{"id":1457,"date":"2024-10-26T23:15:42","date_gmt":"2024-10-26T21:15:42","guid":{"rendered":"https:\/\/klinikaflebologii.stagenv.dev\/?post_type=diseases&#038;p=1457"},"modified":"2025-03-18T13:53:17","modified_gmt":"2025-03-18T12:53:17","slug":"lower-limb-swelling","status":"publish","type":"diseases","link":"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/lower-limb-swelling\/","title":{"rendered":"Lower limb swelling"},"content":{"rendered":"<section class=\"nav-bar\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-60);\">\n\t\t\t\t<style>.nav-bar{display:flex;position:relative}.nav-bar__nav.right::after{content:\"\";pointer-events:none;width:100px;position:absolute;top:0;right:0px;bottom:0;border-radius:0 50px 50px 0;background:linear-gradient(to right, rgba(255, 255, 255, 0), #fff)}.nav-bar__list{overflow-x:auto;border:1px solid #e2e8f3;border-radius:50px;padding:0.25rem;display:flex;align-items:center;justify-content:space-between;gap:1px;background-color:#f9fafc}@media(min-width: 993px){.nav-bar__list::-webkit-scrollbar{display:none}}.nav-bar__item{display:flex;align-items:center;justify-content:center;cursor:pointer}.nav-bar__item a{padding:1rem var(--wp--preset--spacing--size-40);letter-spacing:-0.05rem;border-radius:50px;display:inline-block;color:var(--wp--preset--color--dark);font-size:1rem;line-height:1.25rem;word-break:keep-all;white-space:nowrap;will-change:background-color;transition:background-color var(--transition-speed) var(--transition-timing-function)}.nav-bar__item a:hover{background-color:#e2e8f3}\n<\/style>\n\t\t\t\t\t<div class=\"container\">\n\t<nav class=\"nav-bar__nav\" aria-label=\"Page sections\">\n\t\t<ul class=\"nav-bar__list\">\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#wprowadzenie\" class=\"nav-bar__link\">\n\t\t\t\t\tIntroduction\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#opis\" class=\"nav-bar__link\">\n\t\t\t\t\tDescription of the condition\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#czynniki\" class=\"nav-bar__link\">\n\t\t\t\t\tRisk factors\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#rozpoznanie\" class=\"nav-bar__link\">\n\t\t\t\t\tRecognition and diagnosis\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#metody\" class=\"nav-bar__link\">\n\t\t\t\t\tTreatment methods\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#pytania\" class=\"nav-bar__link\">\n\t\t\t\t\tFrequently asked questions\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t<\/nav>\n\t<\/div>\n<\/section>\n\n\n\n<section class=\"splitted-image\" id=\"wprowadzenie\" style=\"margin-bottom: var(--wp--preset--spacing--size-100);\">\n\t\t\t\t\t<style>.splitted-image{display:flex;overflow:hidden}.splitted-image .splitted-image__container{display:flex;align-items:center;justify-content:center;gap:clamp(2.5rem,6vw,4rem)}@media(max-width: 991px){.splitted-image .splitted-image__container{flex-direction:column}}@media(min-width: 1201px){.splitted-image .splitted-image__container{gap:11.5rem}}.splitted-image .splitted-image__container .splitted-image__image{display:flex;height:460px;max-width:520px}@media(min-width: 769px){.splitted-image .splitted-image__container .splitted-image__image{max-width:522px;min-width:450px}}@media(min-width: 1201px){.splitted-image .splitted-image__container .splitted-image__image{min-width:520px}}.splitted-image .splitted-image__container .splitted-image__image img{height:100%;width:50%;border-radius:20px;object-fit:cover}.splitted-image .splitted-image__container .splitted-image__image img:first-of-type{object-position:left}.splitted-image .splitted-image__container .splitted-image__image img:last-of-type{margin-left:2px;object-position:261px}.services-template-page-service-child .splitted-image .splitted-image__container .splitted-image__image img:last-of-type,.diseases-template-page-disease-sidebar .splitted-image .splitted-image__container .splitted-image__image img:last-of-type{object-position:-350px center}\n<\/style>\n\t\t\t\t\t<div class=\"container splitted-image__container\">\n\t\t<div class=\"splitted-image__content\">\n\t\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Introduction<\/h2>\n\n\n\t\t\t\t<style>p.is-style-uppercase{text-transform:uppercase}p.is-style-preheading{color:var(--wp--preset--color--secondary);text-transform:uppercase}p.is-style-subheading{color:var(--wp--preset--color--primary);font-weight:800;letter-spacing:0.075rem;margin-bottom:1.5rem;text-transform:uppercase;font-size:1rem;line-height:1.5}p.is-style-bigparagraph{font-size:1.125rem;line-height:1.4444444444}@media(min-width: 992px){p.is-style-bigparagraph{font-size:1.25rem;line-height:1.5}}p.is-style-leadparagraph{font-size:1.25rem;line-height:1.5;letter-spacing:-0.04em}@media(min-width: 768px){p.is-style-leadparagraph{font-size:1.375rem;line-height:1.4090909091}}@media(min-width: 992px){p.is-style-leadparagraph{font-size:1.5rem;line-height:1.3333333333}}\n<\/style>\n\t\t\t\t\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Venous edema of the lower limbs<\/mark><\/strong> are one of the most characteristic symptoms of chronic venous disease (CVD). Venous oedema has been classified as <strong>C3 stage<\/strong> in the international CEAP classification. Edema is a problem affecting up to 40% of the adult population of developed countries, with a significant prevalence in women (up to 70% of all cases). According to recent epidemiological studies, the prevalence of venous oedema increases with age. In the population over 40 years of age, oedema affects about 20% people, in the age group over 60 years as many as 50-60% people. Of all types of limb oedema in adults, venous oedema accounts for as many as 60-80% cases. <\/p>\n\n\n\n<p><strong>Venous oedema (phleboedema) <\/strong>as an important symptom has found its place in phlebology <strong>CEAP classification<\/strong>introduced in 1994 and updated in 2020. In this classification, the letter C stands for Clinical, where <strong>C3<\/strong> corresponds precisely to venous oedema. Oedema usually appears in patients at a later stage of venous disease after telangiectasia (C1) and varicose veins of the lower limbs (C2). It precedes late complications <strong>venous disease<\/strong>such as trophic changes including 'corona phlebectatica' and venous ulcers of the shin (C4-C6). Importantly, C3 stage oedema can present both with and without visible varicose veins (C2), often leading to a delay in proper diagnosis.<\/p>\n\n\n\n<p>Studies show that early recognition and treatment of venous oedema can reduce the risk of progression to higher stages of CEAP by up to 60%. Unfortunately, only about 40% patients with venous oedema present to a specialist within the first year of the onset of symptoms. <\/p>\n\n<\/div>\n\t\t<\/div>\n\t\t<div class=\"splitted-image__image\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzek-zylny-nogi-ciezkosc-nog-klinika-flebologii.webp\" alt=\"Woman massaging her calf, experiencing heaviness and swelling in her legs. Photo referring to problems with swelling in the lower limbs, which can be a symptom of venous insufficiency. The Phlebology Clinic offers effective treatments and diagnostics for leg swelling.\" \/>\n\t\t\t<img decoding=\"async\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzek-zylny-nogi-ciezkosc-nog-klinika-flebologii.webp\" alt=\"Woman massaging her calf, experiencing heaviness and swelling in her legs. Photo referring to problems with swelling in the lower limbs, which can be a symptom of venous insufficiency. The Phlebology Clinic offers effective treatments and diagnostics for leg swelling.\" \/>\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" id=\"opis\">\n\t\t\t\t<style>.basic-container{width:100%;position:relative;overflow:hidden}.basic-container .container--small{max-width:calc(1062px + 2rem)}.basic-container .container--small .has-text-align-center{margin:auto}.basic-container__background{position:absolute;z-index:0;top:0;right:0;bottom:0;left:0}.basic-container__background img{width:100%;height:100%;object-fit:cover}.basic-container__content{padding:0 1rem;position:relative;z-index:1}\n<\/style>\n\t\t\t\t\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Description of the condition<\/h2>\n\n\n\n<p>Edema of the lower extremities is one of the more common presenting symptoms in people with venous disease. It is estimated to occur when there is an excessive accumulation of fluid in the tissues. It should be remembered that oedema clinically occurs when fluid retention in the tissues exceeds 2-3 litres. Venous oedema can be unilateral or bilateral, and the distribution of the oedematous lesions can also vary. In typical venous oedema, the changes start from the foot and are visible around the ankle. Later - as the venous disease progresses - the oedema covers the higher parts of the shin and then the thigh. Patients presenting to the phlebologist, present traces of knee socks or socks imprinted on the skin as evidence of swelling in the legs. Swelling is noticed when it gives painful symptoms or makes it impossible to put on shoes.  <br><br>Typical swellings caused by venous insufficiency are usually mild to moderate in nature and increase gradually. They tend to increase throughout the day, especially in situations where the person is standing or sitting for long periods of time and has significantly limited sporting activity. Venous oedema can be exacerbated in obese people with excess visceral fat. In these people, especially when sitting, there is a mechanical impairment of venous outflow from the level of the venous drainage at the level of the groin. Mild and simple forms of venous oedema usually resolve or decrease after resting with the legs elevated. Patients with venous oedema (grade C3) also feel better in the morning and increasingly worse as the day progresses. <\/p>\n\n\n\n<p>In the more advanced stage of venous insufficiency, increased intraluminal pressure causes significant impairment of capillary filtration (at the level of small capillaries), resulting in extracellular fluid retention and overloading of the lymphatic vessels that support the venous vessels. Patients who develop bruising in addition to oedema usually already have visible varicose veins and trophic changes resulting from long-term venous blood stasis. In these patients, the use of phlebotropic drugs and compression therapy is sometimes no longer effective. Most often, they already need to be treated surgically. <\/p>\n\n\n\n<p>Typical oedema in venous insufficiency progresses quite slowly. It should be distinguished from <strong>emergency oedema<\/strong> (occurs overnight), which occurs in the course of venous thrombosis. Patients with varicose veins are more likely to have superficial thrombophlebitis, resulting from excessive venous blood stasis. It is also important to remember the cause of the rarer, but more dangerous, deep vein thrombosis, which can also occur in Patients who have not previously presented symptoms of venous insufficiency.<\/p>\n\n\n\n<p>Patients with venous oedema may co-exist with other subjective symptoms (subjectively experienced by the patient), such as a feeling of heaviness and\/or fatigue in the legs, pain in the calves, and muscle cramps, especially at night. <\/p>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p style=\"margin-bottom:var(--wp--preset--spacing--size-40)\">It is important to remember that the occurrence of swelling on the legs can be influenced by many factors. It is not always the case that a person with varicose veins on the legs has only a venous cause of swelling. In our daily practice, we more often see patients with mixed forms of lower limb oedema, even though oedema resulting from venous insufficiency is one of the most common forms of all types of oedema. In addition to venous oedema, there are a number of other causes and types of limb oedema. The most common of these include the following limb oedemas:<\/p>\n\n\n\t\t\t\t<style>.wp-block-list{padding-left:0.8125rem;font-size:1rem;line-height:1.5;list-style:disc}@media(min-width: 768px){.wp-block-list{padding-left:1.25rem;font-size:1.125rem;line-height:1.4444444444}}.wp-block-list.is-style-numbered{display:flex;flex-direction:column;gap:1rem;padding:0;list-style:none;counter-reset:counter}@media(min-width: 768px){.wp-block-list.is-style-numbered{gap:1.5rem}}.wp-block-list.is-style-numbered li{display:flex;align-items:center;gap:0.5rem;counter-increment:counter}.wp-block-list.is-style-numbered li::before{content:counter(counter);display:flex;align-items:center;justify-content:center;font-size:0.75rem;line-height:1.5;font-weight:600;color:var(--wp--preset--color--light);min-width:1.75rem;width:1.75rem;height:1.75rem;border-radius:50%;background-color:var(--wp--preset--color--color-16)}.wp-block-list.is-style-check-mark{display:flex;flex-direction:column;gap:0.75rem;list-style:none;margin-top:1.25rem;margin-bottom:1.875rem;padding-left:0}@media(min-width: 768px){.wp-block-list.is-style-check-mark{gap:1.5rem;margin-top:1.5rem;margin-bottom:2.5rem}}.wp-block-list.is-style-check-mark li{position:relative;padding-left:3rem;color:var(--wp--preset--color--color-14)}@media(min-width: 768px){.wp-block-list.is-style-check-mark li{padding-left:3rem;font-size:1.125rem;line-height:1.4444444444}}.wp-block-list.is-style-check-mark li::before{content:\"\";position:absolute;top:-0.25rem;left:0;display:flex;align-items:center;justify-content:center;min-width:2rem;width:2rem;height:2rem;border-radius:50%;border:0.0625rem solid var(--wp--preset--color--color-stroke);background-image:url(\"data:image\/svg+xml,%3Csvg width='16' height='14' viewBox='0 0 16 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M1 7.85714L6.25 13L10.625 7L15 1' stroke='%231344FF' stroke-width='1.5' stroke-linecap='round' stroke-linejoin='round'\/%3E%3C\/svg%3E%0A\");background-repeat:no-repeat;background-position:center}.wp-block-list:last-child{margin-bottom:0}\n<\/style>\n\t\t\t\t\n<ul class=\"wp-block-list is-style-default\">\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">lymphedema <\/mark><\/strong>(lymphedema)<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"> <\/mark><\/strong>- occurs in approximately 15-20% patients with lower limb oedema; it occurs as an idiopathic form, more commonly in patients after surgery, radiotherapy, trauma and in patients with advanced venous insufficiency.  <br><\/li>\n\n\n\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">fat oedema <\/mark><\/strong>(lipoedema)<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"> <\/mark><\/strong>- affects women, is sometimes hereditary, its severe forms are observed in obese people, with excessive oestrogenisation and co-morbidities <strong>pelvic venous insufficiency <\/strong>(This latter relationship is a discovery of the Phlebology Clinic team).<br><\/li>\n\n\n\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">orthostatic oedema <\/mark><\/strong>(gravitational) - is estimated to affect up to 5-10% of the population, especially people with sedentary lifestyles or who work in a standing position.<br><\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\t\t\t\t<style>.is-style-rounded-icon{border-radius:100%;padding:var(--wp--preset--spacing--size-32);background:#fff;display:flex !important;justify-content:center;align-items:center;width:110px;height:110px;max-width:110px;max-height:110px;border:1px solid var(--wp--preset--color--color-stroke)}.is-style-rounded-icon img{border-radius:0 !important}\n<\/style>\n\t\t\t\t\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1080\" height=\"1080\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii.webp\" alt=\"The Department of Phlebology presents three illustrations of legs from the knees down, depicting the types of lower limb oedema:* Leg without oedema: healthy.* Lymphoedema: leg with visible oedema, skin tight and shiny, without a clear outline of the ankles.* Fatty oedema: leg with excessive fatty tissue, altered shape, with visible skin folds.\" class=\"wp-image-1701\" style=\"width:635px;height:auto\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii.webp 1080w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-300x300.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-100x100.webp 100w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-600x600.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-1024x1024.webp 1024w, 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https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-343x343.webp 343w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-54x54.webp 54w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-580x580.webp 580w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-700x700.webp 700w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-149x149.webp 149w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-79x79.webp 79w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-286x286.webp 286w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-225x225.webp 225w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-393x393.webp 393w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-534x534.webp 534w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-288x288.webp 288w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-73x73.webp 73w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-539x539.webp 539w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-118x118.webp 118w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-42x42.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-69x69.webp 69w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-24x24.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-440x440.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/obrzeki-tluszczowy-limfatyczny-klinika-flebologii-50x50.webp 50w\" sizes=\"auto, (max-width: 1080px) 100vw, 1080px\" \/><figcaption class=\"wp-element-caption\"><strong>Diagram showing the differences between fatty oedema and lymphoedema. <\/strong><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" id=\"czynniki\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list is-style-default\">\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">cardiac oedema<\/mark><\/strong> (cardiogenic) - accounts for 5-8% cases of lower limb oedema, especially in older people with cardiovascular disease.<br><\/li>\n\n\n\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">gestational oedema<\/mark><\/strong> - affects up to 50-80% women in the third trimester of pregnancy. <\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list is-style-default\">\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">recurrent premenstrual oedema<\/mark><\/strong> - occurs mainly in young women in the 2nd half of the cycle (known as PMS); results from a drop in progesterone and oestrogen levels just before menstruation; persists for 2-3 days.<br><\/li>\n\n\n\n<li><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">hormonal oedema<\/mark><\/strong> - Here the causes vary; the most common types are myxedema (in the course of advanced hypothyroidism), in Cushing's syndrome or in the course of <strong>polycystic ovary syndrome<\/strong> (PCOS).<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-stretch is-layout-flow wp-block-column-is-layout-flow\">\t\t\t\t<style>.bordered-container{width:calc(100% - 30px);max-width:1280px;padding:0 0.9375rem;margin:0 auto}@media(max-width: 575px){.bordered-container{padding-left:1rem !important;padding-right:1rem !important}}.bordered-container .container{padding:0}.bordered-container .container h1,.bordered-container .container .is-style-h1{width:100%;margin-bottom:var(--wp--preset--spacing--size-32)}.bordered-container .container .wp-block-columns{margin-bottom:0}.basic-container .bordered-container{margin:0;width:100%}.is-vertically-aligned-stretch .bordered-container{height:100%}\n<\/style>\n\t\t\t\t<style>[data-key=\"block_cdc422f1fbadf00c8f075be701f52f4d\"].bordered-container{\n\t\t\tborder: 1px solid #e2e6ee!important;\t\t\t\tborder-radius: 20px;\t\t}<\/style>\n<section class=\"bordered-container has-background has-color-12-background-color\" style=\"padding-top: var(--wp--preset--spacing--size-40); padding-right: var(--wp--preset--spacing--size-40); padding-bottom: var(--wp--preset--spacing--size-40); padding-left: var(--wp--preset--spacing--size-40);\" data-key=\"block_cdc422f1fbadf00c8f075be701f52f4d\">\n\t<div class=\"container\" >\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\" style=\"margin-bottom:var(--wp--preset--spacing--size-32)\">Risk factors for venous oedema<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>main disease factors<\/strong> - chronic venous insufficiency class C3 and above, pelvic venous insufficiency, deep vein thrombosis, thrombophlebitis, post-thrombotic syndrome or venous compression phenomena;<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>specific living situations <\/strong>- pregnancy (inferior vena cava compression and intra-pregnancy pelvic venous insufficiency), prolonged immobilisation, obesity (increased intra-abdominal pressure and impaired venous outflow);<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>female gender <\/strong>- women are more prone to venous oedema due to adverse hormonal influences and a higher incidence of venous anomalies in the abdominal and pelvic cavities (the latter relationship is based on scientific observations by the team at the Department of Phlebology);<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>age<\/strong> - With age, the frequency and severity of venous disease increases, which translates into the occurrence of limb swelling against a background of venous insufficiency and the presence of varicose veins on the legs;<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>mechanical factors<\/strong> - Pressure on the venous vessels, trauma to the venous vessels, body position that impedes the outflow of venous blood;<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\">d<strong>oust contraception<\/strong> and <strong>hormone replacement therapy<\/strong> in peri-menopausal women - may increase the risk of venous vascular problems, including the incidence of limb oedema;<\/li>\n\n\n\n<li><strong>lifestyle <\/strong>- work or lifestyles that require standing or sitting for long hours impede the flow of blood in the veins, too much lifting, heavy lifting, overuse of power sports, frequent travel and long-hour flights.<\/li>\n<\/ul>\n\n<\/div>\n\t<\/div>\n<\/section>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1080\" height=\"1080\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii.webp\" alt=\"Pregnant woman holding her belly - lower limb oedema in pregnancy associated with venous insufficiency. Phlebology clinic - treatment of leg oedema in pregnancy.\" class=\"wp-image-1706\" style=\"aspect-ratio:1;width:635px;height:auto\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii.webp 1080w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-300x300.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-100x100.webp 100w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-600x600.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-1024x1024.webp 1024w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-150x150.webp 150w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-768x768.webp 768w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-12x12.webp 12w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-208x208.webp 208w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-646x646.webp 646w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-400x400.webp 400w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-596x596.webp 596w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-290x290.webp 290w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-428x428.webp 428w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-280x280.webp 280w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-526x526.webp 526w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-212x212.webp 212w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-52x52.webp 52w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-296x296.webp 296w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-343x343.webp 343w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-54x54.webp 54w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-580x580.webp 580w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-700x700.webp 700w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-149x149.webp 149w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-79x79.webp 79w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-286x286.webp 286w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-225x225.webp 225w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-393x393.webp 393w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-534x534.webp 534w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-288x288.webp 288w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-73x73.webp 73w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-539x539.webp 539w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-118x118.webp 118w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-42x42.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-69x69.webp 69w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-24x24.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-440x440.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/ciaza-niewydolnosc-zylna-miednicy-klinika-flebologii-50x50.webp 50w\" sizes=\"auto, (max-width: 1080px) 100vw, 1080px\" \/><figcaption class=\"wp-element-caption\"><strong>Pelvic venous insufficiency (PVI) arising from pregnancies is the most common cause of venous oedema in the female population.<\/strong><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Mechanism of venous oedema formation<\/h2>\n\n\n\n<p><strong>Venous oedema <\/strong>is an important clinical sign that occurs in the course of various venous disorders. Its formation is a complex pathophysiological process that varies depending on the primary cause. <strong>Oedema in chronic venous insufficiency<\/strong> usually arises from overloading of the venous bed with blood secondary to the <strong>pelvic venous insufficiency<\/strong> (overload). This leads to dilatation of the lower limb veins, secondary venous valve insufficiency and perpetuation of retrograde blood flow. Increased hydrostatic pressure in the veins causes descending dilatation of the venous vessels. Consequently, there is an increase in vascular endothelial permeability and seepage of fluid into the intercellular space. All this activates the inflammatory process in the vessel wall, further increasing its permeability and the migration of leukocytes into the surrounding tissues. This, of course, has its consequences, typically seen in venous disease at grades: C4-C6.<\/p>\n\n\n\n<p><strong>Venous thrombosis<\/strong> usually generates swelling with a more violent course. The thrombus forming in the lumen of the venous vessel, in addition to the local inflammatory process, causes partial or complete occlusion (closure) of the outflow vessel. The progression of the thrombosis causes a progressive obstruction of venous blood outflow from the limb and an increasing increase in intravenous pressure. Everything, of course, progresses much more rapidly than in simple venous insufficiency. Ultimately, there is increased seepage of fluid into the intercellular space and inflammatory damage to the vascular endothelium and deeper layers of the vascular wall.<\/p>\n\n\n\n<p><strong>Oedema in venous compression syndromes<\/strong> (e.g. in uncomplicated venous thrombosis <strong>May-Thurner syndrome<\/strong>) arises by a mechanism of impaired venous blood outflow from the pelvis. Its dynamics are much slower. In this syndrome, pelvic venous insufficiency occurs over time due to impaired outflow and redistribution of blood flow. This eventually leads to congestion of the venous bed, both the deep system veins and the superficial system veins. Over time, venous stasis increases and the lower limb (left limb first) begins to swell as a whole. The development of the collateral circulation causes the venous disease to spread to the other lower limb as well and generates oedema there.<\/p>\n\n\n\n<p>Precise identification of the mechanism of venous oedema allows targeted treatment to be implemented.<\/p>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" id=\"rozpoznanie\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Recognition and diagnosis<\/h2>\n\n\n\n<div class=\"wp-block-custom-columns columns-row row\">\t\t\t\t<style>.offset-0{margin-left:0%}.offset-1{margin-left:8.3333333333%}.offset-2{margin-left:16.6666666667%}.offset-3{margin-left:25%}.offset-4{margin-left:33.3333333333%}.offset-5{margin-left:41.6666666667%}.offset-6{margin-left:50%}.offset-7{margin-left:58.3333333333%}.offset-8{margin-left:66.6666666667%}.offset-9{margin-left:75%}.offset-10{margin-left:83.3333333333%}.offset-11{margin-left:91.6666666667%}@media(min-width: 768px){.offset-md-0{margin-left:0%}}@media(min-width: 768px){.offset-md-1{margin-left:8.3333333333%}}@media(min-width: 768px){.offset-md-2{margin-left:16.6666666667%}}@media(min-width: 768px){.offset-md-3{margin-left:25%}}@media(min-width: 768px){.offset-md-4{margin-left:33.3333333333%}}@media(min-width: 768px){.offset-md-5{margin-left:41.6666666667%}}@media(min-width: 768px){.offset-md-6{margin-left:50%}}@media(min-width: 768px){.offset-md-7{margin-left:58.3333333333%}}@media(min-width: 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1200px){.offset-xl-11{margin-left:91.6666666667%}}.order-1{order:1}.order-2{order:2}.order-3{order:3}.order-4{order:4}.order-5{order:5}.order-6{order:6}.order-7{order:7}.order-8{order:8}.order-9{order:9}.order-10{order:10}.order-11{order:11}.order-12{order:12}@media(min-width: 768px){.order-md-1{order:1}}@media(min-width: 768px){.order-md-2{order:2}}@media(min-width: 768px){.order-md-3{order:3}}@media(min-width: 768px){.order-md-4{order:4}}@media(min-width: 768px){.order-md-5{order:5}}@media(min-width: 768px){.order-md-6{order:6}}@media(min-width: 768px){.order-md-7{order:7}}@media(min-width: 768px){.order-md-8{order:8}}@media(min-width: 768px){.order-md-9{order:9}}@media(min-width: 768px){.order-md-10{order:10}}@media(min-width: 768px){.order-md-11{order:11}}@media(min-width: 768px){.order-md-12{order:12}}@media(min-width: 992px){.order-lg-1{order:1}}@media(min-width: 992px){.order-lg-2{order:2}}@media(min-width: 992px){.order-lg-3{order:3}}@media(min-width: 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class=\"wp-block-custom-column col col-6\">\n<p>The next step is to carefully <strong>physical examination<\/strong> (subject). The phlebologist checks the skin condition, the visibility of the varicose veins and assesses the severity of the limb oedema. With venous oedema, the most common condition is limb asymmetry.<\/p>\n\n\n\n<p>The primary diagnostic test in the evaluation of venous capacity and in the differentiation of edema is the <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Doppler ultrasonography<\/mark><\/strong>. This non-invasive and harmless examination allows the assessment of vascular morphology, changes in the lumen and blood flow and the detection of possible abnormalities, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>deep vein thrombosis (DVT);<\/li>\n\n\n\n<li>thrombophlebitis of superficial veins and\/or perforators;<\/li>\n\n\n\n<li>post-thrombotic syndrome;<\/li>\n\n\n\n<li>stasis and congestion of the veins of the lower limbs;<\/li>\n\n\n\n<li>valvular insufficiency with venous reflux;<\/li>\n\n\n\n<li>presence of arteriovenous fistulas<\/li>\n<\/ul>\n\n\n\n<p style=\"margin-top:var(--wp--preset--spacing--size-40)\">Study <strong>Doppler ultrasound of the veins of the lower limbs<\/strong> is painless and requires no special preparation. In the case of assessment <strong>abdominal and small pelvic veins with evaluation of the pelvic floor<\/strong> It is essential that the patient is fasting. The diagnosis of pelvic venous insufficiency, venous compression phenomena, complex vascular anomalies or proximal thromboses in the caval-iliac segment always requires the assessment of these areas and is possible in virtually every patient after prior preparation. <\/p>\n\n\n\n<p>In some cases phlebotomists use <strong>photoplethysmography <\/strong>- A test that assesses the timing of venous return. It is used to determine the degree of venous valve insufficiency and assess the efficiency of the venous system in draining blood from the lower limbs.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-column col col-6\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"1024\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-576x1024.webp\" alt=\"\" class=\"wp-image-1715\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-576x1024.webp 576w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-600x1067.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-169x300.webp 169w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-768x1365.webp 768w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-864x1536.webp 864w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-7x12.webp 7w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-117x208.webp 117w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-363x646.webp 363w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-225x400.webp 225w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-335x596.webp 335w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-56x100.webp 56w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-186x330.webp 186w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-241x428.webp 241w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-377x671.webp 377w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-159x283.webp 159w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-29x52.webp 29w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-343x610.webp 343w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-30x54.webp 30w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-428x760.webp 428w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-394x700.webp 394w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-88x156.webp 88w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-44x79.webp 44w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-161x286.webp 161w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-127x225.webp 127w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-294x522.webp 294w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-236x420.webp 236w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-300x534.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-288x512.webp 288w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-41x73.webp 41w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-303x539.webp 303w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-66x118.webp 66w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-42x75.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-39x69.webp 39w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-24x43.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-440x782.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii-28x50.webp 28w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/badanie-usg-doppler-na-stojaco-klinika-flebologii.webp 1080w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><figcaption class=\"wp-element-caption\"><strong>Doppler ultrasound examination of the veins of the lower limbs - which assesses venous capacity - is always performed in the Phlebology Clinic in a standing position. <\/strong><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>Very often it appears that the background of limb swelling may be mixed. For this reason, it is very common for doctors consulting phlebology patients to order additional investigations (from blood, ECG, ECHO of the heart, X-ray or magnetic resonance venography or tomography with iodine contrast agent administration).<\/p>\n\n\n\n<p>It is worth remembering that untreated venous oedema can lead to serious complications, skin lesions and hardening of the subcutaneous tissue, and ultimately to venous ulceration of the shins. Therefore, an appropriate and prompt diagnosis is crucial for the patient's health.<\/p>\n\n\n\n<p>In the diagnosis of venous oedema, taking a thorough medical history is crucial. Questions and observations that confirm a feeling of heaviness in the legs, pain or discomfort in the calves occurring at the end of the day, many patients have visible varicose veins on their legs, are key. Important - with venous insufficiency - swelling is significantly reduced after resting with legs elevated.<\/p>\n<\/div>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" id=\"metody\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Treatment methods<\/h2>\n\n\n\n<p>Successful treatment of venous oedema is based on a combination of different methods, tailored to the patient's individual needs, the specific clinical situation and the severity of the condition.<\/p>\n\n\n\n<p>The first step in treating venous oedema is always to <strong>compression therapy<\/strong>or compression therapy.  The use of appropriately selected compression products helps to reduce oedema, improves microcirculation and venous outflow. In typical venous oedema, we use high-stretch products (knee-length socks, stockings or tights made to measure, available in different compression classes CCL1-4), multi-layer bandages or medical adaptive systems such as CircAid. Compression devices must be precisely selected for the individual patient and tailored to their oedema. It is important to put the compression devices on in the morning when swelling is at its lowest.<\/p>\n\n\n\n<p>Equally important in reducing oedema is lifestyle modification. Regular physical activity and exercises that activate the muscular-articular pump significantly improve venous blood outflow from the legs. Our phlebologists particularly recommend the following to their patients: walking, Nordic walking, swimming or cycling. We try to discourage Patients with venous problems from exercise sports that put excessive strain on the venous system. <\/p>\n\n\n\n<p>Phlebotropic drugs are used more as an adjunctive treatment to compression therapy. Used alone, they rarely lead to a significant reduction in venous oedema. <\/p>\n\n\n\n<p>In cases where there is obvious venous insufficiency, it is always necessary to treat the cause and reduce venous congestion in the lower limbs. Nowadays, minimally invasive treatment methods are most commonly used to treat pelvic venous insufficiency and limb venous insufficiency. <\/p>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n<style>[data-key=\"block_84fb4d221a44e0920954893b930fa5da\"].bordered-container{\n\t\t\tborder: 1px solid #f8f8fb!important;\t\t\t\tborder-radius: 20px;\t\t}<\/style>\n<section class=\"bordered-container has-background has-color-12-background-color\" id=\"pytania\" style=\"margin-top: var(--wp--preset--spacing--size-100); margin-bottom: var(--wp--preset--spacing--size-100); padding-top: var(--wp--preset--spacing--size-80); padding-right: var(--wp--preset--spacing--size-80); padding-bottom: var(--wp--preset--spacing--size-80); padding-left: var(--wp--preset--spacing--size-80);\" data-key=\"block_84fb4d221a44e0920954893b930fa5da\">\n\t<div class=\"container\" >\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading has-text-align-left is-style-h2\" style=\"margin-bottom:2rem\">Mostly<br>questions asked<\/h2>\n\n\n<section class=\"faq block-bg--transparent\">\n\t\t\t\t\t<style>.faq+.wp-block-heading{margin-top:1.5rem}.faq .faq__categories{display:flex;align-items:center;flex-wrap:wrap;gap:0.5rem;max-width:62.5rem;width:100%;padding:0;margin:0 0 1.5rem 0;list-style:none}@media(min-width: 992px){.faq .faq__categories{gap:1rem}}.faq .faq__category__button{min-height:2.125rem;padding:0.3125rem 0.875rem;color:var(--wp--preset--color--dark) !important}@media(min-width: 768px){.faq .faq__category__button{min-height:2.625rem;padding:0.3125rem 1rem}}@media(min-width: 992px){.faq .faq__category__button{min-height:3.125rem;padding:0.3125rem 2rem}}@media(max-width: 767px){.faq .faq__category__button{font-size:0.75rem;line-height:1.5}}.faq .faq__category__button.active{background-color:var(--wp--preset--color--primary) !important;color:var(--wp--preset--color--light) !important}.faq .faq__category__button.active:hover{color:var(--wp--preset--color--light) !important;background-color:var(--wp--preset--color--color-bg-dark-1) !important;box-shadow:0 0 1.5625rem 0 rgba(19,46,210,.35)}.faq .faq__content{transition:opacity var(--transition-speed) var(--transition-timing-function)}.faq .faq__content.loading{opacity:.5}.faq .faq__list{padding:0;margin:0;list-style:none}.faq .faq__item{margin:0 calc(-1*0.9375rem);border-bottom:0.0625rem solid var(--wp--preset--color--color-stroke)}@media(min-width: 992px){.faq .faq__item{margin:0}}.faq .faq__item__header{display:flex;align-items:center;justify-content:space-between;gap:0.625rem;width:100%;padding:1.125rem 0.9375rem;background-color:rgba(0,0,0,0);border:none}@media(min-width: 992px){.faq .faq__item__header{gap:1rem;padding:1.5rem 0}}.faq .faq__item__header:hover .faq__item__button{box-shadow:0 0 1.5625rem 0 rgba(19,46,210,.15)}.faq .faq__item__header.active .faq__item__button svg{transform:rotate(180deg)}.faq .faq__item__title{max-width:53.25rem;width:100%;margin-bottom:0;color:var(--wp--preset--color--dark-900);text-align:left}.faq .faq__item__button{display:flex;align-items:center;justify-content:center;width:2.75rem;min-width:2.75rem;height:2.75rem;border-radius:50%;border:0.0625rem solid var(--wp--preset--color--color-stroke);background-color:var(--wp--preset--color--light);overflow:hidden;transition:box-shadow var(--transition-speed) var(--transition-timing-function)}@media(min-width: 992px){.faq .faq__item__button{width:3.375rem;min-width:3.375rem;height:3.375rem}}.faq .faq__item__button svg{transition:transform var(--transition-speed) var(--transition-timing-function)}@media(max-width: 991px){.faq .faq__item__button svg{width:0.9375rem}}.faq .faq__item__content{height:0;padding:0 0.9375rem;overflow:hidden;-ms-overflow-style:none;scrollbar-width:none;pointer-events:none;transition:height var(--transition-speed-longer) var(--transition-timing-function),opacity var(--transition-speed) var(--transition-timing-function)}@media(min-width: 992px){.faq .faq__item__content{padding:0}}.faq .faq__item__content::-webkit-scrollbar{display:none}.faq .faq__item__content.active{height:auto;overflow:auto;pointer-events:all;transition:opacity var(--transition-speed-longer) var(--transition-timing-function) .2s}.faq .faq__item__content p{padding:0 4px}.faq .faq__item__content__inner{padding:1.25rem 0}@media(min-width: 992px){.faq .faq__item__content__inner{padding:1.5625rem 0}}.section:has(.faq) .container{max-width:78.125rem}.wp-block-heading:has(+.faq){margin-bottom:1.25rem}@media(min-width: 992px){.wp-block-heading:has(+.faq){margin-bottom:1.9375rem}}\n<\/style>\n\t\t\t\t\t<div class=\"container\">\n\t\t<div class=\"faq__header\">\n\t\t\t<div class=\"acf-innerblocks-container\"><\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"faq__content\">\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/section>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n\n<section class=\"link-grid\" style=\"margin-bottom: var(--wp--preset--spacing--size-100);\">\n\t\t\t\t<style>.link-grid__grid{display:grid;grid-template-columns:repeat(auto-fill, minmax(300px, 1fr));gap:var(--wp--preset--spacing--size-32)}@media(min-width: 993px){.link-grid__grid{grid-template-columns:repeat(3, 1fr)}}.link-grid__title{text-align:center;margin-bottom:var(--wp--preset--spacing--size-32)}.link-grid__item{border-radius:20px;border:1px solid #e4e4ff;background-color:#fafaff;padding:var(--wp--preset--spacing--size-32);position:relative}.link-grid__item span{color:var(--wp--preset--color--color-15);font-size:14px;font-weight:400;letter-spacing:-0.5px}.link-grid__item:hover .link-grid__item-icon{box-shadow:0 0 1.5625rem 0 rgba(19,46,210,.35);background-color:var(--wp--preset--color--color-bg-dark-1)}.link-grid__item-icon{background-color:var(--wp--preset--color--primary);transition:box-shadow var(--transition-speed) var(--transition-timing-function),background-color var(--transition-speed) var(--transition-timing-function);border-radius:100%;width:42px;aspect-ratio:1\/1;height:auto;display:flex;align-items:center;justify-content:center}\n<\/style>\n\t\t\t\t\t\t\t\t<style>.card-link{width:100%;height:100%;position:absolute;z-index:1;top:0;left:0;cursor:pointer}\n<\/style>\n\t\t\t\t<div class=\"container\">\n\t\t\t<h2 class=\"link-grid__title is-style-h2\">Related issues<\/h2>\n\t\t<nav class=\"link-grid__nav\">\n\t\t<ul class=\"link-grid__grid\">\n\t\t\t\t\t\t\t<li class=\"link-grid__item\">\n\t\t\t\t\t<span>01 \/<\/span>\n\t\t\t\t\t<p class=\"is-style-h3\">Venous insufficiency of the lower limbs<\/p>\n\t\t\t\t\t<div class=\"link-grid__item-icon\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M9.06065 1.63613H14.3639M14.3639 1.63613V6.93943M14.3639 1.63613L1.63603 14.3641\" stroke=\"white\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg><\/div>\n\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/\" class=\"link-grid__link card-link\"><\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class=\"link-grid__item\">\n\t\t\t\t\t<span>02 \/<\/span>\n\t\t\t\t\t<p class=\"is-style-h3\">Pelvic venous insufficiency in women<\/p>\n\t\t\t\t\t<div class=\"link-grid__item-icon\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M9.06065 1.63613H14.3639M14.3639 1.63613V6.93943M14.3639 1.63613L1.63603 14.3641\" stroke=\"white\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg><\/div>\n\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/pelvic-venous-insufficiency-in-women\/\" class=\"link-grid__link card-link\"><\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class=\"link-grid__item\">\n\t\t\t\t\t<span>03 \/<\/span>\n\t\t\t\t\t<p class=\"is-style-h3\">Varicose veins of the lower limbs (C2)<\/p>\n\t\t\t\t\t<div class=\"link-grid__item-icon\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M9.06065 1.63613H14.3639M14.3639 1.63613V6.93943M14.3639 1.63613L1.63603 14.3641\" stroke=\"white\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg><\/div>\n\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/lower-limb-varicose-veins\/\" class=\"link-grid__link card-link\"><\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<\/ul>\n\t<\/nav>\n<\/div>\n<\/section>\n\n\n<section class=\"cta\">\n\t\t\t\t\t<style>.cta{display:flex;align-items:center;position:relative;z-index:0;padding:5rem 0 0.9375rem;background:var(--wp--preset--color--color-bg-dark-2)}@media(min-width: 768px){.cta{min-height:40.375rem}}@media(min-width: 992px){.cta{padding:2.3125rem 0 2.4375rem}}.cta__bg{position:absolute;top:0;left:0;z-index:-1;width:100%;height:100%;pointer-events:none;user-select:none}.cta__bg img{width:100%;height:100%;object-fit:cover}.cta__content{display:flex;flex-direction:column;justify-content:center;position:relative;max-width:33.8125rem;width:100%;height:100%;padding:3.75rem 0.9375rem 0.9375rem 0.9375rem;color:var(--wp--preset--color--light);border-radius:1rem}@media(min-width: 768px){.cta__content{min-height:35.625rem;padding:6.25rem 5rem 2.5rem 1.25rem;border-radius:1.25rem}}@media(min-width: 992px){.cta__content{padding:8.25rem 6.625rem 3.875rem 1.5rem}}.cta__content::before{content:\"\";position:absolute;top:0;left:0;z-index:-1;width:100%;height:100%;background:linear-gradient(114.04deg, rgba(255, 255, 255, 0) -0.36%, rgba(255, 255, 255, 0.2) 69.8%);border-radius:0.9375rem;-webkit-backdrop-filter:blur(0.3125rem);backdrop-filter:blur(0.3125rem)}@media(min-width: 768px){.cta__content::before{border-radius:1.25rem}}@media(min-width: 992px){.cta__content::before{-webkit-backdrop-filter:blur(1.25rem);backdrop-filter:blur(1.25rem)}}.cta__content .wp-block-heading{margin-bottom:0.75rem;text-shadow:0 0.125rem 0.625rem rgba(0,0,0,.15)}@media(min-width: 768px){.cta__content .wp-block-heading{margin-bottom:0.5rem}}.cta__content p.is-style-leadparagraph{font-family:var(--wp--preset--font-family--heading-font);margin-bottom:1.5rem;text-shadow:0 0.125rem 0.625rem rgba(0,0,0,.15)}.cta__content .wp-block-buttons{margin-top:1.5rem;margin-bottom:0}.cta__button{display:flex;align-items:center;justify-content:center;position:absolute;top:0.9375rem;right:0.9375rem;width:2.5rem;height:2.5rem;border-radius:50%;background-color:var(--wp--preset--color--color-3)}@media(min-width: 768px){.cta__button{top:1.875rem;right:1.25rem;width:4.375rem;height:4.375rem}}@media(min-width: 992px){.cta__button{top:3.6875rem;right:1.5rem}}@media(max-width: 767px){.cta__button svg{width:1rem}}\n<\/style>\n\t\t\t\t\t\t<div class=\"cta__bg\">\n\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1148\" height=\"646\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-1148x646.webp\" class=\"attachment-cta-img size-cta-img\" alt=\"Venous embolisation. The procedure in the Vascular Laboratory of the Department of Phlebology. Dr Cezary Szary\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-1148x646.webp 1148w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-600x338.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-300x169.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-1024x576.webp 1024w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-768x432.webp 768w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-1536x864.webp 1536w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-18x10.webp 18w, 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https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-24x14.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-440x248.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii-50x28.webp 50w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/10\/cezary-szary-embolizacja-zylna-1-klinika-flebologii.webp 1920w\" sizes=\"auto, (max-width: 1148px) 100vw, 1148px\" \/>\t<\/div>\n\t\t<div class=\"container\">\n\t\t<div class=\"cta__content\">\n\t\t\t\t\t\t<span class=\"cta__button\">\n\t\t\t\t<svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n    <path d=\"M13.8 1.20014H22.8001M22.8001 1.20014V10.2002M22.8001 1.20014L1.19987 22.8003\" stroke=\"#043148\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h1\">Modern vein treatment<\/h2>\n\n\n\n<p class=\"is-style-leadparagraph\">We offer treatment both on an outpatient basis and in day ward admissions. The stay is of short duration. The patient spends between 1 and 5 hours in the Clinic.<\/p>\n\n\n\t\t\t\t<style>.wp-block-buttons{gap:1rem 1.5rem;margin:1.5rem auto}.wp-block-buttons:last-child{margin-bottom:0}.wp-block-buttons.aligncenter{justify-content:center}.wp-block-button__link{display:inline-flex;align-items:center;justify-content:center;min-height:3rem;padding:0.3125rem 1.5rem;font-size:0.875rem;line-height:1.2857142857;font-weight:900;white-space:nowrap;color:var(--wp--preset--color--light);background:var(--wp--preset--color--primary);transition:color var(--transition-speed) var(--transition-timing-function),background-color var(--transition-speed) var(--transition-timing-function),border var(--transition-speed) var(--transition-timing-function),box-shadow var(--transition-speed) var(--transition-timing-function)}@media(min-width: 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