Varicose veins are part of a spectrum of chronic vein problems.
The range of severity is considerable and while they are responsible for significant discomfort and potential skin breakdown in the leg, the symptoms are not always directly related to the size of the abnormal veins.
By definition, the varicose vein is a dilated and tortuous channel vascular varicoseza least 4 mm in diameter. In the most simple form, they may appear as prominent or bulging blue protursions under the skin of the leg.
In more advanced or severe cases, there may be permanent discoloration of the skin, a change in texture of the skin and ulceration. What causes Varicose Veins? In almost all cases there malfunction of valves at critical junctions of the venous system allowing wrong way flow of blood down the leg in the opposite direction through which veins were intended to conduct the flow of blood.
The valve malfunction is often a spontaneous problem, not generally related to injury or occupation. Varicose veins may become visible after an episode of phlebitis DVT, Vascular varicoseza Vein Thrombisis as a result of destruction of the valves by the clotting process. It is important to document these problems in the evaluation of varicose veins and the selection of a treatment plan.
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What are the symptoms of Varicose Veins? Seventy percent of people will complain of pain heaviness, aching in the affected leg. Itching is also common and nocturnal itching or burning is commonly described vascular varicoseza the legs become swollen during the day.
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- You may have no symptoms.
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Localized pain and tenderness will be quite severe if the varicose veins clot causing a superficial phlebitis. This is often associated with some redish discoloration.
Home Vascular Care Varicose Veins Varicose veins swollen, twisted veins you can see under your skin typically in the feet and legsare generally benign, meaning it's not really harmful, just cosmetically not appealing. They can however, cause heaviness and tiredness in the legs, burning and tingling, swelling and throbbing. Up to 55 percent of women vascular varicoseza 40 percent of men suffer from this condition. Varicose vein disease occurs when the superficial veins stop working properly. Rather than the blood returning back to the heart in a normal fashion, the blood flows backwards and pools in the legs.
Skin changes in some cases can resemble exzema. Some individuals will comment that their legs do not bother them despite rather well developed varicosities but often find that post treatment they realize the leg actually feels better having eliminated the problem.
- Refer people with bleeding varicose veins to a vascular service immediately.
- These veins usually occur in the legs; however, they can also form in other parts of your body.
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Diagnosis and tests for Varicose Veins Evaluation of vascular varicoseza disease including varicose veins is best carried out by a professional trained in the evaluation and management of the entire spectrum of venous insufficiency. As well as a thorough physical examination, the optimum current practice should include an ultrasound evaluation of the venous system of the leg s to check for obstruction and reflux wrong way flow of blood. Rarely a more invasive test using a catheter based injection of dye venography is needed to complete an assessment.
Lifestyle modification for Varicose Veins The calf muscles are the pump that push blood out of the leg and back to the heart. Movement is good and use of the calf muscles reduces the pressure build up in the veins. Avoiding prolonged sitting is desirable and avoidance of standing still is important.
Any vascular varicoseza should be deferred in women planning future pregnancy. Non-surgical and medical management for Varicose Veins The use of compression stockings is highly recommended in order to reduce symptoms and slow the progression vascular varicoseza the problem. Knee vascular varicoseza stockings meet with more success than over the knee simply because they deal with the most common areas affected and are easier to wear and keep in place than thigh high stockings.
Veins are the soft, thin-walled tubes that return blood from the arms and legs to the heart. Because veins work against the force of gravity, they have valves that allow forward blood flow, but not reverse.
While there are no medications that shrink or repair varicose veins there is evidence that horse chestnut extract Venastat can reduce the symptoms of pain related to the varicose veins.
Guidelines for Intervention vascular varicoseza Varicose Veins There is a tendency to regard varicose veins as a benign, almost cosmetic problem but the level of pain and impact on quality of life that has been assessed would suggest that treatment of varicose veins associated with reflux in the superficial and or deep veins benefits from an active treatment plan.
Although treatment is recommended, there are many options that have developed over the years lending confusion to the situation. Not all treatment methods are equivalent so they should not be considered vascular varicoseza alternatives or preferences. Treatment should be guided by the clinical and ultrasound findings.
The most important principle is to eliminate the reflux or wrong way flow of blood. Surgical treatment for Varicose Veins The traditional stripping operation eliminates the reflux of blood through the long or short saphenous vein and has proven to be the most thorough and durable method of control for many years.
What are the possible Treatments? Walking, running, cycling and swimming are all beneficial. Walking is the simplest to do and using the calf muscles directly pushes blood up the veins of the leg improving the circulation. AVOID standing still for long periods of time. Any elevation will help but if you can raise the feet above the level of the heart chest this will be particularly beneficial.
Less aggressive options have a much higher chance of failure and recurrence of the problem. At the same time most surgeons will remove many of the visible varicose veins referred to as phlebectomies or Stab avulsions.