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What is the permanent solution for varicose veins in the leg. My uncle was treated for varicose veins in the legs with sclerotherapy but there is recurrence again and again. Can laser be dose in lower leg veins or in thigh only. Also sclerotherapy is very painful for him. It is not helpful after some period of time. What Medicines should be taken and what are the preventive measures. please give your opinions regarding the treatment. Thanks.
I've varicose veins, I don't want to do operation because can't feel any pain from varicose vein, is it ok to not do operation?
Varicose veins are a condition marked by enlarged or gnarled veins. This typically affects the veins in the feet and legs. In most cases, varicose veins are a mere cosmetic concern but in some cases, it can be quite uncomfortable and painful. If left untreated, it can also lead to further complications.
Varicose veins may be caused by a lack of elasticity in the veins causing blood to pool in them and flow back-wards. This blood is deoxygenated and hence the veins appear blue. Women have a higher risk of suffering from varicose veins as compared to men. This risk also increases with age and weight. Pregnancy can also cause varicose veins. The most common symptoms of this condition are:
- visible veins just under the surface of the skin
- veins that appear blue and gnarled
- a dull ache in the legs
- throbbing or burning sensation in the calves
- pain in the legs that worsens after standing or sitting in the same position for a long time
- itching around the veins
- bleeding veins
- inflammation of the skin or ulcers around the ankles
- red or blue spider veins
Varicose veins can be treated with simple home remedies. Keeping the legs raised or wearing compression stockings can relieve the pain associated with varicose veins and prevent the condition from worsening. Exercise can also help improve blood circulation. If these home remedies are not effective, the patient may need to consult a doctor.
Varicose veins cannot be completely prevented. However, an individual can reduce the risk of suffering from this condition. Regular exercise and maintaining a healthy weight is crucial to do this as being overweight can increase the pressure on the legs and hence aggravate varicose veins. Women with a family history of varicose veins should also avoid wearing high heels and tight stockings.
Complications caused by varicose veins are rare. However, some people may experience bleeding on the surface of the skin. There are chances that the veins deep inside the muscle may get twisted which may lead to the swelling of the calf muscles. Varicose veins may also cause painful ulcers around the ankles and is a result of the buildup of fluid around the ankles.
All the complication must be reported to the doctor at the earliest to prevent the condition from worsening.
Blood flows through the tubes called as blood vessels. There are two networks of blood vessels – the arteries and the veins. The arteries carry pure or oxygenated blood from the heart to the various parts of the body. The veins, on the other hand, collect impure blood from all over the body and reach it to the heart. Blood flow in the veins is controlled via valves, which ensure blood does not flow in the reverse direction (against its desired direction of flow). The veins in the legs, which are farther from the heart, are quite thick and exert extra pressure to pump blood into the heart. They need to transport blood against gravity and so in people who are prone to stand for long hours, they can become thicker, swollen, twisted, and engorged. In severe cases, there could even lead to bleeding.
Some common causes for varicose veins are:
- Damaged valves which are not able to control the flow of blood in the required direction.
- Veins with a thin wall that are unable to control blood flow.
Risk factors: Though these are the suspected causes, there are specific risk factors which aggravate the condition of varicose veins.
- Family history
- Occupations which require prolonged standing (construction jobs, painters, etc.)
- Age, which reduces the elasticity of the veins
- Surgery in the leg, which could have hampered the values or veins
There are quite a few symptoms of varicose veins. These are quite distinct and present as:
- Swollen, ropy leg veins which can be blue
- Pain, especially with prolonged standing
- Tenderness on touching the veins
- Itching and heaviness along the veins
- Skin changes like scaling and dryness
- Night cramps around the area
- Susceptibility to bleed from these veins
While varicose veins are easy to diagnose given their distinct clinical presentation, some additional testing can involve the following:
- Doppler ultrasound
As said, prevention is better than cure; here are some preventive measures that can be really helpful:
- Elevate legs as much as possible. When working, take short breaks to reduce stagnation and promote blood circulation
- Quit smoking
- Avoiding alcohol, as it causes venous dilation
- Weight management
- Avoid tight clothing and sitting with cross-legs for prolonged periods as they put a lot of pressure on the veins and valves
- Follow a regular exercise regimen to improve blood flow in the legs, like walking or running
Starting from the least invasive to the most, this condition can be treated by:
- Compression stocking (Ted hose or Jobst stocking) which improves circulation and reducing pain
- Surgical options include sclerotherapy, laser treatment, and stripping off the vein. These are done in very severe cases, but quite rare.
In case you have a concern or query you can always consult an expert & get answers to your questions!