At the time of your initial visit, Dr. Muasher will personally meet with you and review your medical history, perform a physical exam, and do a venous duplex study (ultrasound) of the lower extremities. This is done to assess vein size and venous reflux (reversed blood flow in the veins), and for mapping of your veins and identifying sites of pathology. Upon completion, a treatment plan will be developed and discussed with you.
In addition, photos will be taken of your lower extremities to document the condition of your varicose veins or other medical condition you are experiencing.
Medical History Questions to Consider
Before your first appointment, consider the following questions so that you’re ready to have a detailed conversation with Dr. Muasher.
- Does your job require you to either sit or stand for long periods of time?
- Do you take a medication containing hormones?
- Do you have a family history of vein disease?
- Have you ever experienced significant physical trauma or had surgery?
- Are you currently pregnant or have you ever been pregnant?
- Are you experiencing vein-related symptoms such as chronic pain and/or discomfort, leg heaviness, leg fatigue, leg swelling, itching, or leg cramping?
Venous Duplex Study
This exam is performed with a handheld ultrasound wand in the standing position. Sound waves reflect off the veins to create detailed images of veins and valves. This allows Dr. Muasher to evaluate the veins overall and determine how blood is currently flowing. The detailed study reveals the mapping of your veins, broken valves, and helps diagnose deep vein thrombosis.
The study is pain-free and comfortable. Ultrasound gel is applied to the leg (or both legs) being examined. The wand is passed over the patient’s legs while they are standing, and having the calf muscle squeezed and released. This stimulates blood flow so that the ultrasound can detect any venous insufficiency. The exam will take between 40 minutes and one hour (if both legs are being examined).
There is no discomfort or downtime after the venous duplex study is completed.