Show Off Your Best Legs This Summer | Vein Treatment Advice | Ohio

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Today we wish to discuss the best varicose vein treatment steps to our fellow community members in Ohio, to achieve great legs this summer. Treatment of varicose veins, starts with compression socks believe it or not. Did you know that typically the majority of insurance companies have a six-week to three-month compression stocking requirement before treatment can be approved?

It’s best to reach out to our medical office here in Ohio, so that we can recommend the best options for you. This will include how to get started and also how quickly we can improve the look and feel of your legs and reduce any leg pain you may have.

The healing process of varicose veins can take a few days to a few weeks, so it’s best to get started now. If you book your consultation now, there is still plenty of time to show off the best look of your legs this summer.

Just to clarify it’s not just about looks. Let us know if you are experiencing any of these symptoms on your legs:

• Chronic leg pain
• Fatigue
• Itching
• Burning
• Restless Leg Syndrome (RLS)
• Leg cramps
• Swelling
• Blood clots

If you are experiencing the above symptoms then kindly book your consultation here.

Got sore legs?

Leg cramps?

Cold feet?

Thoracic and Vascular Surgeon, Dr. Lawrence Schmetterer from Ohio, describes the different imaging options to discuss with your doctor to determine if you have blocked arteries in your legs (Peripheral Artery Disease | PAD) and have a productive discussion on the locations of those lesions restricting blood flow BEFORE you schedule an angiogram. Disclaimer: The advice and views in this interview are that of The Way To My Heart and Dr. Lawrence Schmetter. The information offered is for educational purposes only. ALWAYS check with your healthcare provider before acting upon any advice offered in this interview or in any other videos shared by The Way To My Heart. Got Poor Circulation? Leg pain? Leg Cramps? Cold Feet? Lawrence Schmetterer MD FACS Thoracic & Vascular Surgery shares the types of tests you can discuss with your doctor to determine if you have blocked arteries in your legs (Peripheral Artery Disease | PAD).


Lawrence Schmetterer, M.D., F.A.C.S. is one of the top and most trusted vascular surgeons in Youngstown and Warren, Ohio. He’s been practicing medicine for over 34-years and sees patients in Youngstown, Austintown, Boardman, and Salem, Ohio, with hospital privileges at all the area’s major hospitals including Mercy Boardman and Youngstown’s St. Elizabeth Hospital, The Surgical Hospital at Southwoods, Salem Community Hospital, and Steward – Trumbull Regional Medical Center. Dr. Schmetterer is known for treating Venous Disease, including varicose veins. Additionally specializing in Thoracic, Arterial, Venous, and Mediastinal Disease.

Dr. Lawrence Schmetterer: New Information for Patients

Our patients are very important to us!

Many have serious health concerns that require expeditious evaluation and management, in many cases requiring outpatient or inpatient surgical procedures.

In the best interests of our patients, and in consideration of the current public health concerns and advisories regarding the COVID19 viral pandemic, the following are instituted effective Monday, March 16, 2020.

Outpatient Clinic Protocol

Patients who have appointments for routine follow up of testing, or long-term surgical follow ups, and are otherwise doing well, will be rescheduled for 4 weeks in the future. Any testing results such as ultrasound or CT scans will be reviewed once completed to confirm that no significant interval findings are present.

You will be asked to email or text a photo of the front and back of your updated insurance card and identification card if needed, in order to minimize handling.

If a patient has a need for an outpatient follow up visit, prescreening by phone will be completed by our staff. You will be asked if you have experienced fever, cough, cold, flu-like aches, or respiratory symptoms that are not a stable chronic condition. You will be asked if you have traveled abroad, or been on a cruise ship within the past four weeks, or if you have been exposed to anyone with the above potential exposures or conditions.

If any of the above are present, you may be asked to follow up immediately with your primary care physician for further evaluation and possible testing. If an outpatient visit is deemed urgent, provisions will be made for an expedited full evaluation of any vascular or thoracic problem with Dr. Schmetterer regardless of above exposures. This will be conducted in such a fashion as to ensure safety of staff and other patients.

At the time of a patient’s office visit, you can expect the following:

The waiting room will not contain magazines or books for general use. You are welcome to bring your own reading materials and of course, a smart phone.

Patients should self-seat a minimum distance of six feet from other patients, not including family members. In the event of crowding, you may wait in your car and receive a text when an exam room opens for you.

There will not be a “clipboard & pen” sign in process. You will register for the visit verbally with staff, who will also take your temperature with a sterilized forehead swipe device. Staff will wear gloves and masks. If you have a fever or outward symptoms of an active respiratory infection, you will be asked to follow up with your primary care physician.

New patients are encouraged to fill out their medical questionnaire at home prior to the clinic visit. If that is not completed, there will be an opportunity to complete the questionnaire with a sanitized clipboard. Please provide your own pen.

In the exam room, your seating will be on an exam table, covered with disposable paper. The table will be sanitized between each patient visit. While we will not exclude family members from accompanying the patient into the exam room, there will be no additional seating.

Outpatient and Inpatient Surgeries

The Surgeon General of the United States, the Ohio Department of Health, and Mike Dewine, Governor of Ohio have advised the cancellation of elective surgeries in the interest of patient safety and preservation of medical resources. An example of an elective surgery would be the removal of a benign fatty growth. Procedures deemed necessary would include any procedures involving the vascular system or lung disease such as cancer. Postponing such procedures could result in stroke, loss of life or limb. These are not considered elective procedures.

Many of our patients require inpatient or outpatient surgical procedures that, while not emergent, are necessary and required in an expeditious manner for serious medical problems. Rest assured, that your planned procedure, if deemed necessary, will be given the full support of surgical and hospital staff, including safe intensive care as needed.

The above policies and procedures are not intended to cause fear or undue concern. Our patients’ best interests are most important, and that includes keeping them safe from potential illness and assuring that significant medical issues are identified and treated quickly before any complications develop.

The current social and medical landscape is changing on a daily basis. Please follow us on Facebook or our website as updates may occur.


We will all get through this together.

Lawrence Schmetterer MD FACS

Leg Pain and Swelling

In my practice, the most common reasons for a patient referral are leg pain and swelling.  So many people have problems with their legs, but often these difficulties seem to take a back seat to high blood pressure, heart disease, diabetes and other serious health issues.  Many times patients hesitate to mention these problems to their primary care physician, or their symptoms just don’t seem to get as much attention as other problems. Leg pain and swelling are important signs of potentially serious medical problems and may be sorted out with a referral to a vascular surgeon.

Causes of Leg Pain

Patients may experience leg discomfort or swelling for a variety of reasons. Each patient is evaluated based upon what they are feeling and the findings on physical examination. Problems that may cause leg pain include, first and foremost, peripheral artery disease (PAD) caused by narrowing or blockage of arteries carrying blood to the legs. Patients with PAD often experience cramping of the thighs or calves after walking a distance (intermittent claudication). With more advanced disease, patients may experience burning pain of the lower legs and feet, sometimes with the development of leg ulcers which is called critical limb ischemia (CLI). These are serious signs and require urgent attention.

Other common causes of leg pain include peripheral neuropathy frequently caused by diabetes mellitus. Patients typically describe both a burning sensation and numbness, or a feeling of pins and needles. If is not uncommon to confuse the symptoms of diabetic neuropathy with critical limb ischemia. A thorough vascular exam is crucial.

Lower extremity pain may also be caused by venous insufficiency,  blood clots of the veins (deep venous thrombosis), or nerve compression at the spine (spinal stenosis) or a bulging intervertebral disk. Many patients suffer from pain related to arthritis of the hip or knee joints.  All of these possible causes and more are considered at the time of evaluation after which the appropriate testing is completed. Most problems can be treated with substantial or complete resolution of pain depending on the cause.

Causes of Leg Swelling

Leg swelling is a common problem with a variety of possible causes. Commonly, patients suffer from venous insufficiency, or venous backflow across incompetent valves within the legs’ veins. This can occur within the deep leg veins or the superficial veins and may also cause symptoms such as heaviness, aching, throbbing, burning, itching, or restlessness of the legs. Ultrasound testing reveals the cause of the swelling and treatment is very effective in solving this problem for most patients. Patients may also suffer from severe leg swelling caused by compression of the large veins (iliac veins) in the pelvis which can be identified and treated with dramatic improvement in symptoms.  Other causes of leg swelling include deep venous thrombosis, congestive heart failure, kidney disease or lymphedema. All of these problems can be treated once the underlying cause of swelling is identified.

Many patients suffer from a combination of conditions causing leg pain and swelling. It is important to seek proper consultation in order to work through these causes and improve your health and well being.

If you have either of these problems, please schedule an appointment for an evaluation. Typically, patients can be seen within the week at one of our two locations: in the outpatient clinic at Salem Regional Medical Center or the Austintown Medical Building.  A physician referral is not required so make an appointment and allow me to get you back on your feet.