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Get eight questions about varicose veins in the legs

Get eight questions about varicose veins in the legs

Varicose veins of the lower limbs are a common disease but often go unrecognized. It is estimated that about one-quarter of adults over the age of 40 present the disease to some degree. Consequently, doubts about the subject are frequent.

1. What are lower limb varicose veins?

Lower limb varicose veins are dilated, tortuous, and incompetent veins located in the most superficial portion of the thighs and legs, that is to say, , just below the skin. The incompetent term means that the vein is unable to cause the blood to flow only toward the heart. Thus, the blood becomes congested in these veins, making them more bulky and therefore more visible.

2. Does high heel lead to the appearance of varicose veins?

It is a still controversial and unconfirmed concept. It is known that the calf musculature is underused when using very high jumps, and that this supposedly impairs the return of blood to the heart. However, there is still no definite evidence of the association between varicose veins and high-heeled use.

3. Who has varicose veins has a higher chance of developing the disease?

Yes. There are genetic factors that are not fully understood that lead to increased occurrence of varicose veins in certain families. But it is important to emphasize that varicose veins are caused by multiple factors, that is, not everyone in a family will develop the disease.

4. Will microviruses, if not treated, become varicose veins?

Telangiectasias, known as " ", are very thin veins (between 0.5 and 1.5 millimeters approximately), which can cause pain and burning, in addition to aesthetic dissatisfaction. But it is not these veins that will become varicose veins. Telangiectasias grow little in size. The most common is to grow in extent, that is, to "spread" through the legs.

It is estimated that about a quarter of adults over the age of 40 present the disease to some degree.

5. I say that it does not help to operate the varicose veins, because they come back. Is it true?

When a doctor operates his varicose veins, he removes only diseased veins. However, over many years, veins that were healthy at the time of the first surgery may become varicose. So the withdrawn varicose veins do not "come back". What can come back is the disease itself. Well-designed surgeries, performed with the correct techniques, are often of enduring result and bring satisfaction to patients for many years.

6. Are there internal varices?

The veins of the legs can be divided into two groups: the superficial and the deep, the latter situated between the muscles of the legs and within them. These veins may become dilated and incompetent, but the term "internal varicose veins" is not correct.

7. What are the complications of varicose veins? In more advanced stages varicose veins can present very inconvenient complications, the most common being those listed below:

Ocher Dermatitis: It is a chronic inflammation of the skin, associated with hyperpigmentation (dark spots) in the legs, ankles and feet. Flebites: These are inflammatory processes in the veins with varicose veins, generating thrombi (clots) inside the veins. It is a very painful picture that usually leaves sequelae, such as spots and pain.

Varicose ulcers: They are injured in the legs and ankles caused by congestion of the blood in this region. Such ulcers appear in the more advanced stages of the disease, and are difficult to heal. In addition, they have a very negative impact on the patients' quality of life, and may even prevent them from working.

8. Can varicose veins lead to thrombosis?

Yes. Varices in their intermediate and advanced stages are risk factors for the formation of clots in the veins of the legs, the so-called "deep vein thrombosis". Therefore, when noticing new varicose veins, it is important to seek a specialist to see if the case can have more complications.


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