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Besides cosmetic problems, varicose veins
are often painful, especially when standing or walking. They often itch,
and scratching them can cause ulcers. Serious complications are rare.
Non-surgical treatments include sclerotherapy, elastic stockings,
elevating the legs, and exercise. The traditional surgical treatment is
vein stripping to remove the affected veins. Newer surgical treatments are
less invasive but have not been tested as thoroughly. Since most of the
blood in the legs is returned by the deep veins, and the superficial veins
only return about 10%, they can be removed without serious harm.
Varicose veins are distinguished from reticular veins (blue veins) and
telangiectasias (spider veins) which also involve valvular insufficiency,
by the size and location of the veins.
Varicose Veins Symptoms
- Aching, heavy legs (often worse at night
and after exercise)
- Ankle swelling
- A brownish-blue shiny skin discoloration
around the veins
- Skin over the vein may become dry, itchy
and thin, leading to eczema (venous eczema)
- The skin may darken (stasis dermatitis),
because of the waste products building up in the legs
- Minor injuries to the area may bleed
more than normal and/or take a long time to heal
- Rarely, there is a large amount of
bleeding from a ruptured vein
- In some people the skin above the ankle
may shrink (lipodermatosclerosis) because the fat underneath the skin
becomes hard.
- Restless Leg Syndrome. Restless Leg
Syndrome appears to be a common overlapping clinical syndrome in
patients with varicose veins and other chronic venous insufficiency.
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