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Chronic Venous Insufficiency

General Facts:
Up to 75% of people with varicose veins will have either constant or intermittent pain.

Symptoms in patients with varicose veins can be disproportionate to the amount and size of varicose veins that are visible. Patients with small varicose veins may have more complaints than those with larger varicose veins. Varicose vein pain is generally worse with prolonged standing and with warmer temperatures. It can also be worse during certain times of the menstrual cycle. Venous related pain may also be exacerbated by exercise, which is referred to as “venous claudication”.

Signs and symptoms of Chronic Venous Disease:
  • Aching pain
  • Night cramps
  • Swelling
  • Itching
  • Dark pigmentation of the skin
  • Dermatitis
  • Thrombophlebitis
  • Bleeding
  • Skin ulceration
Predisposing factors for development of varicose veins:
  • AGE: Varicose veins are more common in older individuals.
  • GENDER: Varicose veins are more common in women than men.
  • HEREDITY: A “positive” family history of varicose veins is associated with an increased risk of developing varicose veins.
  • PREGNANCY: Varicose veins first develop in up to 28% of pregnancies. Although the exact mechanism is not fully known, it is likely a combination of hormonal effects and the obstruction of venous outflow from the legs by the gravid uterus.
  • BODY HABITUS: Obesity appears to be a minor risk factor for the development of varicose veins.
  • LIFESTYLE: Prolonged standing is an independent risk factor for development of varicose veins.