UNDERSTANDING VEIN HEALTH
More answers, less anxiety.
VEIN DISEASE IS COMMON.
According to the JAMA study by Marlin Schul and The American School of Epidemiology, over 48 million people will develop a form of vein disease at one point in their lives, and it can affect men and women of all ages.*
IT’S ALL ABOUT GENETICS.
A significant amount of vein disease is due to family history—it’s likely to be passed down from your parents or grandparents.
EARLIER TREATMENT, BETTER RESULTS.
Vein disease is progressive, so the sooner you get vein disease treatment, the lesser chance of developing more symptoms.
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ACCORDING TO THE JAMA STUDY BY MARLIN SCHUL AND THE AMERICAN SCHOOL OF EPIDEMIOLOGY ROOT CAUSE & CONTRIBUTING FACTORS
Treat the cause, not the symptoms.
At Vein Miracles, our approach is helping you understand the whole picture, and knowing the origins of vein disease is an important first step. Much of the time vein disease is genetic–if your parents or grandparents have or had varicose veins or spider veins, they’re likely to have passed them down to you
The cause of varicose and spider veins.
The direct cause of varicose veins and spider veins is unhealthy valves due to a genetic defect in your veins that allow blood to flow in the wrong direction, which leads to strained and bulging veins. Pregnancy, weight gain, and the simple effects of aging can aggravate vein disease. Other factors–such as employment that requires long periods of standing or sitting–can also worsen varicose veins symptoms over time, requiring vein disease treatment. As you can see, healthy valves allow blood to flow in one direction only. When veins aren’t functioning properly, the blood flows backward, causing strain and damage, resulting in varicose veins.
SIGNS OF VEIN DISEASE
The ways vein disease can affect your everyday life. Varicose veins and spider veins are the two vein conditions caused by vein disease that affect the largest number of people in the US. They bring visible signs and symptoms that can cause discomfort, pain, embarrassment, and fatigue. Vein disease not only makes sufferers feel self-conscious, but prevents them from living the healthy, active lives they want to live. Varicose Veins Varicose veins are large, bulging, and rope-like in appearance, are usually seen in the legs, and frequently accompanied by pain or discomfort
More about Varicose Veins
Spider veins are smaller, thread-like, or tree-like in appearance, and are usually seen just under the surface of the skin in the legs and face. Similar to varicose veins, spider veins on the face, hands and limbs can be accompanied by pain.
The sooner the treatment, the quicker to overall better health.
Vein conditions that are seemingly cosmetic are often caused by a progressive underlying vein disease that could lead to more serious vein conditions if left untreated. The more quickly people seek treatment, the lesser the chance of developing more symptoms and of needing even more extensive treatment. So once you understand the root cause of your vein condition, the next step is finding the right vein disease treatment plan*Management of Varicose Veins and Venous Insufficiency, 2012 American Medical Association and Chronic Venous Disease in an Ethically Diverse Population, American Journal of Epidemiology.
What are varicose veins?
The term varicose vein refers to any vein that is elongated, dilated, tortuous and knotted in appearance. The varicose veins include a number of diseases ,other than those appearing on the lower limbs.
1.Piles (Haemorhoids): When it appears near the ano-rectal region, It is called Piles which is a common disease
2.Oesophageal varices : The veins around the oesophagus and stomach become grossly swollen and may bleed.This may prove fatal as well.This usually happens in chronic liver disease.Alcoholism is one of the common causes.
3. Vaginal varices:When it occurs in the vagina especially during pregnancy,this produces severe bleeding,during and after the delivery of baby and may turn fatal.
4.Vesical piles: In disease of prostate gland in male,it can manifest as blood in urine(haematuria)
5.Varicocele: Twisted dialated veins along the spermatic cord and appearing like a bag of worms in the scortum is called varicocele.This may produce dragging pain in the scortum or subfertility
6.Congenital malformation of veins:This can appear anywhere in the body from head to foot.This can be within the body or outside,since birth
Varicose veins of the lower limbs
They are ugly looking dilated knotted veins seen on either sides of the leg which remain harmless for quite a long time. In the early stages of the disease it is merely a cosmetic problem but later it becomes very distressing by discoloration, edema of the legs, eczema ,recurrent ulcers around the foot, ankle joints and lower third of legs. Finally it produces painful non-healing ulcers in the lower part of the leg.
There are mainly two systems of veins to carry blood from lower limb to the heart. The most important is the deep vein (internal) which is protected by strong muscles of the legs and supported by non return valves. if there is a block in this system,blood has to bypass this vein for an uninterrupted flow.For this purpose ,we have another system,the Superficial venous system which has no muscular support but of course it has valvular support.It is just below the skin hence it is easily visible.Varicose veins usually affects this system of vein which is remaining outside the muscular compartment of the leg.Ths system is working only with help of valves.
When the disease is primarily due to defective valvular functioning of the superficial venous disease it is called Primary varicose vein. When it is secondarily involved due to some block in deep vein it is termed as secondary varicose vein.
What is the cause of Varicose veins ?
Genetic dysfunction of the valve or wall of the vein is the commonest cause. Rarely malformations or congenital absence of valves are responsible for the development of the disease. Persistently increased intravenous pressure damages the venous walls and results in stretching and loss of elasticity. This will produce a back flow (reversal of blood flow) due to gravitational force. Occasionally any block to the normal flow of blood through the deep vein of the leg either due to intrinsic or extrinsic factors may produce varicose vein.
What are the predisposing factors ?
1.Age: As the age advances the frequency of the disease may increase.Maximum incidence around 50 years of age.
2.Sex : There is a femae predominance ,obviously due to pregnancy
4.Hereditary /Genetic factors: the commonest
5.Hormonal :due to effect of female hormone.
6.Pregnancy:Due to pressure effect of the gravid uterus on the major veins of the lower abdomen(pelvic veins)
7.Secondary to diseases: fibroid uterus, Lower abdominal tumours.
8.Secondary to deep vein thrombosis
10.Occupational: Standing or sitting for prolonged period of time.
Pain: Dull aching pain in the lower leg is the commonest early symptom.
Swelling of the feet: Odema of the feet especially on standing for long time or by evening is the commonest sign.
Bleeding : Seen only in very limited number of patients. It has no relation to age,stage of disease or size of the vein.
Itching: experienced only below the knee and the maximum at the lower most part of the leg.
Discoloration: Blackish pigmentation around the ankle joints and the lower leg
Eczematous change :Around the ankle ,foot or lower leg.
Lipodermatosclerois : Leathery skin with pigmentational changes. Atrophie Blache
Ulcer formation: Initially small ulcers develop and heal spontaneously over a period of time
Gaint Ulcers: Later in the course of the disease,the ulcers refuse to heal and proceed to progressive skin erosion resulting in very large non-healing ulcers
Malignant changes: The chronic ulcers may turn malignant.
Complications of Varicose veins
There are two types of complications
1. Acute Complications
2. Chronic complications: chronic venous disease(CVD)
Stages of Chronic venous disease
Class 0 : This is the first stage of the disease and remains hidden till the person attains full growth (between 15-25 years of age)
Class I : The infantile veins which remain usually symptom free.
Class II : The mature veins which may produce aching in the legs
Class III : The initial complication begins.This is charecterised by the appearance of the swelling in the legs when standing for some time .When the patient wakes up in the morning ,the leg is normal.
Class IV : Pigmentation ,itching,eczema,leathery skin changes
Class V : Appearance of small ,shallow ulcers which are very painful and heals by itself after some time but only to reappear .This process is repeated over and over again.
Class VI: This is the final stage of the disease charecterised by the non healing ,painful, eroding,unsightly ulceration around the ankle region which creates an aversion to others which results in severe psychological upsets
All the above described changes are confined to an area of the leg beginning from the ankle region to the lower two-third of the leg and the proximal half of the foot.The intensity is maximum over the ankle region.Beginning from the junction of the lower third with the upper third of the leg no changes are manifested .Above the knee there are no dermatological change