Varicose veins are tortuous, dilated veins often associated with incompetent valves. Symptoms of varicose veins are due to venous hypertension and may be relieved by elevation and graduated compression hosiery. Symptoms unrelieved by elevation and compression hosiery, especially overnight in bed, must be examined for other causes.
Varicose veins are tortuous, dilated veins which can often be seen and palpated near the surface of the skin. When the vein wall becomes damaged, the one-way valves controlling the flow of blood upwards toward the heart do not close properly. The improper valve closure functionality allows blood to fall backwards, and blood accumulates in the lower legs. The accumulation causes veins to enlarge, separating the valves farther and initiating more varicose veins in the leg. Signs and Symptoms of Chronic Venous Insufficiency (CVI) would include not only varicose veins but the following:
- Aching/pain/throbbing of legs
- Fatigue/tiredness of legs
- Ankle/leg swelling
- Burning or itching of the skin
- Aching/cramping especially at night
- Restless leg
- Skin changes/discoloration
- Ulcers of the legs
If you or a close family member or friend are experiencing any signs and symptoms, call Medical Vein Clinic to schedule a consultation with our vein specialists.
The causes of venous insufficiency are incompetent saphenous veins (greater or lesser). If left untreated then varicose veins may recur. In the past, the incompetent saphenous veins were stripped and ligated from the knee to the groin. Vein stripping is still done in some practices and it shows similar effectiveness over a 5 year period when compared to the EVLA and RFA procedure. Multiple studies show the new minimally invasive treatments (RFA & EVLA) have significant improvement in the early post procedure period with less pain, bruising, shorter recovery time, shorter procedure time, decreased complications, and improved quality of life advantage especially in the first 2 years. Depending on your diagnosis and treatment plan, your physician will perform the appropriate procedure. Click here for an overview of all our venous procedures.