Venous Hypertension causes proliferation of varicose veins under the skin. The increased pressure in the vein/veins into the dermis (skin). This eventually results in spontaneous bleeding.
In this case the source of bleeding is reflux from a politeal perforator vein which occurs behind the knee.
Dr. Karamanoukian has been writing books for physicians and patients since 1997. He has authored 41 books and provides free pdf copies of some of his books to his established patients. Picture of the covers of the books are shown below and 8 books are for board review and copies of borad review books are not available for sharing.
Dr. Hratch Karamanoukian contributed 7 chapters to the American College of Phlebology Patient Education Book titled 'Healthy Veins .... Healthy Legs' - A Patient's Guide to Phlebology'. The book was edited by Raffy Karamanoukian MD FACS and Helane Fronek MD FACP FACPh.
The book can be ordered from the American College of Phlebology website. The American College of Phlebology is the premier organization for vein specialists in the United States. Dr. Karamanoukian is a member of the American College of Phlebology and is a Diplomate of the American Board of Phlebology. http://www.phlebology.org/resources/patiented.html
You can also receive a free copy of this book at your consultation with Dr. Hratch Karamanoukian.
A highly recommended reading for those with venous insufficieny - 'Treatment Options for Chronic Venous Insufficiency - A Color Atlas' by Hratch Karamanoukian MD FACS and Raffy Karamanoukian MD FACS.
This book is available at no charge to Dr. Karamanoukian's existing patients as a pdf copy. Just click the book below.
Read Dr. Karamanoukian's book 'Post Thrombotic Syndrome and Deep Vein Thrombosis' -. Just click the book below.
Video Summary of 'Venous Reflux Disease and Endovenous Laser Therapy' - The authors are Dr. Hratch Karamanoukian and Dr. Raffy Karamanoukian. To read just click the book below.
'Dr. Karamanoukian's Guide to Horse Chestnut Extract' is written by Hratch Karamanoukian MD FACS and Raffy Karamanoukian MD FACS. To read just click the book below.
For those suffering from aching and pain in the legs, heaviness, tiredness, fatigue of the lower extremities, throbbing and swelling of the legs and ankles, it can certainly be a hurdle in life. It can lead to a loss of physical activity, force you to give up activities that you love and even keep you from getting the exercise that you need to remain healthy. However, it can also be a sign of a serious disease – venous reflux disease, also known as venous insufficiency.
'The Health Benefits of Citrus Bioflavonoids and Diosmin - Treating Venous Insufficiency, Varicose Veins, Spider Veins, Venous Leg Ulcers, Leg Swelling and Hemorrhoids' by Hratch L Karamanoukian MD FACS and Raffy L Karamanoukian MD FACS
Venous reflux disease affects an enormous number of people in America and around the world. This painful, debilitating condition can develop without you even knowing it. Moreover, it can result in some very serious problems, including skin discoloration and in some patients, left untreated, can result in the development of venous stasis ulcers. The lifetime risk of developing venous stasis ulcers in a patient with venous reflux disease is 4%.