By far the commonest reason for venous insufficiency and varicose veins is valve failure.
Varicose veins are enlarged, tortuous veins seen in the legs and feet.
They may occur as small spider veins, or may become extremely enlarged. It is estimated that almost 40% of people above the age of 50 years may have some form of varicose veins.
In the vast majority of patients these veins cause no discomfort or pain, although they be potentially harmful.
By far the commonest reason for venous insufficiency and varicose veins is valve failure which can result from inherited valve defects (most common); hormones (e.g. in pregnancy); trauma, previous thrombosis or weak calf muscles.
Once one valve is damaged allowing reflux through it this causes the vein below to stretch.
This causes the next valve down to be pulled apart and also fail, leading to a domino type effect with more and more valves failing and eventually a varicose vein becomes prominent.
Symptoms can not be ignored. If you have any of these symptoms. Its time to take it serious and get it treated.
The earliest stage we cure it, the lesser pain and cost we spent on the treatment.
Stage 1: This describes disease that occurs in tiny veins in the skin. The dilated veins and capillary vessels are called telangectasias and are more commonly called “spider veins.” They occur in 40% of woman and 18% of men. The mildest form of vein disease; over half of the population has symptoms associated with this vein disease stage.
Stage 2: This is the classification for varicose large dilated superficial veins. This is the stage in which people often become aware of vein disease. Over 75% of people with this stage of vein disease have symptoms that interfere with their lives.
Stage 3: Slightly more advanced vein disease causes swelling of the legs. The backflow in the venous system interferes with the body’s ability to reabsorb fluid leading to swelling of the leg. This swelling resolves at the end of the day when legs are elevated. Vein disease is the most common cause of leg swelling.
Stage 4: Over time the venous congestion leads to changes in the skin. The skin becomes thinner and discolored to reddish brown or whitish in color. At this vein disease stage the skin is easily injured and heals slowly.
Stage 5: These are the most advanced forms of superficial vein disease. Venous ulcers are caused by venous congestion that has progressed to point that it interferes with ability for blood flow to provide nutrition to skin. This makes any skin injury heal very slowly, if at all. Without treatment of the underlying vein disease, 20% of these ulcers remain unhealed at 2 years. “Class 5 Vein” is used to describe legs with healed venous ulcers.
An examination of the legs by our experienced staff is all that is required to diagnose varicose veins.
This examination uses a small, noninvasive ultrasound machine to detect the blood flowing in the varicose veins. There is no need for X-rays or blood tests.
An ultrasound machine takes pictures of the veins and can show their performance in various locations. This is done to ensure that the appropriate treatment can be planned.
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