Vascular Surgeon Questions Raynaud's Disease

I have been diagnosed with Raynaud's disease. Can it be treated with surgery?

I have recently been diagnosed with Raynaud's disease. Can a vascular surgery help me treat this condition?

10 Answers

Raynaud's disease is a vasospastic disorder of the small blood vessels of the fingers or toes. Generally speaking, it is not treated with any surgery. It can respond to treatment with some medications including calcium channel blockers or migraine medications. Reducing stress, nicotine, and exposure to cold all can help with the discoloration and spasm of the small blood vessels in the extremities.

KathyLee Santangelo, MD
The most common treatment for Raynaud's disease, assuming he really have it, is medically usually with what is known as calcium channel blockade. He will also need to avoid the circumstances that can induce the spasm. This usually means keeping her hands warm, avoid vibratory tools, avoid caffeine, anything that can constrict the arteries. If this is in your feet, the same applies. On rare occasions if you begin to have tissue loss then denervation of the arteries in either the hand or feet is the more modern treatment but it is difficult to find someone to do this operation. In the past we would do sympathectomies of the larger nerves and either the lower back if it involved the legs or the upper chest if it involved the arms.
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There is no surgery for this condition.
The treatment options are avoiding stress and cold and calcium channel blocker if you can tolerate the medication.
Best medical treatment is a calcium channel blocker and avoidance of cold
Yes but that is not first line therapy typically
No. Raynauds phenomenon is a vasospasm of small blood vessels in the hands and feet. It is brought on by stress, cold, or medications, or sometimes environmental factors. It is not treated with surgery. Removing the stimulus is usually the treatment, and in rare severe cases, blood pressure medications may be used to break the spasm.
Raynaud's can be well controlled with medical management and surgery is almost never needed. Nice gloves for winters and calcium channel blockers are ususally enough.
Medical treatment is the first and probably all that’s required
Segery like cervical sympatectomy and
surgical debridement and distal amputation for very severe and advanced disease
No
Raynaud’s disease is small vessel occlusive disease of the upper extremity that can cause loss of the fingers. Raynaud's syndrome is similar, but very different in terms of tissue loss. It’s important to distinguish between the two. Vascular surgery may help Raynauds disease, but not raynauds syndrome.