+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

A study of leg edema in immobile patients

, : A study of leg edema in immobile patients. Circulation Journal 78(7): 1733-1739

Our objectives were to elucidate the pathophysiology of leg edema in immobile patients and to discuss reasonable management of this condition. The 30 patients with leg edema had visited our clinic between April 2009 and March 2013; they suffered from severe gait disturbance, had no significant venous abnormalities detected using duplex ultrasound, and did not have any systemic diseases that could cause leg edema. Here, we review their symptoms, examinations, and treatments. Among 59 edematous legs of the 30 patients, 30 legs (51%) had symptoms that indicated advanced chronic venous insufficiency. The ankle range of motion and calf : ankle circumference ratio were abnormal in only 3 (5%) and 10 (17%) of the legs, respectively. The severity of edema and subcutaneous inflammation, which was confirmed using ultrasonography, was significantly influenced by gravity. Air plethysmography and lymphangioscintigraphy were completed in 15 and 10 patients, respectively, neither of which revealed any significant abnormalities. Reasonable success for all patients was achieved by compression therapy and physical therapy without medications. It was assumed that leg edema in these immobile patients was mainly caused by venous stasis because of the immobility itself, not because of anatomical problems. The patients were successfully managed by compression and physical therapy alone.


PMID: 24790031

Other references

Graml, R.; Ohmayer, G.; Pirchner, F.; Erhard, L.; Buchberger, J.; Mostageer, A., 1986: Biochemical polymorphism in Egyptian Baladi cattle and their relationship with other breeds. Gene frequencies were estimated in a sample of Baladi cattle for milk proteins, blood proteins and blood groups. Gene frequency estimates of Bos taurus, Bos indicus and Sanga breeds were assembled from the literature. The gene frequencies were uti...

Kishkovskii, A.N., 1963: On the differential diagnosis of diseases of the duodenum and adjacent organs. Klinicheskaia Meditsina 41: 34-39

Ison, M.G.; Gnann, J.; Treanor, J.; Nagy Agren, S.; Whitley, R.J.; Elliott, M.; Hayden, F.; Niaid Collaborative Antiviral Study Group, 2001: Phase II study of the safety and efficacy of nebulized zanamivir in patients with serious influenza virus infections. Background: Influenza causes lower respiratory tract involvement leading to hospitalization. We conducted a multicenter, randomized, double-blinded study to assess the tolerability and antiviral activity of nebulized zanamivir (ZNV) in hospitalize...

Campbell-Ward,M.L., 2008: Mandarin duck. This article describes the origin, habitat, pet suitability, morphology, characteristics, feeding, reproduction, behaviour, housing, restraint, anaesthesia, diseases, zoonotic potential and husbandry of mandarin ducks (<i>Aix galericulata<...

Leyland Mihychuk M.; Brand U., 1982: Sedimentology and geochemical analysis of late Wisconsin glacial sediments and Paleozoic bedrock, Havelock, Ontario. Program with Abstracts - Geological Association of Canada(Mineralogical Association of Canada(Canadian Geophysical Union, Joint Annual Meeting 7: 63

Schoenemann, H.; Hallford, D.; Platt, T.; Diehl, J.; Morrical-Dg, 1979: Reproductive and histological changes in ewes treated with a progestogen pessary and. Proceedings of the annual meeting0(30): 204-207

Jian, L.V., 2011: Re-recognizing the pathogenesis of inguinal hernias. Over the past century, there has been a significant increase in the understanding of groin anatomy as it is related to inguinal hernia. But no one really knows the function of iliopsoas in sealing the inguinal canal and promoting defecation in squ...

Wislocki, G.B., 1927: On the placentation of the Tridaetyl Sloth (Bradypus griseus) with a description of some characters of the foetus. Carnegie Institution Publication, 380: 209-228

Steinemann, O., 1974: Organization of seed potato production. Kartoffelbau 25 (4) 114-115

Mancini Franco; Papunen Heikki, 2000: Metamorphism of Ni-Cu sulfides in mafic-ultramafic intrusions; the Svecofennian Saaksjarvi Complex, southern Finland. The Saaksjarvi ultramafic-mafic complex is an example of a nickel-copper sulfide deposit in upper amphibolite to lower granulite facies metamorphic rocks. Prograde metamorphic events at 650 degrees to 750 degrees C and 4 to 6 kbar have recrystalli...