Monday, June 29, 2009

How do i get rid of spider veins: Part 9

How many laser treatments does one need?

Depending on size and number of spider veins, most individuals will require anywhere from 2-6 sessions. Each session is spaced over 4-6 weeks to allow the skin to recover. Those with large lesions may require more sessions

What are advantages of laser over sclerotherapy?

- When done well laser has fewer side effects
- The new lasers are claimed to be safe and do not
damage normal surrounding skin
- Lasers can treat spider veins in a much shorter time
- The recovery after laser is less painful
- The recovery time is limited
- Lasers can be used on the face -sclerotherapy cannot

What are disadvantages of laser over sclerotherapy?

- laser can not be used for more deeper veins. The deeper
the laser goes into the body, the more painful is the procedure.
- laser is many times more expensive than sclerotherapy

How can one prevent spider veins?

- Avoid standing around for prolonged periods
- Avoid wearing tight-fitting undergarments and clothing
that compress the waist, groin or legs
- Do not cross your legs while seated
- Exercise regularly
- If you are overweight, try and lose some weight
- wear compression stockings

Is Laser treatment curative for spider veins?

Despite what the physicians say, there is no cure for spider veins. Even with the best laser, spider veins do recur. However, after a laser your facial features will be greatly improved. You will definitely look attractive, young, sexy, and radiant.

How long do the results last after laser therapy?

Sometimes spider veins in the same area can be permanently eliminated. But they may pop up elsewhere. Almost everyone will need future treatments for spider veins. At best, spider veins will be erased for 3-6 months only

Does medical insurance pay for laser therapy for spider veins?

No, spider veins are only of cosmetic nuisance and not covered by medical insurance or Medicare. The average cost for laser therapy may vary from $400-$800 per session.

For more on compressive stockings, please visit www.medexsupply.com

How do i get rid of spider veins: Part 8

What precautions does one need to take after laser therapy?

Keep away from the sun for at least the first 4-6 weeks; wear a sunscreen, protective garments and a hat. Most individuals have minimal pain and for the odd ache, one can take over the counter pain medications. Most individuals can resume their daily life style in 24 hours.

How many sessions of laser therapy are required for spider veins?

Most people need several sessions. Laser therapy sessions are spaced over 4-6 weeks apart. If new spider veins appear, additional treatments are required for optimum results.

When can one go back to work after laser therapy?

Most patients can be back to work in 24-48 hours. The final results of laser will appear at around 4-6 weeks. The majority of patients remain unsatisfied with the results.

How long does it take for the results to become obvious?

The results of laser treatment for spider veins are not immediate. After laser therapy, vessels below the skin will gradually change from a dark blue to light red color. Within 4-6 weeks the vein will completely disappear.

How are the results after laser?

Most patients are not happy with laser therapy for spider veins. Only in a few cases does the skin appear youthful, smooth, and radiant. Most women have unrealistic expectations and combined with the false promises by the physicians, most patients end up being unhappy. However, sometimes the treated areas are noticeably clearer and do continue to improve with each successive treatment.

Does laser have complications?

Most definitely. Laser is a heat source and when not used well, it can cause irreversible complications. Because there are so many health care professional using the laser, select your provider well. In most cases, complications are caused by individuals who have no clue as to what the are doing. When the laser is used in a careless manner, one can develop burns, scars, and discoloration of skin.

How do i get rid of spider veins: Part 7

Are there any preparations before laser treatment?

Individuals who have had a recent suntan should wait at least 4-6 weeks before getting laser treatment. One should avoid the sun, and not smoke for at least 2-3 weeks prior to the procedure. On the day of treatment, avoid all creams, lotions, and moisturizers on the area that will be treated.

Finally wear comfortable clothing that allows easy access to the body part(s).

How long does the procedure take?

Laser for spider veins does not take more than 20-30 minutes. Most individuals do require topical anesthesia. The physician will apply a cooling agent , blow a cool mist, or apply a topical anesthetic on your skin. The laser definitely stings like a hot needle. While the pain is tolerable, it is not fun. However, most doctors try and ease the pain using a variety of methods. Some lasers also have a cooling tip that numbs the pain, but this does not always work.

Is laser therapy painful?

Yes, . no matter what anyone says, the laser does sting for a second. However, the topical anesthetic will take some of the pain away.

What happens after laser therapy?

After the procedure, the skin will appear red, swollen and texture will be rough. The symptoms usually subside in a few hours. One can wear make-up to cover the redness. Occasionally the redness may last a little longer.

How do i get rid of spider veins: Part 5

Can laser be used to treat spider veins?

Sure, lasers are the best way to treat spider veins if you have the money. Laser is much faster, effective and there is minimal downtime- but it is also the most expensive. Today, there are many types of lasers each with their on pros and cons. In general, most lasers work well. The most important criteria is to seek a physician who has experience. The laser treatments are done as outpatient. The laser is aimed at spider veins and zaps it. The heat energy destroys the vein. In all cases, the spider vein does not immediately disappear but gradually disappears in 4-6 weeks.

Who can undergo laser therapy for spider veins?

There are no firm reasons as to why one cannot undergo laser therapy. However one should:

- Have money
- be in general good health
- be realistic
- be able to make decisions
- not be a smoker (if one does smoke it is better to
stop smoking for a few months)
- have no medical disorder like diabetes, collagen
vascular disease (lupus) etc
- one should not be taking blood thinning medications

What types of lasers are available to treat spider veins?

Today, there are many lasers which can be used to treat spider veins. Most lasers are portable, lightweight and work well.

How does the laser work?

The laser is held close to the skin and activated. The laser generates a beam of light which penetrates the skin. Once the light energy is absorbed by blood, the heat destroys the blood vessel causing it to collapse. Over time the vessel then disappears. The latest lasers are precise and avoid injury to nearby normal skin, thus voiding side effects.

How is one assessed for laser treatment?

There is not much to evaluate. Spider veins are usually of a cosmetic concern and the diagnosis is made by just looking at them. If you have symptoms, then an honest physician will not perform laser on you. Spider veins do not cause any symptoms. If you have symptoms than laser is not for you.

How do i get rid of spider veins: Part 4

How can one get rid of spider veins?

The three common techniques of getting rid of spider veins are sclerotherapy, intense light therapy, and laser.

Sclerotherapy

Sclerotherapy involves injection of spider veins with an irritant chemical. The chemical causes spider veins to collapse and the body clears up the bluish discoloration. Sclerotherapy only works for spider veins and not varicose veins. The irritant chemical solution must be injected into the spider vein and then one wears a compression garment for about a week. Each spider vein requires a separate injection.
The procedure is definitely not fun, as each spider vein requires a separate injection. This outpatient procedure is relatively cheap, but has some downtime and the results are poor at best.

Almost all individuals require multiple injection sessions because after 20 needle sticks most patients have had enough. After the procedure, bruising, redness, and mild tenderness is common. If your physician goofs up, the irritant chemical can also leak out and cause permanent darkening of skin that is worse than what you had before.

Intense Light Therapy

Intense light therapy (ILP) is similar to laser but the doctors like to be creative and make up fancy names. ILP uses light to generate heat, which then destroys spider veins. There are many such light devices and all of them work in a similar fashion. It is claimed by the doctors that IPL can also be used to treat deeper skin lesions- but this is also more painful. IPL is also more expensive than sclerotherapy and many a times, the results are disastrous. Most individuals require multiple sessions to get rid of spider veins.

How do i get rid of spider veins: Part 3

Do spider veins occur in men?

Sure, men of all races, cultures, and ethnic origin develop spider veins. Spider veins in men are much less common than in females. The majority of men who do develop spider veins are obese or have had extensive sun exposure on their face. However, most men do not care about aesthetics and the majority do not even know they have spider veins.

How does one prevent spider veins?

For those who have spider veins on the face- keep away from the sun. Wear a sunscreen, wear a hat and sun glasses. For those who have spider veins on the legs, the best treatment is to wear compression stocking. These stockings come in all styles, colors designs, and fashion. Most of the current day stockings are elegant to wear and sexy. To get the most benefit from these stocking, one has to wear the stockings every day and remove them at night. The compression stockings come in various gradients but for spider veins, a gradient of 5-10 mmHg will suffice. If you also have varicose veins, then it is better to get stockings with a higher gradient. Stockings are not a cure for spider veins but can help prevent them from getting worse.

Individuals who stand around a lot should wear stockings or move around. Exercise is very effective at squeezing muscles and hence this prevents blood from pooling in the veins. When you go to bed, place your legs over a couple of pillows. Anytime you rest, keep your legs elevated.

How to treat spider veins: Part 2

Do spider veins cause pain?

Absolutely not. If you have pain, then the cause is most definitely not from spider veins. Pain , swelling, redness or fever or any other symptoms is never caused by spider veins.

Why do spider veins occur?

The real reason why spider veins occur is not known. Spider veins are very small vessels with very thin walls. Anytime the wall is damaged or the valves inside the vein are damaged, the veins become swollen and conspicuous. Any condition or activity that increases pressure in the veins can then cause spider veins. For example, if one was to gain weight, then spider veins will become prominent just from the increased pressure. Other factors that promote spider veins include prolonged standing, excessive sun exposure, prolonged periods of standing and use of oral contraceptives.

Do spider veins increase with age?

Yes, most people begin to see spider veins in the 4th and 5th decades of life. Spider veins also run in families and so if anyone in the family has spider veins, you are also prone to spider veins.

How do oral contraceptive pills cause spider veins?

It is believe that the female sex hormone, estrogen, can cause weakening or damage to valves in the veins. The valves usually prevent back flow of blood. When these valves are damaged, blood starts to pool in the veins and hence the veins appear dark.

Spider veins also tend to be more common in pregnancy. The combination of weight gain and excess estrogen are the probable cause.

Can spider veins disappear on their own?

Generally, spider veins do lighten up a bit, but never disappear completely. In most cases, spider veins become more obvious with time. Spider veins which develop on the face tend to darken with sun exposure. Other factors that worsen spider veins is lack of exercise, weight gain and a couch potato life style.

Spider Veins and how to treat them

What are spider veins?

Unfortunately, almost all individuals will develop spider veins at some point in their lives. Spider veins are easy to recognize. They have a central dark spot with many fine bluish lines radiation from the center. Spider veins are tiny. Some people develop a few spider veins and others have many spider veins. It is estimated that nearly 75% of adult women will develop spider veins after the 3rd/4th decade of life.

Where do spider veins occur commonly?

Spider veins are more common in women and can occur on any part of the body. Usually they are found on the face, back of thighs and buttock area. While the exact cause is unknown, spider veins are linked to increased pressure in the veins, obesity, excess sun exposure, and plain bad luck.

Are Spider veins harmful?

To get the fact rights. Spider veins are absolutely 100 percent harmless. They are so small that they never ever cause any problems. Any physician or health care professional who claims that spider veins can cause health problems is being dishonest or is ignorant about this disorder and you need to get a new physician. Spider veins are only of a cosmetic concern. Most individuals, esp. women do not like these dark spots because they are obvious and appear unattractive.

Is there a cure for spider veins?

NOPE. There is no cure for spider veins and even with treatment, they can recur again and again. For those who have spider veins on the legs, the best treatment is to wear support hose stockings and try to maintain a reasonable weight. To avoid spider veins on the face, avoid the sun.

Sunday, June 28, 2009

Everything about spider veins: Part 2

How are spider veins on the face treated?

On the face, spider veins can be treated with laser. The treatment is fast and effective. The current lasers also come with a cooling tip so that the pain is minimized. Some people require 2-4 sessions of laser to remove all the spider veins. After laser treatments, there may be some mild swelling and redness.

Can spider veins recur?

Yes. The only bad news is that spider veins can recur. Recurrences occur with both treatments.

How can I prevent spider veins?

On the leg, preventive steps include the wearing of compressive stocking and avoiding weight gain. On the face, one must keep out of the sun to avoid spider veins. A sunscreen is highly recommended for all individuals who want to avoid spider veins.

Which is the best treatment for spider veins?

Laser is slightly better than sclerotherapy and can be used to treat spider veins on both the face and legs. However, laser is painful; results are not guaranteed and the treatment is prohibitively expensive.

What is cost of spider veins?

Spider veins are considered cosmetic and not covered by any Medical insurance carrier. The cost of spider vein treatment is variable. If sclerotherapy is used, the treatment may cost anywhere from $200-$400 per leg. If lasers are used, the cost may be 2-3 times that.

Final point

Remember, there is no permanent cure for spider veins and recurrences are common with both treatments. After treatment, spider veins do recur within a few months. Considering the economic times, one should think twice about undergoing a treatment, which is expensive, painful, and there is no guarantee that it will work. Like all things in cosmetic medicine, there are no refunds.

Everything about spider veins: part 1

Spider veins are common in millions of individuals. They are known as spider veins because of their appearance. The lesion has a dark center with small lines radiating away from the center. Why spider veins occur is not fully understood but has been linked to excess sun exposure and excess pressure in the small veins.

Where do spider veins occur most commonly?

Spider veins are most common on the face and legs. On the face, spider veins have been linked to sun exposure. They typically appear on the nose and cheeks. On the legs, spider veins are most common on the back and front of thighs and near the knee. Women who stand all day and those who take the birth control pills are also prone to spider veins.

Can spider veins cause symptoms?

All individuals should understand that spider veins are harmless and only a cosmetic problem. Spider veins do not cause any symptoms. If any individual complains of pain, swelling, itching, or numbness-the cause is not spider veins. The majority of women come to see a physician only because spider veins are unsightly and the problem is cosmetic.

How can one get rid of spider veins?

Spider veins on the legs can be removed using two methods. One is sclerotherapy and other is laser. Sclerotherapy involves injection of an irritant chemical into each spider vein. The irritant chemical causes collapse of the vein. The vein is then slowly removed from the body in a few weeks. Each spider veins requires a needle prick. After the procedure, compressive garments have to be worn for about a week. Laser is another way to treat spider veins. The procedure is fast, has little down time and the results are fairly immediate. Laser unfortunately is fairly expensive.

Saturday, June 27, 2009

Vitamin K based creams and spider veins- part 2

So what about these vitamin K based creams?

First the facts- spider veins have no relationship to vitamin k neither are the related to medical conditions where bleeding is common. Individuals who lack vitamin K never develop spider veins. There is not a single scientific or clinical study which has shown that vitamin K can cure spider veins. One can apply vitamin K cream on the skin, drink it, eat it, or even inject it and spider veins will never disappear.

There is no cream ointment, herb, nutrient, mineral, lotion, or potion that can be applied on skin and will erase spider veins. Each and every single vitamin K cream sold for spider veins is nothing more than a scam or false advertising.

For those individual who have spider veins, stop wasting your money on vitamin K creams. These creams are expensive and except for moisturizing your skin do little less.

Therefore, if you have spider veins the first thing you should do is never buy any type of cream, as none will ever erase the veins. Spider veins can only be treated with sclerotherapy or laser- while these two treatment modalities are not ideal, at least they do work. All vitamin k based creams do is empty your pockets.

Can Vitamin K creams help my spider veins?

Millions of women have spider veins and the majority dislike them. Spider veins commonly occur on the face and outer thigh. While these skin lesions do not cause symptoms, they are not aesthetically pleasing. Some women only have a few spider veins, but a few unlucky women develop multiple spider veins.

Over the years, many treatments have been developed to get rid of spider veins. The latest is vitamin K creams. Vendors of these vitamin K creams claim that daily application of vitamin K ointments can help get rid of spider veins and prevent recurrence.

There are hundreds of vitamin K based creams on sale in health food stores and cosmetic shops. In each case, extravagant claims are made that by applying these creams on the skin, spider veins will disappear in a few days or weeks.

Vitamin K is a fat-soluble vitamin and generally taken by mouth or given by an injection. All Humans have large stores of vitamin K and do not need to take extra supplements on a daily basis. Vitamin K is readily obtained in the diet from numerous vegetables and legumes. In some individuals who have excess bleeding from disordered coagulation, vitamin K is often administered via an injection in a hospital setting. It is the rare physician who prescribes vitamin K as a supplement for an outpatient.

So do these vitamin K based creams actually work?

How can I treat my spider veins?

Spider veins are tiny “star” shaped dark blue veins frequently seen in women in their 30s and 40s. Spider veins are most common on the face and upper thigh.

Spider veins appear blue and can be very prominent in individuals with fair skin. One fact all individuals who have spider veins need to know. Spider veins are harmless. If you have pain, swelling, itching, headache or any other symptoms. – the cause is never spider veins. Spider veins are only of a cosmetic concern.

Individuals with symptoms should not undergo treatment for spider veins until the cause of their symptoms has been discovered. Treating spider veins will not get rid of your symptoms but will make your skin look nicer

Spider veins tend to occur spontaneously or during minor trauma. Many individuals who are over weight, pregnant or those who stand around for long periods also develop spider veins.

There are only two treatments for spider veins: which include sclerotherapy, and laser- neither is ideal. Today, there is a lot of hype made about the latest lasers and how they can cure spider veins. Lasers can be used on any part of the body but the results are not guaranteed, complications are common and lasers are exorbitantly expensive.

Both sclerotherapy and laser treatments can be done as an outpatient. In sclerotherapy, an irritant solution is injected in each spider vein. This painful procedure requires several sessions, is associated with many complications, and the results are mediocre at best. Most women who undergo sclerotherapy remain unsatisfied. The only upside of sclerotherapy is that it is cheaper than laser.

Laser therapy is faster, can treat many spider veins in a few minutes but the results are also not guaranteed. Complications with lasers are common, the procedure is painful, and laser is very expensive.

Neither sclerotherapy nor laser is a cure for spider veins. In both cases, spider veins disappear for a few months and do reappear.

For those who have spider veins and have no money, stay way from both laser and sclerotherapy- instead wear compressions stockings. For those who have money, perhaps one may opt for laser. Remember, there are no refunds with both therapies and the results are not predictable. The best way to treat spider veins is to prevent them in the first place- this means keeping away from the sun and wearing compression stockings.

Saturday, May 16, 2009

Can a diuretic pill help varicose veins?

Absolutely not. There are many physicians who routinely prescribe diuretic pills for varicose veins. This is quite frankly medical malpractice and is based on ignorance/stupidity on part of the physician. Diuretics have never been approved for varicose veins and how this idea started is a mystery.

With varicose veins, the swelling is mild and is more due to blood pooling in superficial veins in one leg. There is no generalized fluid retention like that seen in congestive heart failure and thus, diuretics do not work. By elevating the leg and using compression garments, one can quickly remedy the swelling which occurs with varicose veins.

Diuretics can induce dehydration, cause a number of significant electrolyte changes in the body, plus one has to take them for life. all patients who take diuretics need routine blood work to ensure that their electrolytes are within normal. So next time your MD gives you a prescription of a diuretic for varicose veins, see a lawyer next.

Friday, May 8, 2009

What is thrombophlebitis? part 2

What the consumer has to understand is that thrombophlebitis of superficial veins is not dangerous. Blood clots in superficial veins rarely break off and migrate to lungs. In deep veins, blood clots frequently break off and migrate to lungs (pulmonary embolism). This condition can be life threatening.

Thrombophlebitis occurs because something has irritated the vein. In most cases, this is a blood clot or some type of trauma. The vein reacts by releasing a wide variety of chemicals that cause an inflammatory reaction. The typical symptoms of thrombophlebitis include:

- Pain which is mild to moderate
- Swelling of legs or hands
- Tenderness to touch
- Redness which is localized
- Pain may cause one to Limp when walking
- Area may feel warm to touch

Any medical condition that causes blood clots to form in the vein can cause thrombophlebitis.

Most common risk factors for thrombophlebitis include

- Prolonged period of bed rest- usually after surgery
- Long distance flying or driving
- After surgery- generally hip or knee but all
surgeries can lead to formation of blood clots
- After a stroke
- Following a heart attack
- Many cancers can lead to blood clot formation
- Pregnancy
- Use of birth control pill
- Trauma to veins
- Obesity
- Inherited blood clotting disorders
- Smokers
- Long term intravenous cannulation

One of the main causes of superficial thrombophlebitis is neglected IV lines in hospitalized patients.

What is Thrombophlebitis?

All of us have veins in our bodies. The main function of veins is to take blood back to the heart. There are veins of all sizes and found all over the body. Normally these veins function with great efficiency. However, sometimes veins do get damaged. The most common cause of vein damage is formation of a blood clot. Whenever a blood clot forms in a vein, it induces irritation and inflammation. The vein becomes tender and “angry”. If a superficial vein of the hand has developed thrombophlebitis, it will be tender to touch, perhaps slightly swollen, one may develop a low-grade fever, and the overlying skin will appear warm and red.

Thrombophlebitis can occur in both small and large sized veins. In the legs, blood clots often cause thrombophlebitis of large leg veins. When a blood clot occurs in
leg veins, it is known as a deep vein thrombosis.

In a hospital setting, thrombophlebitis of arm veins is very common. Whenever cannulas (plastic tubes) are inserted into arm veins, some degree of trauma occurs. Individuals who have intravenous lines in arms for prolonged times, those who receive chemotherapy drugs or those who have a depressed immune system are quite prone to superficial thrombophlebitis

The superficial veins in the legs are probably the most affected by thrombophlebitis. During pregnancy, these superficial veins get large and blood clots form inside them. The entire vein becomes “thick and rope” like and does hurt.

Monday, May 4, 2009

What causes spider veins? part 3

Trauma: Any type of trauma can lead to development of spider veins. Because these small tiny veins are very superficial and located immediately underneath the skin, even mild trauma can lead to rupture of these veins. Either blunt of penetrating trauma can lead to spider veins.

Sun: The biggest risk factor for spider veins is prolonged exposure to sun. How sun causes spider veins is not known but is related to the harmful UV rays, which weaken vein walls. Almost all individuals who have prolonged exposure to sun develop spider veins prematurely on their face.

Tight clothing:
In recent years, it has become obvious that women who wear extremely tight clothes, girdles, underpants, or jeans frequently have spider veins. Restrictive clothing is one reason why spider veins are more common in younger individuals. The tight clothing limits blood flow and lead to blood engorgement. As the pressure in veins is increased, spider veins start to appear.

In some individuals, no known risk factor is known and yet they develop spider veins. In such cases, this is simply due to bad karma.

What causes spider veins? part 2

Pregnancy: The one physiological condition where spider veins do become prominent is pregnancy. Many women develop spider veins on the face and lower thigh in the 2nd and 3rd trimester. This is linked to increased levels of estrogen, weight gain, and fluid retention. The increased fluid leads to engorgement of small veins that start to appear dark blue.

Estrogen is known to weaken walls of veins and also impairs function of valves which control blood flow. The increased fluid retention during pregnancy leads to stretching of the tiny veins that start to become more obvious.
Spider veins also become more prominent on lower legs and thigh during the 3rd trimester because the increased pressure from the fetus places pressure on the tiny veins. Often, these small veins rupture and appear as blue blotches. If a female has developed spider veins in the first pregnancy, she will likely develop more spider veins during subsequent pregnancies. Once pregnancy has ended, spider veins do lighten in color but do not always completely disappear.

Prolonged standing: Individuals who stand on their feet all day are prone to development of spider veins. The prolonged standing leads to pooling of blood in leg veins and this leads to engorgement of tiny veins. With standing, the leg muscles do not contract, hence blood does not move up to the heart. As pressure builds up, veins become more prominent and occasionally rupture and appear as bluish spots.

Prolonged sitting: Individuals who are in occupations where they sit all the time are also prone to development of spider veins. The prolonged sitting leads to muscle inactivity, blood pooling and engorgement of veins. Once you start to walk, muscles squeeze the excess blood which then starts to recirculate. Walking also drops pressure in the legs.

What Causes spider veins?

What are spider veins?

Spider veins are a real nuisance. These tiny small veins appear just below the surface of skin and are very common. They are called spider because the vein has a very dark center with linear radiating lines circumferentially. Spider veins are also known as “star” veins or telengiectasias. One can have just one spider vein or many such skin lesions. It is estimated that close to 60% of the population develops spider veins at some point in their lives.

Where do spider veins generally occur?

In most cases, spider veins appear on the face (especially around the nose and cheeks). On the leg, spider veins are most common around the back of thighs.

Why do docs talk a lot about spider veins?

Am sorry to say, but MDs who hype about spider veins are clueless and only want your money. Spider veins are only a cosmetic nuisance and cause no harm. They are not life threatening.

Why do spider veins occur?

The exact cause is not known but there are several risk factors:

Age: Spider veins are extremely rare in children and young adults. As we age, spider veins do start to appear. In most cases, spider veins first appear in the 3rd/4th decade of life. As humans get older, almost everyone develops spider veins. Elderly individuals who have delicate and fragile skin easily develop spider veins from minimal trauma.

Genetics: Even though it is known that spider veins do run in families, the exact gene and type of linkage inheritance is unknown. The genetic linkage is stronger for females than males. There is no known medical disorder that has been associated with an increased frequency of spider veins

What Causes Varicose Veins? Part 3

Straining: Some individuals develop persistently high pressures in lower abdomen and pelvis. Conditions, which cause increased pressures in lower abdomen, include constipation, recurrent coughing (COPD), or prostatic hypertrophy. Increased abdominal pressure can also lead to development of hemorrhoids, which are another type of varicosity that occur in the anal area. Individuals who are constipated and always straining in the bathroom usually have hemorrhoids.

Standing: One of the most common causes of varicose veins is prolonged standing. Individuals who have a job where they are required to stand all day often develop varicose veins; this is simply due to increased pressure in veins which results in pooling of blood. Further, when one is standing all day, leg muscles remain inactive and will not push blood up to the heart. This leads to swelling of the leg, damage to valves and also results in discomfort around the calf and ankles. Therefore, it is highly recommended that individuals, who stand all day, wear compression garments, walk around to stimulate their muscles to prevent varicose vein development.

Blood clot: Individuals who develop blood clots in deep veins often develop a condition called post phlebitic syndrome. The blood clot causes a severe inflammatory reaction that is transmitted to superficial veins leading to damage to vein valves. Over time, most of these individuals have swelling of legs, skin discoloration, generalized leg pain, and severe varicosities. This is one of the most difficult disorders in medicine to treat. The best treatment for post phlebitic syndrome is compression stockings.

Idiopathic: There are many individuals who develop varicose veins and have no identifiable risk factor. In these individual the cause is simply attributed to bad luck

for compression stockings, please visit www.medexsupply.com

What Causes Varicose Veins? Part 2

Trauma: Because superficial leg veins are located underneath the skin, they are quite prone to damage with any type of blunt or penetrating trauma. Once a superficial vein has been damaged, it will never work as normal and varicosities often develop in future. The majority of individuals who have leg trauma have life long swelling of their feet due to damage to these veins.

Estrogen:
The female sex hormone, estrogen, is associated with an increased incidence of varicosities. Estrogen is thought to cause varicose veins because it either thins the veins or damages the valves. Either of these condition leads to pooling of blood in the legs. Because of presence of the sex hormone, estrogen, women tend to develop varicose veins more often than men.

Obesity is one medical disorder that is associated severe varicose veins. The excess weight is the chief reason why varicose veins are more prominent in obese individuals. The thin veins simply are not able to sustain the high pressure from body weight and increased fluids. Even when weight is lost, varicose veins do not completely disappear.

Pregnancy: Almost 70% of women who get pregnant develop varicosities during the 2/3rd trimester. The chief reason for this is that the fetus increases pressure in the lower abdomen and prevents the superficial veins from pushing blood back to the heart. Increased fluid accumulation and excess estrogen are other factors that have been linked to varicose vein formation during pregnancy. Varicose veins are usually more severe in women with multiple pregnancies than in women who have had just one pregnancy. The varicosities do get worse with each subsequent pregnancy. One way to prevent varicose veins during pregnancy is to wear compression stockings and avoid sleeping on the back. Always lie on the left side. This prevents the fetus from compressing the lower pelvis. Varicose veins which develop during pregnancy are always “thick and rope” like and never completely disappear after childbirth.

Genetics: Varicose veins do tend to run in families. If one member of the family is affected, the chances are high that other members of family may also develop varicose veins. In most cases, this genetic link is stronger in females than males.

for compression stockings, please visit www.medexsupply.com

What causes varicose veins?

Humans have veins all over the body. No matter where the vein is located, its function is to take blood back to the heart. In general, there are two types of veins, superficial and deep. Varicose veins affect superficial veins in the leg. The superficial veins connect to the deep veins by smaller connecting veins known as perforators.

Superficial veins in the leg are located just underneath the skin and are often barely visible. The squeezing action of leg muscles pushes blood up the veins and towards the heart. Inside all superficial veins are valves that prevent backflow of blood.

Superficial veins in the legs are very thinned walled and have no muscle. These veins have no ability to tolerate high pressures. Anytime blood starts to collect in superficial veins, they swell up and become very prominent. This is known as varicose veins. The other reason why varicose veins develop is when valves get damaged. This then results in pooling of blood in the leg and swelling around the ankle is quite obvious.

Therefore, any condition that increases high pressures in superficial leg veins or causes damage to valves can lead to varicose vein formation.

The most common causes of varicose veins include:

Age: Most people develop some degree of varicose veins with age. The reason for this is the vein wall starts to get weaker and loses its elasticity. The valves also start to function less efficiently. With age, tone of veins also weakens and the vein is no longer able to push blood out. The constant wear and tear leads to development of varicose veins. The majority of elderly individuals have varicose veins. However, most elderly individuals never ever complain of varicose veins or symptoms.

Saturday, April 18, 2009

Symptoms of varicose veins Part 3

Pain: Mild varicose veins are painless. Pain only occurs when blood clots form inside varicose veins and cause irritation of nerves. The pain is not diffuse but localized along length of the vein. Individuals who have very large “rope like” veins usually have prominent points of tenderness.

Phlebitis: When blood clots form inside varicose veins, this is known as phlebitis. The blood clots irritate nerves, induce redness and pain. The outer surface of skin may appear red and swollen. Phlebitis can cause pain while walking. The condition is best treated with aspirin, an NSAIDS, rest, and compression stockings. When induration is severe, there may also be a need to use an antibiotic

Numbness and tingling
. Some individuals with varicose veins will complain of numbness or tingling on inside of the lower leg. These neural symptoms occur because of irritation of nerves that runs with the varicose veins.

Burning sensation. There are some individuals with varicose veins who complain of moderate degree of a burning sensation on bottom of their feet. It is not known if these sensations are strictly related to varicose veins, because the sensations persist even after varicose veins have been treated. In some cases, the burning sensation lessens while resting.

What conditions can worsen symptoms of varicose veins?

- Pregnant women usually have the most severe symptoms.
The symptoms usually start in the 2nd trimester and
continue until the baby is delivered
- Varicose veins tend to be more symptomatic around
ovulation in child bearing women
- Women who take the birth control pill tend to develop
varicose veins more often than women who do not take
the medication
- Individuals who stand around for prolonged times tend
to develop severe varicose veins
- Obesity is known to promote development of varicose veins
- Sometimes trauma to thigh area or lower leg can damage
the thin vein and later result in formation of varicosities

Many women have none of the above risk factors and still develop varicose veins- this is simply bad luck

Symptoms of varicose veins Part 2

Skin discoloration: In each and every case when varicose veins are left untreated, discoloration of skin will occur. When blood starts to collect in small veins, the constant high pressure causes the blood to leak outside into the surrounding tissues. Over time, these blood pigments cause an irreversible staining of skin that usually is very obvious around the ankle. The skin will appear dark gray or brown and is discoloration is circumferential. When skin discoloration is first observed around the ankles, it is important to take preventive measures like wearing compression stockings. If stockings are not work, the skin discoloration is permanent.

Skin texture: As varicose veins progress, the skin especially around the ankles becomes dry and rough. The skin also becomes thin and is very prone to bruising. Even the slightest trauma can cause skin to break open. To prevent dryness, it is essential to apply a moisturizer regularly.

Venous ulcers: In many individuals, varicose veins are only a harmless cosmetic defect. However, once varicose vein progress an ulcer can develop. The ulcers occur because blood leaks out of the vein and damages skin. The ulcer typically occurs on inside of the ankle, is quite painful and almost impossible to heal. The ulcer usually gets bigger with time and can make life miserable. Despite 50 years of research, no one knows how to best treat this ulcer. The majority of venous ulcers heal and break open every few months.

Swelling: When varicose veins are moderate to severe, swelling of ankle and foot is common. The swelling is most obvious after one has been standing all day. The swelling typically subsides one when rests or lies down. If legs are kept elevated for the night, the swelling disappears.

Symptoms of varicose veins

Varicose veins are seen in both men and women of all races and cultures. Overall, it appears that women are more affected by varicose veins than men. What has to be understood is that just because one has varicose veins, does not always mean that one will have symptoms. There is no correlation between having varicose veins and symptoms. Some women have very mild varicose veins and they whine and cry about leg swelling and pain. Other women have “rope-like” varicose veins and yet they only complain about the poor cosmetic appearance

In general, as the varicose veins progress, symptoms will appear.

The most common symptoms of varicose veins are:

Pain: The majority of individuals with varicose veins will complain of an odd ache in the lower legs. The ache is generally worse towards the end of day; usually after having been on the feet all day. Individuals who do tend to stand on their feet all day usually have moderate pain. Pain may start in the foot and one may even feel a throbbing sensation along the calf and lower leg. Still other individuals will feel crampy pain during the night. In almost all cases, pain eases off when one is sitting or lying down. Elevating the legs provides instant relief in many individuals

Itching:
Many individuals with varicose veins complain of dryness and constant itching on the lower legs. The itching and dry skin is related to blood pooling in superficial veins in the leg. Often the itching is worse after a shower or in hot weather. The itching does get better when legs are elevated. One way to reduce itching is to apply a skin moisturizer on a regular basis.

Sunday, April 12, 2009

Varicose veins & treatments Part 3

Can herbs be used to treat varicose veins?

The herb mania has gotten out of hand. Alternative care health practitioners now advocate herbs for everything. Eating mega doses of herbs and spices are recommended for treatment of everything underneath the sun. In truth, there is not a single herb or nutrient that can treat or prevent varicose veins.

What are some preventive measures for varicose veins?

- Regular exercise
- maintain a decent body weight
- Avoid prolonged standing
- Avoid sitting for prolonged period
- When sitting or lying down, elevate the legs
- Avoid wearing tight restrictive clothes
- Wear compressive stockings

Final Note


There are many professional health care workers who advocate removal or treatment for even the mildest varicose veins. There are spas and clinics around every corner in America hyping up lasers and ultrasound treatment for varicose veins. While these ads appear attractive and captivating, the ads are misleading and do not live up to the claims. Recurrence of varicose veins still occurs with every type of treatment. Further, mild varicose veins are better treated with compression stockings and not surgery. If you ever need a vein for open heart surgery, and you vein has been removed, you are going to be in some s..t. So before you rush up for your varicose veins treated, read about it, and go to a reputable physician who is truly interested in helping you out.

Discuss the different options with your physician. Check out your physicians/surgeons credentials and ask around. If ever in doubt, get a second opinion.

For any consumers who have varicose veins, the best treatment is to start wearing compression stockings. Stockings cost less than $10 but are safe, cheap and truly prevent progression of varicosities. The latest compression stockings come in every color, size, design and are very attractive for daily wear.

Varicose veins & treatments Part 2

Endovenous laser treatment (EVLT) is a novel procedure that removes varicose veins in the thigh area. The procedure is done as an outpatient. The leg is cleaned and a small needle is placed in the lower thigh area where the varicose vein is located. Using ultrasound, a small laser probe is passed into the varicose vein up to the groin. The laser is switched on and gently pulled. The heat from laser burns the veins and within 20 minutes, the procedure is done.

This procedure does not treat varicose veins in the lower leg and is also expensive.
Many other procedures have been developed along the same lines. EVLT is probably the most abused procedure by surgeons. Even individuals who do not have symptoms or have very small varicose veins are treated this way. One has to understand that this same vein is often used for open-heart surgery or other bypass procedures. Despite the massive marketing behind this technique, one should be aware that a normal or mildly diseased varicose vein should never be removed. You never know if you may need the vein in future for heart surgery. The treatment of mild varicose veins is never surgery.

Closure procedure: The closure procedure is the same as EVLT except that it uses radiofrequency waves instead of a laser to generate heat.

Both EVLT and the closure procedure are considered cosmetic surgery. Both procedures have the potential to cause burns, scars, and damage to surrounding tissue. Recurrences are also very high with these two procedures,

Trivex procedure: Not to be outdone by EVLT and closure, now we also have TriVex. This simple procedure which requires anesthesia, uses a camera to identify the vein. Through a small skin incision, a thin camera on a wire is introduced and using special hook and clips, the vein is either cut or removed. Trivex requires multiple small incisions. The only difference here compared to ambulatory phlebotomy is that a camera is used.

Because of the lure of quick money, many physicians recommend Trivex and remove normal veins or veins with minimal varicosities.

Varicose veins & treatments Part 1

Can Sclerotherapy be used to treat varicose veins?

No, sclerotherapy is only meant to treat small spider veins. Varicosities are quite large and the amount of chemical needed for sclerotherapy would lead to serious side effects.

Can laser be used to treat varicose veins?


No, laser is only used to treat superficial spider veins

Vein stripping

The oldest procedure to treat varicose veins is vein stripping. The procedure is generally used in individuals who have “thick rope” like varicose veins. The procedure is done under anesthesia and has a downtime of a few days. The vein is tied off in the groin and the remainder is pulled away. After surgery, bruising and mild pain is common. While many people seem to have a negative attitude towards vein stripping, it is perhaps the gold standard for treating varicose veins in the entire leg. It also has the lowest incidence of recurrence. After surgery, it is recommended that one wear compression stockings on a regular basis.

Ambulatory phlebectomy:
Some individuals only have large bluish veins at a few spots on the leg. For these individuals, isolated small stabs or incisions can be made to remove the obvious veins. The procedure does require anesthesia but has little downtime. Special instruments are used to remove the varicosities and the results are okay. Recurrences are common. It is highly recommended that one wear compression stockings after the procedure

Varicose veins & treatments

What types of treatment are available for varicose veins?

In the last 15 years, many different treatments for varicose veins have been developed. In the past, the only two treatments were available for varicose veins- removal of the vein with surgery or wearing of compressive stockings. Today, many fancy treatments have been developed to treat various degrees of varicose veins- mind you varicose vein treatment is a lucrative business and many health care professionals are doing these procedures even when patients have minimal symptoms. The best treatment for the individual with varicose veins depends on severity, location and physician experience.

Facts: there is no doubt that varicose veins are unattractive and sometimes may cause symptoms. However, not all varicose veins need surgery.

The following treatments for varicose veins are available today.

Compression stockings


Despite 40 years of advanced research on surgical methods to treat varicose veins, compression stockings are probably the best treatment. There are a variety of compression stockings available today. When worn on a regular basis they prevent worsening of varicose veins and also reduce symptoms. Compression garments do not cure varicose veins but prevent them from getting worse. Stockings also improve symptoms and prevent development of blood clots.

The only downside to stocking is that they must be worn on a daily basis. One can remove them just before bedtime. Compression stockings are ideal for the pregnant female, individuals who are bed ridden, those who have had a stroke, and those who do not want surgery. Compression stockings also preserve the vein just in case it is needed for open-heart surgery in future.