Varicose Vein

Varicose Vein Definition: Enlarged, swollen, twisted veins blue or dark purple or red in colour are called varicose veins veins or varicosities. Spider veins, or thread veins, are smaller than varicose veins. They're usually red. They may look like tree branches or spider webs. Spider veins also called telangiectasis can usually be seen under the skin, but they do not make the skin bulge out like varicose veins do. Spider veins are usually found on the legs or the face. Causation: 1-There is fault in valve which prevents back flow of blood toward the heart and ultimately veins become enlarged, twisted. 2- Due to weakness of the valves veins become weak and results in back flow of the blood. 3-Generally valves in the veins are one way valves so when there is any obstruction, blood flow through these valves becomes stop and veins become twisted and enlarged. 4-During pregnancy and menopause varicose veins also develop. 5-Obese persons have greater chance to get varicose veins. Clinical Features: 1-veins look enlarge, twisted and bulging. 2-veins are dark blue or purple in colour. 3-Aching pain getting worse when standing for a long time. 4-Legs feel heavy after exercise & at night. 5-Any injury to the affected area may cause bleeding & does heal quickly. 6-Tiredness & restlessness in legs. 7- Treatment: Treatment will come only when patient has discomfort with his varicose veins. And various treatments are available but all those treatments are either for the time being or temporary. 1-Surgery: is one of the option to treat Varicose veins. But by surgery either we have to close or remove the varicose veins. Its done under general anaesthesia. 2-Compression Stockings: It generally used for a time being relief. A pressure applied on varicose veins by this compression stockings leading to blood from from legs. 3-Sclerotherapy: In this type of treatment a chemical is injected into the affected veins to fave away the twisted veins and ultimately scar formation done. Its generally for the smaller veins like spider veins. But this is not widely used as it can give rise to certain side effects related to heart. 4-Ligation: Ligation is also used to treat the varicose veins. Sometime it may result in bruising, bleeding & pain and in rare cases deep vein thrombosis. 5-Radiofrequency Ablation: This is generally for large varicose veins. A prob able to able to emit radiofrequency energy that heats up the veins and its walls collapse and it gets closed. It is done under local anaesthesia. Highly Risk Persons: 1-Pregnant women 2-Obese persons Complication: 1- When varicose veins may rupture, it develops varicose ulcer and this needs a quick treatment. 2- Chronic Venous Insufficiency when not treated for a long period of diagnosis. Management: Inspite of above mentioned treatments available there are also some things that everybody can do to prevent the spreading of Varicose veins. 1-Exercise: Regular exercise is the one the best thing that anyone can do to prevent further complications and would be managed in better way. It helps to push the blood collected in veins. Low impact exercises are the best one like swimming, cycling, walking. 2-Loose clothings: Tight clothings are may cause the obstructions in the blood so always advised to wear the loose fittings clothes. Flat wearing shoes in place of high heels can also help in varicose veins. 3-Elevation of Legs: We should keep our legs elevated at same height of heart or above it and by doing this stagnated blood flow back towards the heart and ultimately help the varicose veins. 4-Massage: Gentle massage over the affected area may help to make blood flow through the veins. 5-Keeping Moving: Do not sit for a longer period of time & even with crossed legs. After sitting for a long time keep legs moving for a certain time and it will not stagnate the blood in veins so we would not have varicose veins. Investigations: 1-Sonography-Its done under high frequency sound waves to find out how blood is flowing in the affected veins. 2-Venogram: Its done after injecting a special dye so dr can see the obstruction in flow and find out the cause for swelling, pain and if there is any blood clot or not. Frequently Asked Questions: 1)Why do spider veins mostly appear on face? -Because of increased pressure the tiny blood vessels burst and ultimately veins becomes twisted & enlarged to form spider veins. -This happens also due to long time exposure to sun and it damages the blood vessels. 2)Why does varicose veins appear mostly in pregnant lady, obese person & menopausal women? -Due to obesity the is extra weight that body is carrying and for that extra circulation needs be done so there is a extra pressure on the valves of veins so when it becomes weak enough to cary that extra blood circulation, ultimately it fails to blow flow of blood to heart and veins become twisted & enlarged to form varicose veins. And same as in Pregnancy also. In case of menopause women there is decreased in hormones level especially estrogen & progesterone and it cause the weakness of wall of blood leading to faulty function of valves so blood get collected in veins & ultimately varicose veins develop.



Thanks Doctor for useful information... Cauliflower ... from the brassica family...helps in this...I learnt from Dr.Saheb Darius Homi Umrigar... with /under whom I worked

Nice informative post Doctor

Nice post

Nice Informative post

Thanku sir nice info in short

Thanks Doctor

So informative

Thanking you sir

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