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The term “varicose vein” describes the full range of venous disorders: spider veins, reticular veins, and varicose veins. They are quite common, occurring in about 20% of men and women. Its symptoms include inflammation, fatigue in the legs, pain, itching, burning, and tenderness.
Basically they are due to incompetent vein valves that allow the blood to backflow and pool in the lower parts of the leg. If left untreated, pressure builds inside the veins, which affects and worsens the symptoms. In most cases, the cause is genetic and runs in families. Other contributing factors are obesity, sedentary life, estrogen and progesterone (contraceptives), and pregnancies.
It is not very clear whether varicose veins can be prevented in a person who has the genetic dispositon, but certain measures can certainly delay their onset and limit its progression and symptoms. Exercising regularly, staying at a healthy weight, avoiding standing or sitting for long periods of time, and wearing compression stockings, help to improve symptoms and delay the disease.
The condition gradually worsens. More spider veins or varicose veins will appear, and in some cases swelling, blood clots (thrombophlebitis), and ulcers on the skin around the ankles will develop. Only a well trained flebologyst will be able to assess the magnitude of the condition and treat it.
After sclerotherapy, the patient can go back to regular activities the same day, with the condition that he or she wear compression stockings. After endovenous ablation or surgery of the saphenous vein, the patient can use the stairs the same day, and go back to do office work after three days; regular everyday activities can be resumed after one week.
No, if the treatment was successful. However, if the patient has inherited the condition, or there are other risk factors such as obesity, sedentary life, femenine hormone therapy, pregnancy, and certain posture conditions, it is possible that new varicose veins will appear. That is why it is recommended to visit the vein specialist once or twice a year to assess your venous system.
In most cases, the patient goes home the day of the procedure.
Surgery and ablation are covered by insurance. Sometimes sclerotherapy is covered if the reason is not purely cosmetic.
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