Frequently asked questions

To the administrator

How to sign up for counsultation?

To register on the website click the Register button at the top of the homepage, fill in the required information, and confirm your email address. After receiving the registration request our administrator will respond and inform you about the next step.

 

Open the Our Team page on the website, select the doctor, and then follow the link at the bottom to access  the registration section.

To cancel or change the registration, you need to contact the administrator using the provided phone number: 093 54 12 23

Yes, Pulsmed.am offers online consultation services. Choose a doctor and register in advance for the scheduled consultation.

Yes, Pulsmed.am uses SSL certification and secure data storage methods.

To contact the support center, you can either  email the  address listed in the “Contact” section of the website or call the specified phone number: 010 23 23 22

Pulsmed.am can also be used by international users, but some services may only be provided within the territory of Armenia.

Yes, you can leave a comment about the provided medical services by following the link for reviews mentioned on the website.

Yes: The doctor’s profile includes their education, experience, specializations, and certificates.

We work with all insurance companies.

After paying on site, submit the payment receipts to your insurance company to receive reimbursement.

To the doctor

What is sclerotherapy?

 

Sclerotherapy is a non-surgical method for treating venous and vascular problems. It is used to treat varicose veins, “spider veins,” and small venules.

Mechanism of action

During sclerotherapy, a special medication called a sclerosant is injected into the affected vein. This medication works by sealing the inner walls of the vein together, which leads to its closure. Over time, the closed vein is gradually absorbed by the body and disappears, allowing blood to flow through healthier veins.

Types of sclerotherapy

  1. Microsclerotherapy for small venules and “spider veins.”
  2. Sclerotherapy for significant veins for large varicose veins.
  3. Foam sclerotherapy, where the medication is used in foam form for more effective action.

Procedure

1.The procedure lasts about 15-30 minutes.

2.The patient does not feel intense pain, only a slight sting at the time of injection.

3.Several sessions may be necessary to achieve full results.

4.It does not pose any health risks.

Advantages

1.It is non-surgical and fast.

2.It is possible to return to normal activities on the same day.

3.It provides significant aesthetic improvement.

Rehabilitation Period

 – Compression Stockings:  It is necessary to wear compression stockings for 1 to 2 weeks. – 

-Physical Activity:  Avoid heavy physical exertion for 1 to 2 weeks.

Sclerotherapy is appropriate for the early stages of varicose veins. A decision should be made after consulting with a vascular surgeon or a phlebologist.

Vascular laser surgery (for example, laser ablation of varicose veins) usually lasts 30-60 minutes, depending on the size of the vessel and the overall condition.

 

Rehabilitation Period

In the early stages following the laser intervention, patients are encouraged to get up immediately and start walking to promote blood circulation. Full recovery typically takes 1 to 2 weeks. During this time, it is important to avoid heavy physical labor while still engaging in light activities. After the surgery, the doctor will prescribe special compression stockings, which should be worn for a specific duration, usually between 2 to 4 weeks.

 

 Advice for Rehabilitation

  1. Wear compression socks as recommended by your doctor. 
  2. Avoid sitting or standing for extended periods. 
  3. Prevent strain by gradually increasing physical activity.
  4. Follow the doctor’s instructions regarding medication (if prescribed).
  5. If you experience any problems or pain, consult your doctor immediately.

 

Are there any reactions to lymphopenia?

 Yes, lymphopenic massage has a number of antidepressants that should be avoided or applied only after consulting a doctor.

 

Basic Contraindications

  1. Infectious Diseases

 – Acute infections and fever.

  1. Cardiovascular Diseases  – Heart failure.
  2. Thrombophlebitis and Vein Thrombosis – These conditions are at risk of thrombosis. 
  3. Tumors (Oncology) – Lymphedema is not permitted as it can stimulate the spread of tumor cells.
  4. Skin Issues – Includes skin damage, eczema, rashes, and inflammation
  5. Fatty Tissues – For example, abnormalities or fatty masses.
  6. Acute Inflammatory Processes – These should be avoided as well. 
  7. Inflamed lymph nodes.
  8. Pregnancy (partial contraindication): Special caution is required, especially in the abdominal area. Only proceed with permission from a doctor.
  9. Acute stages of hypertension: Lymphodrenia is prohibited during periods of pressure instability.
  10. Bronchial asthma: Additional supplements may be permissible.
  11. Acute thrombosis can lead to damage in nearby areas, potentially causing a lung embolism, which can be life-threatening.
  12. A tendency to bleed: Lymphodrenia may exacerbate bleeding tendencies.

 

Special Warnings

Lymphodrenage should only be performed by a qualified professional, as improper techniques can be harmful. If you have any doubts, consult a doctor or a physiotherapist.

Yes, lymphopenic massage has a number of antidepressants that should be avoided or applied only after consulting a doctor.

Basic Contraindications

  1. Infectious Diseases
  2. Acute infections and fever
  3. Cardiovascular Diseases  – Heart failure.
  4. Thrombophlebitis and Vein Thrombosis – These conditions are at risk of thrombosis. 
  5. Tumors (Oncology) – Lymphedema is not permitted as it can stimulate the spread of tumor cells.
  6. Skin Issues – Includes skin damage, eczema, rashes, and inflammation
  7. Fatty Tissues – For example, abnormalities or fatty masses.
  8. Acute Inflammatory Processes – These should be avoided as well
  9. Inflamed lymph nodes
  10. Pregnancy (partial contraindication): Special caution is required, especially in the abdominal area. Only proceed with permission from a doctor
  11. Acute stages of hypertension: Lymphodrenia is prohibited during periods of pressure instability
  12. Bronchial asthma: Additional supplements may be permissible.
  13. Acute thrombosis can lead to damage in nearby areas, potentially causing a lung embolism, which can be life-threatening.
  14. A tendency to bleed: Lymphodrenia may exacerbate bleeding tendencies.

 

Special Warnings

Lymphodrenage should only be performed by a qualified professional, as improper techniques can be harmful. If you have any doubts, consult a doctor or a physiotherapist.

It is essential to visit a physician to assess heart health for both prevention and early detection of potential issues. Here are the key situations in which you should consult a doctor for heart tests:

1.Regular checks

It is recommended that individuals without health problems undergo a heart test annually starting from ages 30 to 40. 

This is especially important if you have risk factors for cardiovascular diseases, which include: 

 – High blood pressure 

 -High cholesterol levels 

 -Overweight or obesity 

 -Diabetes 

 -Smoking or alcohol abuse 

 

  1. When there are symptoms

If you experience any of the following symptoms, you should consult your doctor: 

– A sensation of pain, heaviness, or pressure in the chest.

 – Shortness of breath, especially with minimal physical activity. 

– Rapid or irregular heartbeats (arrhythmia). 

– Weakness, dizziness, or occasional fainting.

 – Swelling in the feet, ankles, or hands. 

– Cold sweats and an unexplained feeling of fatigue.

 

  1. Hereditary Predisposition.

 If there is a family history of cardiovascular diseases (such as myocardial infarction, cerebral palsy, or hypertension), screenings should begin earlier, ideally around the ages of 20 to 30. 

 

  1. Pregnancy Considerations .

Particularly if there have been previous heart problems or complications during pregnancy, it’s advisable to seek medical guidance before planning for pregnancy. 

  1. Physical Activity Assessment. 

 If you are planning to engage in intensive sports or perform strenuous exercises, it is essential to evaluate your heart health in advance. This can be done through a stress test or an ECG (electrocardiogram). 

  1. Prior Heart Conditions. 

 If you have previously experienced a myocardial infarction, cerebral palsy, or any other heart issues, it is important to visit your doctor regularly to monitor the progression of your condition and ensure appropriate treatment.

 

Main research

The doctor can prescribe the following examinations:

  1. Electrocardiography (ECG)
  2. Echocardiography (ultrasound examination)
  3. Laboratory tests, , including a lipid profile to measure cholesterol levels
  4. Blood pressure measurement .

Holter monitoring and continuous blood pressure monitoring can help detect changes in heart rhythm, nutrition, and blood pressure throughout the day, particularly during physical activity. If you have any concerns or experience troubling symptoms, it is advisable to consult a specialist promptly to prevent potential issues.

Densitometry is a safe examination as it utilizes very low-dose X-rays or other technologies, such as ultrasonic methods, which are considered to have minimal impact on health. This technique is commonly used to assess bone mineral density and to diagnose early issues related to osteoporosis and other bone conditions. Globally, X-ray densitometry is recognized as the most reliable method for measuring bone density and is considered the gold standard for diagnosing osteoporosis. In recent years, newer devices have been developed that can scan the mineral density of bones throughout the entire body.



Why is Densitometry safe?

1.A Very Low Dose of Radiation

The level of X-rays used in densitometry is significantly lower than that used in standard X-ray examinations. The radiation dose is comparable to the natural background radiation one would experience over the course of 1 to 2 days. 

2.*Safe for Most Individuals.

 The examination is painless, non-invasive, and typically takes only 10 to 20 minutes. 

3.Suitable for All Age Groups.

 Densitometry is especially valuable for diagnosing bone loss in middle-aged and older adults. 

Contraindications

Although density scans are generally safe, there are certain situations in which it is advisable to postpone the procedure or consider alternative methods.

1.Pregnancy—even low radiation is desirable to avoid examination. If you have undergone an X-ray or stomach endoscopy before a scan, you should report to your doctor in advance.

2.If you have had an X-ray contrast examination or gastric endoscopy prior to this examination, please inform your doctor in advance.

 In some cases, ultrasonic densitometry may be available as an alternative. This method does not involve radiation, but please note that the results may not be as accurate.

If you have doubts or a special health condition, it is important to consult a doctor beforehand to understand whether densitometry is suitable for you.

A therapeutic massage with osteoporosis is possible, but it should be carried out with caution and only by a specialist since a wrong method or too strong massage can damage the delicate and vulnerable bones.

The Benefits of Massage in case of Osteoporosis

Therapeutic massage can help:

1.Relieve muscle tension.

2.Improve blood circulation, which is important for bone nutrition and tissue restoration.

3.Relieve pain, especially in the back, neck, or joints.

4.Improve mobility and reduce stiffness.

5.Relieve stress.

Yes, kinesiotherapy (movement therapy) can be very effective in the case of chronic pain in the back and neck. It is aimed at eliminating the cause of pain, improving mobility, and strengthening muscles, without focusing on symptomatic treatment.

 

How kinesiotherapy helps

1.Strengthening of muscles

Helps to strengthen common muscles of the back, neck, and body, which relieves tension and reduces pain.

2.Improved flexibility and mobility

Special kinesiotherapy exercises help restore joint mobility and spinal flexibility.

3.Restoration of muscle balance

It corrects the uneven strength of the muscles, which often causes pain.

4.Blood circulation promotion

Improves blood flow to the affected areas, contributing to the decrease of inflammation.

5.Regulates posture and prevents the occurrence of spinal hernias and, if available, does not allow the growth and effect of nerve fibers

Teaches how to sit properly, stand, and move to avoid pain in the future.

The Benefits of Kinesiotherapy for Chronic Pain

A non-drug approach without side effects.

Adapts to individual needs and physical condition.

Helps to avoid the recurrence of problems in the future.

Before undergoing an ultrasound examination of the urinary tract, it is important to consult a doctor and adhere to their instructions for preparation.

If the thyroid node is large or appears suspicious, the doctor may recommend frequent monitoring, typically every six months or annually. An ultrasound of the thyroid gland should be performed at least once, and in some cases, several blood tests may be needed to assess hormone levels. Regular examinations and medical consultations are essential according to the plan outlined by the doctor.

Echocardiography and electrocardiography (ECG) are two distinct methods used to assess heart health. They rely on different technologies and serve various purposes. Therefore, in a cardiac consultation, the results from ECG are particularly important.the 2nd are very important.

1.Echocardiography (Echocardiography).

It  refers to the study of the heart’s structure and function using sonar waves, which are high-frequency sound waves. This examination enables the evaluation of the heart’s chambers, blood vessels, valves, and other regions, while also providing information about the surface area of the heart muscle.

Echocardiography can detect various heart diseases such as bacterial infections, heart failure, valve diseases, etc.

2.Electrocardiography (kg):

Electrocardiography (ECG) uses electrical impulses to assess the heart’s electrical activity. This activity is recorded by an ECG device, which measures the heart’s rhythm, rate, and any disturbances in its electrical system. The ECG is particularly effective in detecting heart rhythm disorders, such as those caused by an artificial pacemaker or arrhythmia, as well as conditions like myocardial infarction.

Short difference:

Echocardiography focuses on identifying structural issues within the heart, whereas electrocardiography examines disorders related to the heart’s electrical rhythm and function. Echocardiography produces visual images of the heart, while electrocardiography generates linear records of electrical activity (the electrical waves). These two methods are frequently used in tandem to provide a comprehensive evaluation of heart health.

Anxiety disorders typically do not cause heart attacks; however, they can greatly impact the quality of life for patients, particularly those with existing cardiovascular issues. As a result, individuals with anxiety disorders are encouraged to consult a cardiologist and pursue appropriate therapies. This approach can help enhance their emotional well-being and ensure effective treatment.to improve their psycho-emotional condition and to provide a high degree of treatment.

Holter monitoring is a continuous recording of a patient’s electrocardiogram (ECG) and blood pressure that lasts for 24, 48, or 72 hours. This method allows for the detection of heart rhythm disorders, provides important information about myocardial ischemia (malnutrition), and shows fluctuations in blood pressure over the specified periods.

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