Document Detail


Management of varicose veins.
MedLine Citation:
PMID:  19069022     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Varicose veins are twisted, dilated veins most commonly located on the lower extremities. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity, older age, pregnancy, and prolonged standing. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. A heavy, achy feeling; itching or burning; and worsening with prolonged standing are all symptoms of varicose veins. Potential complications include infection, leg ulcers, stasis changes, and thrombosis. Some conservative treatment options are avoidance of prolonged standing and straining, elevation of the affected leg, exercise, external compression, loosening of restrictive clothing, medical therapy, modification of cardiovascular risk factors, reduction of peripheral edema, and weight loss. More aggressive treatments include external laser treatment, injection sclerotherapy, endovenous interventions, and surgery. Comparative treatment outcome data are limited. There is little evidence to preferentially support any single treatment modality. Choice of therapy is affected by symptoms, patient preference, cost, potential for iatrogenic complications, available medical resources, insurance reimbursement, and physician training.
Authors:
Richard H Jones; Peter J Carek
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American family physician     Volume:  78     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-12     Completed Date:  2008-12-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1289-94     Citation Subset:  AIM; IM    
Affiliation:
Naval Health Clinic, Quantico, Virginia, USA.
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MeSH Terms
Descriptor/Qualifier:
Exercise Therapy / methods*
Humans
Sclerotherapy / methods*
Stockings, Compression*
Treatment Outcome
Varicose Veins / therapy*
Vascular Surgical Procedures / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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