If the volume of your legs is constantly increased, and pressure on the affected part leaves an indent, you have edema. The cause could be venous or lymphatic. A doctor’s consultation will provide the correct diagnosis. However, compression therapy is the basic therapy for edema of any cause.
Edema is defined as a perceptible increase in the volume of fluid in the skin and subcutaneous tissue. Applying pressure on edema will leave an indentation that remains on the skin after the pressure is released.
Venous edema usually occurs in the ankle region, but it may extend to the leg and foot.
There are many causes of edema, such as standing or sitting for long periods of time, physical inactivity, chronic venous disease, lymphedema, heredity, pregnancy, surgery, and trauma.
Edemas of venous origin develop when venous valves don’t close properly and blood stagnates in the veins, thereby preventing the blood vessels from properly functioning.
For an affected person, there is often no visible difference between venous edema and lymphedema. In any case, if you experience swelling, you should visit your doctor for correct diagnosis and treatment.
Have you observed edema in your legs? Does the swelling usually disappear when you elevate your legs? Are your legs “back to normal” in the morning after a night’s sleep? These might be first signs of venous disease.
If this applies to you, you should visit a doctor to obtain a proper diagnosis and check for underlying causes. The doctor will ask about your symptoms, e.g. swelling in the legs, but also about the presence of varicose veins, skin changes, or skin ulcers that might be related to a venous disorder. By means of ultrasound, the doctor can visualize the blood flow and check if the development of your edema is associated with a venous disorder and if the superficial veins or the system of deep veins in your legs are affected. Early diagnosis is essential to prevent disease progression and to avoid more serious complications.
To help with venous edema, compression therapy with medical compression garments is used as basic non-invasive treatment. In some cases, lymphatic drainage can help as well.
If you are diagnosed with edema, your doctor can prescribe medical compression stockings. The elastic material of the medical compression stocking provides a controlled pressure to the leg and gently squeezes the vein walls together. The strongest pressure is applied at the ankle and decreases going upwards along the leg, thereby easing blood flow back towards the heart, reducing venous pressure, and improving overall circulation.
Venous edema originates from an underlying venous disorder, which can be treated with non-invasive compression therapy, but also with more invasive techniques. Different treatment options include: