Dr.M.K.Mishra ( Consult For Homeopathic Treatment)

VARICOSE VEINS



Veins are blood vessels that returndeoxygenated blood from the outer parts of the body back to the heart andlungs. When veins become abnormally thick, full of twists and turns, orenlarged, they are called varicose veins. Generally, the veins in the legs andthighs have a tendency to become varicosed. This is called varicose veins.
Varicose veins affect 1 out of 2 people over age 50. They aremore common in women than men.


Cause-
The causes of varicose veins are not entirely understood. Insome instances, the absence or weakness of valves in the veins may cause thepoor blood flow in the veins and lead to varicose veins. Valves inside veinsnormally act to ensure that blood in the veins does not go the wrong direction(or backwards) away from the large (deep) veins and the heart. They are mainlylocated in the perforating and some deep veins.
In other cases, weaknesses in the vein walls may cause thepooling of the blood. The walls of the blood vessels can become weaker and lesscompetent than normal, causing the volume of blood in the veins to increase,and leading to varicose veins.
Less commonly, varicose veins are caused by such conditionsas:
Phlebitis (inflammation of the veins),
Blood clots or any obstruction to blood flow in the veins, or
Congenital abnormalities of the veins.

Obesity
Pregnancy


Hormonal changes during menopause.
Venous disease (disease of the veins) is generally progressiveand may not be prevented.


Symptoms-
Aching, heavy legs (often worse at night and after exercise).
Appearance of spider veins (telangiectasia) in the affectedleg.
Ankle swelling.

A brownish-blue shiny skin discoloration near the affectedveins.
Redness, dryness, and itchiness of areas of skin - termedstasis dermatitis or venous eczema, because of waste products building up inthe leg.
Cramps may develop especially when making a sudden move asstanding up.
Minor injuries to the area may bleed more than normal and/ortake a long time to heal.
In some people the skin above the ankle may shrink(lipodermatosclerosis) because the fat underneath the skin becomes hard.
Restless legs syndrome appears to be a common overlappingclinical syndrome in patients with varicose veins and other chronic venousinsufficiency.
Whitened, irregular scar-like patches can appear at theankles. This is known as atrophie blanche.

Diagnosis-
Making the diagnosis of varicose veins is a relatively easytask. They are easy to identify just by their characteristic appearance onphysical examination. This will include asking about family history of varicoseveins, duration, presence of any symptoms, and any worsening or expansion ofthe varicose veins. The individual's height, weight, and other medicalconditions need to be noted as well.
Doppler ultrasound- to evaluate extent of it.
Duplex scanning- to rule out blood clots in deep veins.
Magnetic resonance venography
 

Treatment-
There are many different treatments available for varicoseveins. These treatments are offered based upon the size of the varicose veins,the presence of any symptoms, and the location of the veins. Briefly,treatments include:
compression stockings,
leg elevation while sitting or sleeping,
sclerotherapy (injection of a liquid into the vein),
laser therapy, and
surgery (removal of the varicose veins, or vein stripping).
In general, sclerotherapy and laser therapy are helpful intreating spider veins (telangiectasias), while sclerotherapy and surgery may bea better options for larger varicose veins. Varicose and spider veins may beprimarily a cosmetic problem. But severe cases of varicose veins, especiallythose involving ulcers, typically require treatment.
 

Complications-
 Most varicose veins are relatively benign, but severevaricosities can lead to major complications, due to the poor circulationthrough the affected limb.
Pain, heaviness, inability to walk or stand for long hoursthus hindering work
Skin conditions / Dermatitis which could predispose skin loss
Skin ulcers especially near the ankle, usually referred to asvenous ulcers.
Development of carcinoma or sarcoma in longstanding venousulcers. There have been over 100 reported cases of malignant transformation andthe rate is reported as 0.4% to 1%.
Severe bleeding from minor trauma, of particular concern inthe elderly.
Blood clotting within affected veins. Termed superficialthrombophlebitis. These are frequently isolated to the superficial veins, butcan extend into deep veins becoming a more serious problem.
Acute fat necrosis can occur, especially at the ankle ofoverweight patients with varicose veins. Females are more frequently affectedthan males.

Role of homoeopathy-
Homeopathic remedies often help to relieve discomfort thatcomes with varicose veins, and may help to prevent their worsening. Homeopathyalso helps significantly in the cases which have varicose ulcers. Homeopathictreatment is strongly recommended for all cases of varicose veins except forthose which are truly surgical in nature.



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