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Author Archives: Dr. Advait Kothurkar

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Author Dr. Advait Kothurkar Categories Health and Care, peripheral artery disease treatment, Uncategorized, Varicose vain

What Happens If You Have Varicose Veins?

What Happens If You Have Varicose Veins?

Due to weakened valves in the veins if they let blood vessels to flow in the wrong direction because of this sickness occurs. This sign can be seen in all age group people, but fifty-plus age groups, overweight individuals, and pregnant women have greater possibilities of having varicose. Sometimes this can also occur due to long-standing and genetics. In time treatment is required for this plan to withdraw serious issues.

When there is blood blockage in veins or blood is flowing in reverse direction because of weaker valves, due to this Varicose Veins condition occurs. As a consequence, veins will see bigger, swollen and twisted and become blue or dark purple associated as varicose veins. It will also be extended into varicose ulcers on the skin. So full in-depth knowledge is required for you to get great treatment.

 

Symptoms:

Any situation that puts pressure on the abdomen can make varicose veins; for example, constipation, tumors and so on. In this position, the patient can suffer aching, pain and also stress due to swelling. There will be a heaviness in the legs after exercise and little injury in a particular area can create more blood loss. The skin of the enclosed area will contract become red and dry.

Author Dr. Advait Kothurkar Categories Varicose vain

What Factors Contribute to Varicose Veins?

Varicose Veins:

Veins usually appear blue (sometimes navy or maybe purple) because oxygen has been faraway from the blood because it travels back to the guts to finish the circuit. Varicose veins appear as if twisted ropes beneath the surface of the skin. they often protrude, giving your skin an uneven look. These bumpy veins can happen anywhere on your body, but they’re most ordinarily seen on your legs (usually on thighs, calves, or the insides of legs).

What Factors Contribute to Varicose Veins?

Excess weight— Being overweight puts extra pressure on your veins.

Age— As you get older, your valves weaken, and they may not work as well as they used to.

Pregnancy— Pregnancy causes a large increase in the amount of blood in your body, which can often cause varicose veins. 

Hormonal changes— Hormones will usually change during puberty, pregnancy, and menopause.

Genetics— If your family members have varicose veins, you are likely at risk of developing them as well. 

 

Author Dr. Advait Kothurkar Categories Health and Care

What Happens If You Have Varicose Veins?

Due to weakened valves in the veins if they let blood vessels to flow in the wrong direction because of this sickness occurs. This sign can be seen in all age group people, but fifty-plus age groups, overweight individuals, and pregnant women have greater possibilities of having varicose. Sometimes this can also occur due to long-standing and genetics. In time treatment is required for this plan to withdraw serious issues.

When there is blood blockage in veins or blood is flowing in reverse direction because of weaker valves, due to this Varicose Veins condition occurs. As a consequence, veins will see bigger, swollen and twisted and become blue or dark purple associated as varicose veins. It will also be extended into varicose ulcers on the skin. So full in-depth knowledge is required for you to get great treatment.

 

Symptoms:

Any situation that puts pressure on the abdomen can make varicose veins; for example, constipation, tumors and so on. In this position, the patient can suffer aching, pain and also stress due to swelling. There will be a heaviness in the legs after exercise and little injury in a particular area can create more blood loss. The skin of the enclosed area will contract become red and dry.

Author Dr. Advait Kothurkar Categories Health and Care

Home remedies for Varicose treatment

Varicose veins occur when a person’s veins of the leg become swollen and enlarged. In some people, they can cause pain and discomfort while performing daily activities. A range of home treatments may help to reduce the appearance and pain of varicose veins. The doctor may suggest a patient some of the home remedies to be followed for a faster recovery. Around many adults will experience varicose veins at some point in their life. There are several medical treatments for this condition, though a person may also wish to try natural home remedies to relieve their symptoms.

What are varicose veins?

Varicose veins can develop when small valves in the veins start becoming weak. These valves usually stop blood flowing backward through the veins, and when they are damaged blood can accumulate in the veins. This causes twisted and swollen veins that also become visible very easily.

Varicose veins can be noticeable because of their dark blue or purple appearance, sometimes they also often bulge out from underneath the skin.

Varicose vein trea

Ten home treatments for varicose veins

1. Exercise

Regular exercise encourages better blood circulation in the legs, which helps to push along the blood that has accumulated in the veins. Exercise also helps to lower a person’s blood pressure, which is another contributing factor to varicose veins treatment.

A small number of exercises help to get the calf muscles working without excessive strain. Effective, low-impact exercises include:

  • swimming
  • walking
  • cycling
  • yoga

2. Compression stockings

Compression stockings are available from most pharmacies and can help by applying pressure to the legs. This aids the muscles and veins to move blood toward the heart.

3. Plant extracts

Horse chestnut extract, Aesculus hippocastanum L., may help to reduce leg pain, heaviness, and itching in people with chronic venous insufficiency, which is a major cause of varicose veins. Aesculus hippocastanum L. is available to purchase in health stores and online.

4. Dietary changes

Foods that are high in potassium include:

  • almonds and pistachio nuts
  • lentils and white beans
  • potatoes
  • leafy vegetables
  • some fish, such as salmon and tuna.

Foods that are high in fiber include:

  • nuts, seeds, and legumes
  • oats, wheat, and flaxseed
  • whole-grain foods.

People who are overweight are more likely to experience varicose veins.

5. Eat more flavonoids

Flavonoids improve blood circulation, which will keep the blood flowing, and make it less likely to pool in the veins. They also help to reduce blood pressure in the arteries and can relax blood vessels, all of which can reduce varicose veins.

Foods that contain flavonoids include:

  • vegetables, including onions, bell peppers, spinach, and broccoli
  • citrus fruits and grapes, cherries, apples, and blueberries
  • cocoa
  • garlic

6. Herbal remedies

According to the National Institute of Health, taking grape seed extract, Vitis vinifera orally may help to reduce swelling in the lower legs and other symptoms of chronic venous insufficiency, though there is currently limited evidence for its effectiveness.

7. Choose non-restrictive clothing

Wearing tight-fitting clothes can restrict blood flow. A person may find that their circulation is improved by wearing loose-fitting clothes that do not restrict the blood supply to the lower body.

Wearing flat shoes instead of high heels may also help with varicose veins in the legs.

8. Keep the legs elevated

Keeping the legs elevated, ideally at the same height as the heart or above it will help to improve blood circulation. This reduces the pressure in the leg veins and gravity will help the blood to flow smoothly back to the heart.

9. Massage

Gently massaging the affected areas can help to keep the blood moving throughout the veins. A person can use gentle massage oils or moisturizers for optimal effects.

It is crucial to avoid pressing directly onto the veins, however, as this may damage fragile tissues.

10. Keep moving

Avoid sitting for long periods of time. If a person has to sit for long periods of time for work, they should aim to get up and move around or change positions frequently to keep the blood flowing smoothly.

Avoid sitting with crossed legs, as this can further restrict blood flow to the legs and feet, which may add to circulation problems.

Dr. Advait Kothurkar is a Vascular Surgeon in Pune. He has returned from UK in 2006 and has been practicing in Pune. Being attached to a number of Hospitals in the city as a Vascular Surgeon, he manages all referrals, emergency and elective successfully manage links Bypass Elective and for Trauma.

Panel Consultant for:

1. Sahyadri Specialty Hospital – Karve Road

2. KEM Hospital

3. Deenanath Mangeshkar Hospital

4. Sancheti Hospital

5. Hardikar Hospital

6. Lokmanya Group of Hospital

7. Bharti Vidyapeeth Hospital.

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Author Dr. Advait Kothurkar Categories Health and Care

Valuable Tips for Varicose Veins

 

 

If you are suffering from varicose veins, then a part of your everyday activities can have a direct impact on its severity. It involves the food you eat and the clothes you wear.  The type of clothes you wear affect the varicose veins undeviatingly. You might have known that compression garments give welfare to the pain produced by varicose veins but what about the other garments you wear. However the clothes are not the reason behind you suffering from varicose veins, but if you have this difficulty, then some materials can worsen your condition. Don’t panic! There is no requirement to change or replace the whole dresser, you just have to bring 1-2 new clothes and stock up any of the old ones.

As you know, compression clothes have been an excellent choice to fight against varicose veins, but other tightly fitted clothes such as Spanx, bands, tight elastic socks, girdles, and hard to believe, skinny or tight jeans create injury to the people who suffer from venous disorders.

1.High Heels- Wearing high heels regularly can get your veins and leg appearance in problem without harming your health. People who use high heels regularly do have bigger possibilities to suffer from varicose veins and spider veins than those who avoid it, as it becomes your natural way of walking.

2. Avoid wearing Skinny Jeans frequently- You might love your skinny jeans, and it certainly looks great on you, but do you know that skinny or too tight clothes can harm your blood circulation and get your pelvic region at danger

Peripheral Artery Disease – Dr. Advait Kothurkar
Author Dr. Advait Kothurkar Categories Health and Care

Peripheral Artery Disease – Dr. Advait Kothurkar

Peripheral Artery Disease

Peripheral artery disease (PAD) alludes to maladies of the veins situated outside the heart and cerebrum. They are regularly caused by a development of greasy stores in the courses. PAD is otherwise called Peripheral Arterial Disease or peripheral vascular disease (which incorporates the two supply routes and veins).
PAD influences the veins making them tight, along these lines confining the blood stream to the arms, kidneys, stomach, and most ordinarily, the legs.
Peripheral artery disease also called peripheral arterial disease, is a typical circulatory issue in which limited courses diminish blood stream to your appendages.
You regularly can effectively treats peripheral artery disease by stopping tobacco, eating a healthy diet and exercising.

Peripheral Artery Disease facts

•  The most ideal approach to Prevent Peripheral Artery Disease ( PAD) is by participating in physical action.
•  The most regular reason is a development of cholesterol in the arteries.
•  Peripheral artery disease is a danger factor for more genuine cardiovascular occasions.
•  Symptoms of Peripheral Artery Disease (PAD) incorporate lack of feeling and misery in the legs.

Claudication indications incorporate muscle torment or cramping in your legs or arms that is activated by action, for example, strolling, yet vanishes following a couple of minutes of rest. The area of the agony relies upon the area of the obstructed or limited supply route. Calf torment is the most widely recognized area.

The seriousness of claudication differs generally, from mellow uneasiness to weakening torment. Extreme claudication can make it difficult for you to walk or do different kinds of physical action.

Signs and Symptoms of Peripheral artery disease :

• Painful cramping in either of your hips, thighs or lower leg muscles after specific exercises, for example, strolling or climbing stairs (claudication)
• Leg deadness or shortcoming
• Coldness in your lower leg or foot, particularly when contrasted and the opposite side
• Slower development of your toenails
• Shiny skin on your legs
• No beat or a feeble heartbeat in your legs or feet
• Erectile brokenness in men
• Sores on your toes, feet or legs that won’t mend
• A change in the shade of your legs
• Hair trouble or slower hair development on your feet and legs

Risk factors

Here the following factors are that increase your risk of developing peripheral artery disease

• Smoking
• Diabetes
• Obesity (a weight list more than 30)
• High circulatory strain
• High cholesterol
• Increasing age, particularly subsequent to achieving 50 years old
• A family history of fringe corridor malady, coronary illness or stroke
• High levels of homocysteine, a protein segment that enables fabricate and keep up to tissue

Causes of peripheral artery disease(PAD)

Most Common Cause – for PAD is atherosclerosis. Atherosclerosis is a steady procedure in which a greasy material develops inside the supply routes.
Less Common Cause – of peripheral artery disease are blood clumps in the corridors, damage to the appendages, and bizarre life structures of the muscles and tendons.

How peripheral artery disease Diagnosed ?

There are a few different ways PAD can be analyzed, if the sickness is suspected, the specialist will at first check the patient’s legs.

Lower leg brachial list – the most well-known test for PAD, it is a test that thinks about the circulatory strain in the lower leg with the pulse in the arm.

Angiography, Ultrasound output and blood tests – may in like manner be recommended to check levels of cholesterol, homocysteine, and C-open protein.

Doppler and ultrasound (Duplex) imaging – a non-nosy method that photos the vein with sound waves and measures the circulatory system in a course to demonstrate the proximity of a blockage.

Enrolled tomographic angiography (CT) – another non-meddling test that photos the supply courses of a patient’s gut, pelvis, and legs. This test is particularly profitable in patients with pacemakers or stents.

Alluring Resonance Angiography (MRA) – gives tantamount information to that made by a CT channel, yet without the necessity for X-pillars.

Angiography – this is typically saved for use in conjunction with vascular treatment techniques. Amid an angiogram, a differentiation operator is infused into the vein and X-beams are taken to indicate blood stream and to pinpoint any blockages that might be available.

Undiscovered or untreated PAD can be hazardous; it can prompt agonizing side effects, loss of a leg, expanded danger of coronary vein sickness, and carotid atherosclerosis (a narrowing of the conduits that supply blood to the cerebrum).

Since individuals with PAD have an expanded danger of heart assault and stroke, the American Heart Association urges individuals in danger to examine PAD with their specialist to guarantee early conclusion and treatment.

Preventation of peripheral artery disease

The most ideal approach to prevent claudication is to keep up a sound way of life. That implies:

• Stop smoking in case you’re a smoker.
• On the off chance that you have diabetes, keep your glucose in great control.
• Exercise routinely. Go for 30 to 45 minutes a few times each week after you’ve gotten your specialist’s OK.
• Lower your cholesterol and circulatory strain levels, if material.
• Eat sustenances that are low in immersed fat.
• Keep up a solid weight.

Author Dr. Advait Kothurkar Categories peripheral artery disease, peripheral artery disease treatment, peripheral artery disease treatment in Pune

Peripheral Artery disease

Peripheral Artery Disease or Peripheral vascular disease (PVD) is a slow-growing circulation disorder.

Peripheral artery disease is most often caused by an accumulation of fatty deposits in the arteries. Peripheral artery disease is a major risk factor which causes heart attack and stroke. Peripheral artery disease is a form of arterial insufficiency, means blood flowing(circulation) through the arteries (i.e. blood vessels that carry blood away from the heart) is decreased. Some people over the age of 50 are believed to suffer from peripheral artery disease. Men are most likely to develop PAD than women. People who smoke are most likely to develop Peripheral artery disease.

Other names that have been used to denote Peripheral vascular disease include:

  • Atherosclerotic peripheral artery disease
  • Hardening of the arteries
  • Peripheral artery disease
  • Poor circulation
  • Vascular disease
  • PAD

Surroundings related to PVD that affect the veins include Deep Vein Thrombosis (DVT), varicose veins, and chronic venous insufficiency. Lymphedema is also a clear example of Peripheral Vascular Disease which affects the lymphatic vessels. When PVD occurs in the arteries outside of the heart, it can also be referred to as Peripheral Arterial Disease (PAD).

peripheral artery disease

 

Symptoms and signs of peripheral artery disease include:

  • Numbness of the legs or feet.
  • Weakness, diminished size and strength of the calf muscle.
  • Coldness in the legs or feet.
  • Changes in the color of the feet; feet turn pale when they are elevated, and turn dusky red in the dependent position.
  • Hair loss and thickening of the toenails.
  • Poor wound healing in the legs or feet.
  • Painful ulcers, gangrene in areas of the feet where blood supply is lost(typically in the toes).

Risk for peripheral artery disease :

  • High blood levels of the cholesterol and triglycerides
  • Low blood levels of the “good” HDL cholesterol
  • Cigarette smoking
  • Diabetes mellitus (both type 1 and type 2 diabetes)
  • High blood pressure (hypertension, tension, mental stress) or a family history of hypertension
  • A family history of atherosclerotic disease
  • Chronic renal failure
  • Overweight or obesity

How is peripheral artery disease diagnosed?

Doppler ultrasound – It is a form of ultrasound (measurement of high-frequency sound waves that are reflected off of tissues) that can detect and measure blood flow. It is used to measure blood pressures behind the knees and at the ankles.

Duplex ultrasound – Is a color assisted non-invasive technique to study the arteries. Ultrasound probes are placed on the skin overlying the arteries which can accurately detect the accurate position of artery stenosis as well as measure the degree of obstruction.

Angiography – It is an imaging procedure to study the blood vessels of the extremities, similar to the way a coronary angiogram provides an image of the blood vessels supplying the heart. It is the most accurate test to detect the location(s) and severity of artery obstructions, as well as collateral circulations.

Magnetic resonance imaging (MRI) angiography uses magnetism, radio waves, and a computer to produce images of body structures and has the advantage of avoiding X-ray radiation exposure.

Computed tomographic angiography (CT) – It is another non-invasive test that images the arteries of a patient’s abdomen, pelvis, and legs. This test is specifically useful in patients with pacemakers or stents.

Treatment of peripheral artery disease includes

  • Terminating Smoking eliminates a major risk factor for diseases to progress, and it lowers the incidences of pain at rest and amputations. Controlling Smoking also is important to prevent heart attacks and strokes.
  • A healthy diet can help lower blood cholesterol and other lipid levels and may also help control blood pressure.
  • Keep other risk factors, such as diabetes, lipid levels, and blood pressure under control by changing your diets, regular exercise, meditation.

Medications:

  • Antiplatelet medications
  • Anticoagulant medications
  • Cholesterol-lowering drugs
  • Cilostazol (Pletal)
  • Pentoxifylline (Pentoxyl, Trental)
  • Drugs to control hypertension

Dr. Advait Kothurkar is a Vascular Surgeon in Pune. With one of the largest Peripheral Vascular Surgical and Endovascular experience in the country, treating thousands of patients with vascular disease, Dr. Kothurkar offers balanced patient care with an emphasis on minimally invasive therapies. Under the leadership of Dr. Kothurkar, Pune’s most respected figure in vascular surgery nationally & internationally. Consult Dr. Advait Kothurkar for the treatment of Peripheral Artery Disease.

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Angiosculpt Recall
Author Dr. Advait Kothurkar Categories Health and Care

Angiosculpt  Recall

I received this notification (link) from Medscape regarding a Class I recall of the Angiosculpt balloon. I used it a handful of times in restenosis of bypass grafts and found it to work quite well. I did not see the device fragment, and certainly cutting balloons come with risks. I found under-sizing the device by about an mm or so worked well in dilating areas of neointimal hyperplasia. I never had the stones to use these on a calcified plaque in the iliac arteries. It’s too bad it has to be taken off the shelf. Anyone see vessel rupture or retained foreign bodies after using the Angiosculpt balloon angioplasty?

Minimally Invasive Vascular Surgery
Author Dr. Advait Kothurkar Categories Health and Care

Minimally invasive vascular surgery

Compared to open surgery, Endovascular repair is minimal invasive. Hollywood, no holidays we can make the endovascular aneurysm repair more minimal invasive. Through the utilization all minimal evasive operator techniques Such as intravenous sedative anesthesia, Percutaneous access technique, Minimal contrast administration and Simplified operative planning, We are able to operate on the patient and discharge the patient is the same day.

Vascular Surgeon in Pune – Dr. Advait Kothurkar

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