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Varicose veins

Also known as Varicose Vein, Varices, Varix, Phlebectasia, Venous Ectasia, and Enlarged Tortuous Blood Vessel

Vericose veins are veins that have become enlarged and tortuous. The term commonly refers to the veins on the leg, although varicose veins can occur elsewhere. Veins have leaflet valves to prevent blood from flowing backwards (retrograde flow or reflux). Leg muscles pump the veins to return blood to the heart (the calf muscle pump mechanism), against the effects of gravity. When veins become varicose, the leaflets of the valves no longer meet properly, and the valves do not work (valvular incompetence). This allows blood to flow backwards and they enlarge even more. Varicose veins are most common in the superficial veins of the legs, which are subject to high pressure when standing. Besides being a cosmetic problem, varicose veins can be painful, especially when standing. Severe long-standing varicose veins can lead to leg swelling, venous eczema, skin thickening (lipodermatosclerosis) and ulceration. Life-threatening complications are uncommon.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with varicose veins, 65% report having skin lesion, 50% report having leg pain, and 26% report having peripheral edema. The symptoms that are highly suggestive of varicose veins are skin lesion and lymphedema, although you may still have varicose veins without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with varicose veins often receive wound care management, complete physical skin exam performed (ml), ultrasonography, traction; splints; and other wound care, debridement of wound; infection or burn, application of splint, excision and examination of foot .

Common Medications

The most commonly prescribed drugs for patients with varicose veins include collagenase topical, mupirocin topical, petrolatum topical, silver nitrate topical each, collagen, cellulose, becaplermin topical, sodium tetradecyl sulfate (sotradecol), balsam peru/castor oil/trypsin topical, cilostazol, zinc oxide topical, insulin isophane (humulin n) and octreotide .

Who is at risk?

Groups of people at highest risk for varicose veins include age 75+ years age 60-74 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get varicose veins.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.1x
30-44 years
0.7x
45-59 years
1.5x
60-74 years
2.2x
75+ years
2.4x

Sex

Male
1.0x
Female
1.0x

Race/Ethnicity

Black
0.6x
Hispanic
0.8x
White
1.2x
Other
0.7x
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