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Varicose Veins: Symptoms

by Joseph Alpert, MD

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    00:01 The symptoms: of course, most varicose veins don’t cause any of these nasty problems.

    00:08 They’re superficial and, particularly in women, they are said to be cosmetically ugly.

    00:15 Women of course want to have beautiful legs and so many women with varicose veins will go to a surgeon or to a vein specialist. And they can do one of two things: they can actually remove the veins or they can squirt a very caustic material into the vein causing the vein to scar over and disappear.

    00:40 Some people who have a lot of varicose veins will actually have aching in the lower extremities.

    00:45 Often this is due to swelling and, again, edema we’ve talked about. That edema from venous disease often goes down at night when you put your legs on the same level as your heart and the gravity is no longer working.

    00:58 In heart failure, often the edema doesn’t disappear as easily.

    01:04 Varicose veins can affect the quality of life. In fact, they can decrease it, particularly if they’re symptomatic. This figure shows quality of life scores for a number of different kinds of venous quality of life indices.

    01:22 And what you see in the dark green is patients with the post-thrombotic syndrome – the one that we’ve talked about before where there’s ulcers and brown discoloration in the leg and swelling – and then compared to patients who don’t have the post-thrombotic syndrome but who have varicose veins. And you can see that the quality of life – a variety of different questions about, “How are you able to exercise? Do you have discomfort? Are you worried about how unsightly they are? Do you avoid people?” and so forth. You’re much worse off if you have the post-thrombotic syndrome with all of the attendant anatomical problems that go with that.


    About the Lecture

    The lecture Varicose Veins: Symptoms by Joseph Alpert, MD is from the course Venous Diseases.


    Included Quiz Questions

    1. Varicose veins should usually be treated aggressively as soon as they appear.
    2. Varicose veins are typically superficial.
    3. Patients can develop pain and aching in some cases.
    4. Treatment options are relatively invasive and carry some degree of risk.
    5. The quality of life scores can be affected in some patients with varicose veins.

    Author of lecture Varicose Veins: Symptoms

     Joseph Alpert, MD

    Joseph Alpert, MD


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    Varicose vein
    By Malakamir M. on 12. August 2021 for Varicose Veins: Symptoms

    With all respect, this lecture is suitable for non physician audiences.