Dr. Adam Goldman

Yeah, so it's a short period of time where you did 10 reps, even if it was a heavy weight.

Yeah, it's not going to make a difference.

It's probably not going to make a difference.

Exercise in general is preventive because you're keeping the blood flow.

You know, when you're very sedentary,

you have more chance for venous pooling and that the veins can expand or dilate, and that causes part of the problem with the valves.

So you definitely want to be active.

Yeah, but I would say that that's probably less of a problem.

ultrasound takes like 15 minutes okay that's not long and in general you know you need it done at a vein center or people who are experienced because what happens is you know if you just go to a radiologist or to some kind of imaging center they're really going to make sure you don't have a deep vein thrombosis whereas if you're diagnosing venous insufficiency it's more of a proactive study you know you're actually measuring the flow of blood in relation to

basically squeezing a calf or a thigh to make it go up and you're measuring how much it stops when it goes back down.

So really you want to see a certain amount of what we call reflux in order to diagnose the problem and know which of the veins that you have are causing it.

In general, there's basically four main veins or two in each leg.

So the greater saphenous vein and the lesser saphenous vein.

are the most common cause of venous insufficiency because they are larger veins that are basically peripheral veins, but they kind of

feed out through the muscle sheath.

So they've lost some of the protection that the deep system has.

And that's where you get the incompetence in general.

So we know where to look and we are proactively trying to figure out if these veins are leaking.

Yeah, so it all depends.

Some people have all four veins leaking.