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Varicose Vein Center                                   

                 Causes and Risk factors                   Signs and symptoms             

                 Complications                                     Treatment

                 Prevention                                             Frequently asked questions                

 

 

Varicose veins are enlarged superficial veins that are swollen and  twisted raised above the skin surface .They are dark blue or purple become more prominent while standing up during walking or in upright position.

Varicose veins are very common in united states affecting 15% of men and up to 25% of women.

Exercising, losing weight, elevating your legs when resting and not crossing them when sitting as well as avoiding long periods of standing can help.

 

CAUSES AND RISK FACTORS

Veins return the blood from rest of the body to your heart .to return your blood to your heart the veins in your legs must work against the gravity. The muscles in your legs help squeeze the veins so the veins can return the blood to the heart The valves in the veins prevent the blood in the veins prevents from falling back as it moves up the legs.

If these valves become weak, blood can leak back and create a condition called venous insufficiency. The pooled blood in the vein further stretches the vein ,your veins become enlarged and varicose.

Age

Aging causes wear and tear in the valves further contributes formation of varicose veins.

Gender

Women are more likely to develop the varicose veins. Hormonal changes during the pregnancy, premenstruation, menopause may be a factor. Female hormones tend to relax the walls of the veins more.

So birth control pills may be a contributory factor for the varicose veins.

Hereditary

If your parents or grand parents have this problem you are at increased risk as genetics play an important role in formation of varicose veins.

Pregnancy

In addition to increase in blood volume during pregnancy there are tremendous hormonal changes which contributes to vein enlargement which ultimately leads to varicose vein formation.

Obesity

Increase in weight causes increase in abdominal pressure which can add trauma to your leg veins could be a contributory factor for varicose veins.

 

 

SIGNS AND SYMPTOMS

Some people may not have any symptoms other than visual appearance of purplish knotted veins in the legs. But most of the patients may experience some of the following symptoms

  • Aching, ankle swelling as well as heavy legs.

  • Brown/bluish discoloration around the veins

  • The skin around the ankle may darken {stasis Dermatitis}

  • Swelling and throbbing

 

COMPLICATIONS

Extremely painful ulcers may develop particularly near the ankles. These ulcers are the results of long standing fluid retention in the tissues. Inflammation of the veins ultimately may lead to a blood clot formation known as thrombophlebitis which needs medical condition.

 

TREATMENT

Self help measures include exercising ,losing weight, elevating your legs, avoiding long periods of standing and wearing stockings ,can ease the pain and prevent varicose veins getting worse and avoid clothing which limits use of calf muscles (not wearing the tight clothing and high heels).

If self help measures fail and if your condition is more serious then your doctor may advice one of the following treatments.

Sclerotherapy

Sclerotherapy is a procedure done in the doctor’s office where we inject a solution that used to treat the small version of varicose veins (spider veins)

Spider veins are commonly found in the legs usually resemble spider web or a branch of tree. They can be red or blue. These spider veins are not a medical problem but may be a cosmetic concern. sclerotherapy is effective and doesn’t need anesthesia.

Laser Surgery

Laser treatment is minimally invasive procedure offering  the latest advance in the treatment of varicose veins. During this procedure the doctor inserts a thin tube {catheter} into an enlarged vein under ultrasound guidance and this catheter send strong bursts of laser energy into the veins which kills the diseased portion of your varicose  veins so these varicose veins  fade and disappear. No incisions are made during the procedure. The whole procedure will take less than an hour and patient can return to normal activities on the same day and can return to activities on the next day. Most of the patients experience improvement in symptoms right after the treatment.

Surgery (Vein stripping)

It is generally performed in the operating room often with general anesthesia and involves 2 incisions .The vein is tight and removed out of the leg. There is higher incidence of recurrence of varicose veins with this kind of treatment.

PREVENTION

There is no way to completely prevent the varicose veins .But improving your circulation, muscle tone, reducing the weight wearing loose clothes, avoiding heels, Avoiding long periods of standing or sitting  you may reduce the incidence of varicose veins.

 

FREQUENTLY ASKED QUESTIONS

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