The veins

Varicose veins of the legs are among the most common adult medical problems, especially forthe female population. It is believed that almost 40% of the female population over 30 years of age has expressed varicose veins in the legs. The first surviving descriptions of varicose veins date back to ancient Greece. From then, until now, the development of medicine has led to the knowledge of the causes of varicose veins and toits treatment procedures.

Varicose veins of the legs are not just a cosmetic problem. Problems that they can cause, including leg swelling, leg pain, phlebitis, variceal hemorrhage, and prolonged untreated varicose veins, can lead to changes in the skin and subcutaneous tissue, usually the lower leg. This can lead to brownish skin pigmentation, thinning of the skin, and ulcerations that are at risk of recurrence. All these possible complications are the reason that varicose veins should be treated as soon as possible, even more so as a positive aesthetic effect of treatment. It should be noted that the subjective symptoms that cause varicose veins need not be proportional to the clinical findings.

To treat varicose veins successfully, a detailed clinical examination of the patient is required, which includes not only an overview of leg veins but a complete vascular (arterial and venous) status. Other possible health problems that the patient may have also need to be taken into account. For example, a patient who, in addition to varicose veins has an arterial defficiency in the legsmay require different treatment to a person with regular arterial circulation in the legs.

Taking a detailed history and physical examination is the first step to proper treatment. The next step is detailed ‘Doppler’of the leg veins, which can be used to determinethe changes in the venous system underlying varicose veins. Only after such a procedure, a treatment plancan be made.