Varicose and Spider Veins, The vein disease

Varicose veins affect nearly 40 per cent of the population. Due to hormonal factors, women are affected by this condition three times as much as men.


Venous System

Veins - through a series of small valves that pump blood upwards - bring blood back to the heart from the extremities.

There are three main systems of veins in the legs:

  • a deep system, which brings about 90 per cent of the blood back to the heart;
  • a more superficial system, which brings about 10 per cent back to the heart.
  • a third system - perforators - which transport blood from the superficial to the deep system.

Varicose and spider veins occur solely in the superficial system, when the walls of the veins lose their elasticity and the pumping valves stop functioning properly. This causes the blood to flow back down, creating a reverse process called reflux, which can be heard and seen with Doppler ultrasound.

Saphenous, Tributaries, Perforators

Large varicose veins

Bulging varicose veins are mainly found along the long and short saphenous veins, or their tributaries, as well as on the perforating veins.

Symptoms:
  • General fatigue and tiredness
  • Heaviness in the legs and thighs
  • Swelling of the ankles and night cramps in the lower limbs

If left untreated, these can lead to complications such as leg ulcers, phlebitis (blood clots) or hemorrhaging (bleeding).

Solution: echosclerotherapy

Reticular veins, Spider veins

Reticular Veins & Spider Veins

Medium-size, Reticular Veins

These appear as blue veins just under the skin. They do not usually bulge out. They may cause aching and heaviness in the legs.

Spider Veins (Telangiectasia)

Spider veins can occur anywhere on the thighs, legs or ankles. Usually they appear in a network, fed by an underlying mid-size or reticular vein.

Symptoms:
  • Burning sensation
  • Aching
  • Itchiness and numbness
  • Unsightly appearance

Solution: Sclerotherapy