Varicose veins are enlarged, discolored veins. They appear
swollen and twisted. Varicose veins are typically 3 millimeters or more in diameter.
They are commonly found on the backs of the calves or on the thighs. Varicose
veins are often painful and itchy. Scratching them can cause open sores to
appear. Varicose veins occur more frequently with women than men and with
people over the age of 50. Despite the best efforts of researchers, the exact
cause of varicose veins still remains a mystery, but there are some theories.
A person who is overweight passes the additional weight in
the abdominal muscle to the leg veins, which causes the veins to enlarge. In
most cases varicose veins are found in the legs, which suggests that this condition
comes from standing for long periods of time.
Veins have valves that prevent the blood from flowing
backwards as it moves up the legs. In a varicose vein, however, these valves fail
or become weak and result in blood going away from the heart and leaking back into
the vein and collect there. This pooled blood enlarges and stretches the vein
and it becomes varicose.
Weak vein walls can cause the vein to stretch and this can
cause the vein valve to malfunction. This tends to occur with women who are
pregnant, or on their period, because they produce hormones that can weaken the
vein walls.
It appears that varicose veins are hereditary. Studies have
shown that people who have family members that have varicose veins are more likely
to get it. Weak veins and walls may also be inherited characteristics.
Arterio-Venous shunts can weaken the vein walls because it
helps bypass the capillaries, which keeps the high blood pressure of the arteries
from overwhelming the veins. The hormones created during puberty, pregnancy and
menopause can create Arterio-Venous shunts.
Researchers have not been able to determine a cure for varicose
veins, but there are treatments that can alleviate some of the problems of varicose
veins.
Surgery can be used to treat severe varicose veins. This
technique is called vein stripping. This is usually done under local or partial
anesthesia. This surgery involves inserting a flexible implement through the
varicose vein. When the implement is taken out, the varicose vein is removed with
it.
There are two endovenous procedures that can be used to
remove severe varicose veins in the legs or thighs. These techniques are less invasive
than vein stripping and do not require an overnight stay. Both procedures require
the insertion of a device inside the varicose vein. The endovenous radio frequency
closure procedure uses a catheter to transmit radio frequency energy to seal
the varicose vein. The endovenous laser procedure uses a diode laser to transmit
laser energy to seal the varicose vein. in both cases, the varicose vein will
turn into scar tissue and eventually fade away in several weeks. After either
procedure, a person could resume his or her normal routine the very next day.
The most common treatment used to eliminate severe varicose
veins is sclerotherapy. This procedure requires no anesthesia and does not require
an overnight stay. A solution such as sodium tetradecyl sulfate, hypertonic saline,
or aethoxyskerol is injected into the varicose vein. This solution will seal
the vein walls and stop the blood flow. Then the varicose vein will turn into
scar tissue and eventually fade away in several weeks. Additional treatments
may be required for some cases.
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