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Lots of people have varicose veins -- enlarged, twisted veins that don't move blood as effectively as they should. For most people, it's a cosmetic issue, but for some people varicose veins may cause pain. In some cases serious complications, such as phlebitis (inflammation of the veins), skin ulcers, and blood clots, can happen.
Veins move blood from your body to your heart. When the one-way valves in your veins get weak, they may allow blood to flow backward and pool in your veins. Your veins then get bigger.
Varicose veins usually show up in the legs and feet, because standing and walking increases the pressure on these veins. They look like bulging, bluish cords beneath the surface of your skin. Spider veins are similar to varicose veins, but they are smaller and closer to the surface of your skin.
Up to 60% of people in the U.S. have varicose veins. They are more common in women than men. You may be able to take care of varicose veins at home, or your doctor may recommend treatment.
Signs and Symptoms
You may have the following signs and symptoms along with varicose veins:
What Causes It?
Varicose veins develop when your veins stretch and their valves, which stop blood from flowing backward, don’t work anymore. Primary varicose veins happen when the walls of your veins become weak. Many people get them as they age, as do many pregnant women.
Secondary varicose veins are most often caused by problems with veins that lie deep among the muscles and carry about 90% of the blood back to your heart. These problems include blood clots and can be serious.
Who's Most At Risk?
You are at risk for varicose veins if you have the following conditions or characteristics:
What to Expect at Your Provider's Office
If you have pain, burning, or sudden swelling associated with varicose veins, you should see your health care provider right away. Your health care provider will do a physical exam of your legs while you are standing. Your doctor also may do tests to see how well your veins are working and to distinguish between primary and secondary varicose veins. Your doctor may also do an ultrasound test to look for blood clots.
In many cases, you can take care of mild pain from varicose veins on your own. Avoid long periods of sitting or standing, get regular exercise, lose weight, elevate your legs now and then, and wear compression stockings.
Regular exercise helps veins work better. Weight loss and exercise also lower the likelihood of getting blood clots.
Surgical and Other Procedures
Complementary and Alternative Therapies
A comprehensive treatment plan for varicose veins may include several complementary and alternative therapies. Usually these therapies try to stop varicose veins from developing or getting worse, not make existing veins disappear. Be sure to work with your doctor to find which herbs and supplements may be right for you.
Herbal remedies may offer relief from symptoms. Herbs are generally available as dried extracts (pills, capsules, or tablets), teas, or tinctures (alcohol extraction, unless otherwise noted). People with a history of alcoholism should not take tinctures. Dose for teas is 1 heaping tsp. per cup of water steeped for 10 minutes (roots need 20 minutes).
Before prescribing a remedy, homeopaths take into account a person's constitutional type -- your physical, emotional, and intellectual makeup. An experienced homeopath assesses all of these factors when determining the most appropriate remedy for a particular individual.
Arnica montana -- for people whose legs appear bruised and who have swollen veins that are painful to the touch. The legs tend to ache all over and feel worse with movement, but better when lying down.
Calcarea carbonica -- for people with painful varicose veins who are easily fatigued and have poor circulation, with cold hands and feet. There may be a tendency toward being overweight and feeling anxious when working too much. The person may have a taste for sweets.
Hamamelis -- for large varicose veins that may be tender to the touch. The legs may appear purple or bruised and may sting, and the person may also have bleeding hemorrhoids.
Pulsatilla -- for swollen veins that feel heavy and warm at night, and ache. Symptoms are worse with warmth and better with cold.
Cold compresses of witch hazel (Hamamelis virginiana) and yarrow (Achillea millefolium) tea may provide temporary relief from pain and burning.
Varicose vein disease is a long-lasting (chronic) condition. New varicose veins often form after treatment.
Walking after sclerotherapy is important to help promote healing.
If you've had surgical treatment, contact your health care provider if you develop severe pain, tenderness, swelling, scabs, or blisters.
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Review Date: 7/3/2012
Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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