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Nothing is really wrong. We often hate to hear that things do get older as we get older. In this case the valves in the veins on the surface of the legs are not working as they should. You can use stockings that compress the legs or have the veins removed or live with them. It also sounds like you are on your feet a lot. Stay off your feet as much as possible.
Varicose veinsare swollen, twisted, painful veins that have filled with blood. They usually develop in the legs. Your doctor may be able to treat them in noninvasive ways instead of vein stripping, the traditional surgery for this problem.
Alternative NamesSclerotherapy; Laser therapy - varicose veins; Radiofrequency vein ablation; Endovenous thermal ablation; Transilluminated power phlebotomy; Endovenous laser ablation; Varicose vein therapy
DescriptionNormally, valves in your veins keep your blood flowing so it does not collect in one place. But the valves in varicose veins are either damaged or missing. This causes the veins to remain filled with blood, especially when you are standing.
Nonsurgical treatments for this problem are done in a doctor's office or clinic. You will receive local anesthesia to numb your leg. You will be awake but not feel pain.
Sclerotherapy is one common treatment. Your doctor will inject saline (saltwater) or a chemical solution into the varicose vein. The vein will harden and then disappear.
Newer methods are also being use to treat varicose veins. One is called radiofrequency ablation. Another is called endovenous laser ablation. Each of these uses intense heat to treat the vein. During these procedures:
- Your doctor will puncture the varicose vein. Ultrasound (a painless way to see inside your leg) will guide your doctor during the treatment.
- Your doctor will thread a catheter (a flexible tube) through the vein up to your groin. The doctor will inject a special solution into your vein to numb it.
- Intense heat will reach the vein through the catheter in the vein. The heat will close off and destroy the vein. The vein will disappear over time.
Most patients should try self-care treatments first. Common self-care includes keeping your leg elevated and wearing compression stockings. If self-care does not help, talk with your doctor about which treatment might be best for you.
Varicose vein therapy may be recommended for:
- Leg pain, often described as heavy or tired
- Ulcers or sores that are caused by poor blood flow in the veins
- Improving the appearance of the leg. This is a common reason for sclerotherapy.
- Lipodermatosclerosis - fatty tissue under that skin that hardens over time from high blood pressure in a vein
These treatments are generally safe. Ask your doctor about specific problems that might occur.
The risks for any anesthesia are:
- Allergic reactions to medicines
- Breathing problems
The risks for any procedure are:
- Bleeding
- Infection
- Bruising
The risks of endovenous laser ablation are:
- Blood clots(call your doctor if your feet or legs swell or get warm or hot)
- Pulmonary embolism (a blood clot in your lungs)
- Thrombophlebitis(inflammation in a vein with a blood clot that attaches to the vein)
- Paresthesias (prickly, tingly skin)
- Opening of the treated vein
- Skin burns from the heated catheter
The risks of sclerotherapy are:
- Vein irritation
- Blocked blood flow in the treated vein
- The solution leaks out of the vein into other tissue. This can damage surrounding tissue and cause ulcers to form.
The risks of any treatment for varicose veins are:
- Bruising or scarring
- Nerve injury
- Return of the varicose vein over time
Always tell your doctor or nurse:
- If you are or could be pregnant
- What drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot several days before your treatment.
After the ProcedureYour legs may be wrapped with bandages to control swelling and bleeding for 2 to 3 days after your treatment.
Usually patients can start their normal activities within a day or so after many of these treatments. You will need to wear compression stockings during the day for a week after treatment.
Your doctor may look inside your leg using ultrasound a few days after treatment to make sure the vein is sealed off.
Outlook (Prognosis)These treatments are usually very successful. They reduce pain, and they also are a good way to improve the appearance of the leg. Many of these treatments cause very little scarring, bruising, or swelling.
ReferencesFreischlag JA, Heller JA. Venous disease. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 68.
Nijsten T, van den Bos RR, Goldman MP, et al. Minimally invasive techniques in the treatment of saphenous varicose veins. Journal of the American Academy of Dermatology. Jan 2009;60(1).
Varicoceles are the name given to the veins with enlarged vessels located in the scrotum. They carry blood that has been deoxygenated out of the testicles. Varicoceles occur when blood is accumulated in the veins rather than being able to flow through the scrotum. It is common for them to cause minor signs like scrotal swelling or pain within the testicle. But they're an important cause of infertility.
The signs of varicocele
Varicoceles typically are not symptomatic. However, you may observe these varicocele symptoms :
A mild discomfort of the testicle in your scrotum, which is usually gone while you lay down.
Scrotal or testicular swelling.
The testicles are decreasing (testicular atrophy).
Infertility refers to the inability to get pregnant within a minimum of a year after trying.
There is a small bulge that appears at the top of your testicle that is damaged.
Varicocele causes and reasons :
The cause of varicoceles remains undiscovered by healthcare professionals and medical experts. One of the probable causes of varicocele might be the failure of valves within veins that should keep blood flow in a proper direction. Additionally, that vein in the left runs slightly different routes from the right, which increases the possibility of having a problem with blood flow in the left. As oxygen-depleted blood builds into the venous system and the veins expand (dilate), which results in the varicocele.
Different kinds of varicocele -
Gradients are utilized by health professionals to identify different types of varicocele. :
Grade 0 is the smallest type of varicocele. Healthcare providers won't be able to sense it in your physical examination, but the ultrasound test will show the condition.
First grade: The varicocele can't be detected by the healthcare professional who treats you. It can be felt when you do the Valsalva maneuver.
Second grade- even if you're not performing the Valsalva move, your teacher may feel the varicocele; however, it's not noticeable.
Third grade - This is the most serious varicocele. Healthcare professionals can detect and feel it clearly.
Treatments for Varicocele
The varicocele cure will depend on the degree of your issue. Surgery is by far the most popular treatment option for varicoceles. A varicocele's appearance doesn't mean that surgery intervention is needed. There is no medication available that can prevent varicoceles. But, some pain relief medications can aid in the reduction of discomfort for a short period. Many people have come to believe in and trust remedies that are homeopathic. Homeopathy can be used to treat many different ailments which can affect a patient. Varicocele is an extremely unpleasant condition that is treatable with homeopathy too. The most effective homeopathic treatment is for cases of varicoceles that suffer from trauma to the scrotal region, scrotal injury, or trauma. For mild or severe cases of varicocele, homeopathic treatment is quite effective. It reduces the swelling of the varicoceles. Varicocele treatment by homeopathy is safe, natural and is not harmful to the reproductive system of males. Homeopathic remedies work at the root in order to stop the process from returning. The homeopathic remedy stimulates the body's immune system to fight off disease. This problem can be completely addressed by the body's natural healing process is boosted. They help relieve pain and prevent future varicosities and decrease swelling. This reduces the temperature of testicles, resulting in increased sperm counts. It is recommended that homeopathic remedies be utilized from the very beginning of any varicocele issue, as the longer treatment is pushed back and the longer it takes, the more severe the problem gets.
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