Varicose veins are distended superficial veins whose valves have been severely damaged.
About 25% of the population has varicose veins, which are most often found in the lower extremities.
Standing is a serious aggravating factor of the problem in the legs, as it increases the pressure in the veins, just as pregnancy in women intensifies the existing damage but can help, if there is a predisposition to varicose veins, to manifest itself.
“Varicose veins are not just an aesthetic problem but very often cause pain and/or discomfort and if not treated in time, may lead to more serious problems”, points out Mr. Konstantinos N. Xiromeritis MD, PHD, MSC Vascular Surgeon – Doctor Pan of Athens, Director of Vascular Surgery Clinic – Intraluminal Laser Venous Diseases Metropolitan General. “Treatment”, he continues, “can include conservative measures or invasive procedures, today, in fact, with the Intravenous Laser, varicose veins are treated effectively and painlessly, with patients mobilizing immediately.
Mr. Xiromeritis gives some advice that may work preventively and/or delay the appearance of varicose veins and answers questions about their therapeutic treatment.
How much can heel size affect the progression of venous insufficiency?
It is a fact that high-heeled shoes greatly affect the proper functioning of the veins. In this way, the gastrocnemius muscles are constantly kept in a state of contraction, which is not normal.
In order for the specific muscles to maintain the capacity of the pump which acts as a compensatory mechanism in the creation or progression of venous insufficiency and to be able to propel the blood back to the heart, it is absolutely necessary, as often as possible, that full contraction should follow full relaxation .
How dangerous is smoking when someone has varicose veins?
Smoking as such as well as any use of nicotine products do not particularly affect the development and progression of chronic venous insufficiency. However, due to the harmful effect of smoking on arterial diseases and many types of cancerous tumors, it would be good to stop immediately.
How much can weight affect venous insufficiency?
Sudden weight gain to levels >10% of a person’s normal weight in a relatively short period of time increases the risk of developing venous insufficiency and varicose veins of the lower extremities. On the contrary, trying to lose weight in combination with surgical restoration with intravenous Laser leads to much better results in the long term and reduces the risk of complications and possible recurrences.
When is surgical treatment appropriate for a patient with varicose veins?
Laser intraluminal blockade of the greater saphenous vein is nowadays a painless, particularly safe, relatively low-cost surgery, with excellent long-term results. For this reason, according to the latest guidelines-recommendations of the Deutsche Gesellschaft für Phlebologie, the European Phlebology Society as well as the American Venous Forum, intraluminal repair of venous insufficiency is recommended instead of conservative treatment. Also, the earlier the stage, the better the immediate and long-term results. The patient does not experience the annoying symptoms of the condition, does not fill varicose veins over time, but most importantly, is not at risk of thrombosis.
Written by:
Mr. Konstantinos N. Xiromeritis MD, PHD, MSC Vascular Surgeon – PhD, University of Athens,
Director of Vascular Surgery Clinic – Intraluminal Laser of Venous Diseases Metropolitan General
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