Varicose Veins

A 28 year old female had been suffering from last 2 years pain in legs after prolong standing and pain gets relieved when she lay down on the bed and raises her legs. Kindly comment on the line of management? What all treatment options are available? Should go for conservative or surgical treatment?

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As Color Doppler reported as insufficiency of superficial veins of both limbs suggestive of varicose veins of both lower limbs. Pt gets pain while after long standing due stagnation of venous flow due incomplete closure of the venous valve leading to regurgitation of venous blood flow and visible engorgement of veins. Aviod long standing To keep limb in elevated position while resting Exerscises to improve venous return Compressive stocking to use It not releived Surgical procedure A. Local sclerosing injection locally B laser surgery C. Stripping of veins and ligation .

IT'S A..CASE OF.. ? VARICOSE VEINS.. ? VASCULOPATHY.. IN SUCH CASES.. LONG STANDING .. HEAVY WORK .. LEADING TO PAIN.. NEED'S.. * ELASTIC STOCKINGS.. * AVOID.. LONG STANDING..AND OTHER.. EXAGGERATING FACTORS.. * COLOUR DOPLAR STUDY.. * SYMPTOMATIC T/T.. * VASCULAR SURGEONS OPINION FOR FURTHER MANAGEMENT

Tnx &wc Dr Ajeet Singh
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Operation is better if bleeding ulcer color changes pain ligation avulsion ablation new glue otherwise leg raising varicose stocking in day dobesil500 mg tds

As the patient is young, should be considered for minimal invasive ultrasound guided sclerotherapy to correct the incompetent perforators Experts opinion please

Non healing wound in case of venous insifficiency Good result of Jatyadi tail+tankan+ZnO2 localy use

It’s Varicose Vein Elastic stocking If not relived approach is surgical