- by Dr Mamata S.H.
- 0 Shares
- Feb 04 2017
What is varicose vein?
The vein which is dilated and elongated and in due course of time becomes tortuous in its entire length with pooling of blood, ultimately leading to various complications. These visible and bulging veins, called varicose veins, are more commonly noticed in the legs and thighs, but can develop anywhere in the body.
How do varicose veins develop?
As explained earlier, valves present in the veins normally act to ensure unidirectional blood flow within the veins (i,e towards the heart only ). This pattern is maintained by timely closure of the valve to prevent backward flow. The absence or weakness of the valves with defective prolonged opening of the valve leads to improper blood flow within the veins. The malfunctioning of the valve leads to bidirectional blood flow within the affected vein and imposes continuous pressure on the vein wall due to which the affected vein becomes dilated and enlarged. The valves of the superficial /perforator /deep veins can be affected. But clinically superficial veins and perforators are visible because of their position lying just underneath the skin. The deep veins are detected only by Doppler scanning.
Factors triggering varicose veins
Age – Throughout life the leg varicose veins increases in parallel with the age.
Hereditary – frequently have familial component. A study has reported that the risk of a child developing varicose veins was 89% if both parents have suffered, 47% if only one parent is suffered and 20% if neither of the parents had suffered from venous insufficiency.
Gender – epidemiological study report higher incidence of varicose veins in women.
Profession and Sedentary lifestyle – long periods of standing and sitting immobile promote the onset of varicose veins especially workers in operating theaters, laundries, and restaurants etc. where in the calf muscle vein pump is comparatively less affective at the end of the day.
Deep vein thrombosis - Person with the history of Deep Vein Thrombosis (DVT -clot in the deep veins) is at a highest risk of developing varicose veins. In DVT the veins get blocked by the clot formation within the vein. In due course of time the clot can get resolved completely or partially ultimately leading to poor venous flow in the deep veins. During resolving or healing process the valves within the vein get damaged and lead to secondary varicose veins. Hence prompt treatment of DVT minimizes the risk of secondary varicose veins.
-static disorders like flat foot
Vary from person to person – Asymtomatic simple visible/prominent veins to the more morbid condition of non-healing wound in the leg.
- Prominent vein/bunches of veins ( bulges) in the leg
- Aching /cramping
- Tiredness in the legs / fatigue
- Skin discoloration in the lower leg
- Non-healing/ recurrent wound in the lower leg
We decide the surgical or the conservative (non-surgical) treatment depending on the severity of the symptoms and signs
- Open surgical procedure.
- Endo-venous Laser ablation of varicose veins.
- Radiofrequency ablation of varicose veins.
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