Varicose Veins
Chapter 12. Skin Conditions

Varicose veins are swollen and twisted veins that look blue and are close to the surface of the skin. They are unsightly and uncomfortable. Veins bulge and feel heavy. The legs and feet can swell. The skin can itch. Varicose veins may occur in almost any part of the body. They are most often seen in the back of the calf or on the inside of the leg between the groin and the ankle. Hemorrhoids (veins around the anus) can also become varicose.

Causes
Causes and risk factors for varicose veins include:
Obesity
Pregnancy
Hormonal changes at menopause
Activities or hobbies that require standing or lifting heavy objects for long periods of time
A family history of varicose veins
Past vein diseases such as thrombophlebitis (inflammation of a vein before a blood clot forms)
Often wearing clothing that is tight around the upper thighs
Body positions that restrict lower leg blood flow for long periods of time. One example is sitting on an airplane, especially in the economy class section, on a long flight.

Treatment
Medical treatment is not required for most varicose veins unless problems result. These include a deep-vein blood clot or severe bleeding, which can be caused by injury to the vein. Problems can occur without an injury, as well. Your doctor can take an X-ray of the vein (venogram) and/or a special ultrasound to tell if there are any problems.

Medical treatment includes:
Surgery to remove the vein or part of the vein
Sclerotherapy, which uses a chemical injection into the vein, causing it to close up
Laser therapy, which causes the vein to fade away

Questions to Ask

Does it look like the varicose vein has broken open and is bleeding a lot under the skin?
{Note: Apply direct pressure on the skin area over the varicose vein.}
Has the varicose vein become swollen, red, very tender or warm to the touch?
Are varicose veins accompanied by a rash or sores on the leg or near the ankle, or have they caused circulation problems in your feet?

Self-Care Tips

To Relieve and Prevent Varicose Veins:
Don't cross your legs when sitting.
Exercise regularly. Walking is a good choice. It improves leg and vein strength.
Keep your weight down.
Don't stand for long periods of time. If you must do so, shift your weight from one leg to the other every few minutes. Just wiggling your toes can help, too.
Wear elastic support socks that go up to the knee but do not cover the knee. The top of these socks must not be tight.
Don't wear tight clothing or undergarments that constrict your waist, groin, or legs.
Eat high-fiber foods like bran cereals, whole grain breads, and fresh fruits and vegetables. Drink at least 8 glasses of water a day. These things help prevent constipation. (Constipation contributes to varicose veins.)
To prevent swelling, limit your salt intake.
Exercise your legs. (From a sitting position, rotate your feet at the ankles, turning them first clockwise, then counterclockwise, using a circular motion. Next, extend your legs forward and point your toes to the ceiling, then to the floor. Then, lift your feet off the floor and gently bend your legs back and forth at the knees.)
Elevate your legs when resting.
Get up and move about every 35-45 minutes when traveling by air or even when sitting in an all-day conference. (Opt for an aisle seat in such situations.)
Stop and take short walks at least every 45 minutes when taking long car rides.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99