In reality, this is stasis dermatitis, which is an inflammation and is due to inflammatory fluid going out to the tissue
Recognizing Vein Disease in Men Men are generally slow to recognize venous disease and its progression. Even when dealing with symptoms such as itchy, painful legs, they tend to be in a state of denial. Unlike women, who are generally more sensitive to such changes, men tend to downplay physical problems. In addition, men are far more reluctant to seek medical help when they do perceive problems. Women are quicker to identify vein problems because they are caused by and exacerbated by multiple pregnancies. In the case of a man, venous disease is generally a reflection of genetic predisposition, obesity or jobs that entail prolonged standing. Because these are more subtle than pregnancy, vein disease progresses more slowly. Wearing pants also makes the problem less obvious. Skirts and dresses display a woman’s legs, so they are constantly reminded of vein issues and the cosmetic effects. Because of these subtle changes and wearing pants, men are frequently insensitive to the development of scaly, dry skin, which subtly darkens over time in the area of the low calf and ankle, particularly on the inside. Despite some of the differences that men and women have, the end result and the late complications of venous disease are similar. In the case of skin changes, they can occur along the inner aspect of the ankle and lower calf, often causing this tissue to become tender and frequently develop a pinkish discoloration. This is particularly common when someone has been up on their feet for a prolonged period of time in hot weather. This pinkish discoloration is sometimes misinterpreted by physicians as cellulitis, which is an infection. In reality, this is stasis dermatitis, which is an inflammation and is due to inflammatory fluid going out to the tissue around the veins. Unfortunately, venous scans performed at most hospitals and outpatient facilities only look for a clot and do not give an accurate picture of the functional problems of the veins. As a result, these changes are often allowed to progress over years and can result in the development of ulcers as well as the development of lymphedema, a process which causes not only swelling in the lower leg and ankle, but swelling in the foot, making it difficult to wear shoes. Men must become more attentive and fight their initial instincts to ignore swelling, itching, dry skin and discoloration. A consult should be obtained with a vein specialist and ideally this
should be followed with the implementation of elastic compression stockings, frequent elevation and attention to weight control, if that is a problem. Regular exercise is important and use of a swimming pool can be very beneficial, especially after a long workday with significant standing. Definitive therapy using laser and foam sclerotherapy can arrest this progression and hopefully avoid increased swelling, ulceration or lymphedema. It is not an accident that women tend to live longer than men. Women have a higher health IQ and men are generally less attentive to their bodies and rarely seek help when questions arise. Too many men feel that health concerns imply weakness and are even embarrassed to seek help. This leads to procrastination, which allows these problems to progress. If you notice skin changes, tenderness, swelling or general discomfort, whether you’re a man or woman, it’s important to recognize these probably indicate a sign of deeper trouble. And if you’re a woman with a man in her life that is ignoring these warning signs, feel free to speak up and reach out on his behalf for a consultation to evaluate these vein problems. Trust us. He’ll thank you. Let us help you get a Leg Up on Life! (407) 781-3274 www.BestVeinTreatment.com With 6 Central Florida Locations to serve you
Dr. Samuel P. Martin is the founder and medical director of Vascular Vein Centers. He has over 33 years of experience as a vascular specialist and is boardcertified in general and vascular surgery. In 2008, he received his certification from the American Board of Phlebology. Dr. Martin also holds a Wound Care Certification from the American Board of Wound Care Management.
