What are Varicose Veins?
In the legs there are deep veins found buried under layers of muscle, superficial veins that are closer to the skin, and perforating veins which connect the deep and superficial veins. Normally, valves in the perforating veins allow blood to flow in a one-way direction from superficial to deep. This allows all of the blood to be shunted into the deep veins, and then brought back to the heart to be re-circulated through the body.
When someone has varicose veins, there is a problem with the valves in the perforating veins. This causes blood to pool and remain in the superficial veins, which increases the pressure within the veins. The veins are capable of stretching, which makes them visible through the skin. When you’re looking at someone’s varicose veins (maybe your own!) you are viewing the blood within the superficial veins.
How are they treated?
The main goal of treatment of varicose veins is to bring the pooling blood out of the lower extremity. This may include elastic stockings or other compression device to help the veins gather enough pressure to return the blood back to the heart.
Surgical treatment includes stripping the veins, which may or may not include laser therapy. This eliminates the veins, so that the blood is forced to return to the heart through a different vein. This can eliminate a varicose vein that has already formed, but does not prevent new ones from forming.
What are the symptoms? Are they painful?
Varicose veins are usually not painful, especially in minor cases. However, the pressure of blood remaining in the superficial veins can cause discomfort. For this reason, as well as aesthetic reason, many people opt for surgical intervention to remove the affected veins.
Are Varicose Veins dangerous?
Generally, varicose veins are not a dangerous condition. Primary varicose veins are caused simply by faulty valves in the perforating veins. You may be predisposed to varicose veins based on heredity or an occupation that requires you to stand all day. Women are three times as likely as men to develop varicose veins, and they can be brought on by pregnancy as well.
Varicose veins may also be indicative of a more serious condition, known as deep vein thrombosis, or DVT. These are secondary varicose veins that are caused by a blockage within the veins. It is important to show your doctor any new varicose veins, as they should be able to diagnose a more serious underlying condition.
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