms occurs, it is recommended to visit the vascular surgery department: 1) cold legs and feet in the morning and evening; 2) numbness and tingling in the feet sometimes; 3) small wounds on the feet that are difficult to heal; 4) not walking as far as before. What should I pay attention to when I get sick? 1.Observe your feet every day to check for wounds; 2.Don’t go barefoot, wear socks; 3.Wear shoes that fit your feet; 4.No smoking; 5.Moderate exercise and balanced diet; 6.Avoid burns; 7.Avoid standing for long periods of time; 8.Follow medical advice on medication or treatment.