Varicose Veins- Risk Factors, Signs And Symptoms, Complications And Treatment 

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Varicose veins are abnormal, tortuous, dilated, and elongated superficial veins, primarily affecting the legs. They are prevalent among older adults, with 50% of individuals over 50 years. showing signs of venous disease, with 50% involving varicose veins. The incidence increases with age and is more common in females. Factors contributing to varicose veins include a strong family history, obesity, pregnancy, oral contraceptive use, hormone replacement therapy, and prolonged standing or sitting. There are two main types: primary and secondary. Primary varicose veins account for 95% of cases and result from saphenous or perforator incompetence, while secondary veins may arise from pelvic thrombosis, arteriovenous malformations, or deep vein thrombosis. Clinical features include dull pain, unsightly appearance, itching, throbbing, ankle swelling, and saphenous varices. Complications can lead to bleeding, superficial thrombophlebitis, and venous hypertensive skin changes, including lipodermatosclerosis, pigmentation, and ulceration. Eczema is another possible manifestation. Treatment modalities include symptom management, lifestyle modifications, compression therapy, and surgical intervention. Early diagnosis and management are crucial for preventing complications and improving the quality of life for individuals with varicose veins.
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