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Venous Insufficiency of Leg

Lower Extremity Venous Insufficiency


Presentation

  • Compared with the estimated prevalence of incidental ovarian venous insufficiency of 10-47%, this suggests that only a minority of incompetent ovarian veins will present with clinically detectable lower limb venous insufficiency.[ncbi.nlm.nih.gov]
  • The present study is the first to investigate the muscle pump effect in exercise hyperaemia in patients with venous insufficiency, who should be lacking an optimally functioning muscle pump.[ncbi.nlm.nih.gov]
  • The condition can appear red or hot or edematous, but venous stasis dermatitis almost always presents bilaterally. Usually the left leg is more edematous, compared with the right leg.[mdedge.com]
  • If you are experiencing any of the symptoms described above, a simple ultrasound of your legs can determine if venous insufficiency is present or not.[hamiltonvein.com]
  • The following conditions* are presented: Venous Ulcers, Cellulitis, Stasis Dermatitis, Varicose Veins, Hemosiderin Staining, Vasculitis, Lipodermatosclerosis, Calciphylaxis, Pyoderma Grangrenosum, Healed Foot Ulcer, Fungal Thickened Toenails, Maceration[vatainc.com]
Pain
  • Chronic leg ulcer impacts the quality of life in a number of ways such as reduced mobility, pain, unpleasant odor, sleep disturbances, social isolation, etc.[ncbi.nlm.nih.gov]
  • Hot weather can incite leg pain and while walking, some patients describe pain in the first few steps that slowly lessens with movement.[theveindoctors.com]
  • Pain or tenderness in legs is not a normal condition. One of the most common causes of pain in the lower extremity is venous insufficiency, a condition in which the veins stretch over time and the one-way valves in the veins fail.[tennesseeveincare.com]
  • Tiny Veins, Major Pains Leg pain can be caused by many things, including dehydration and electrolyte imbalance. One common cause is venous insufficiency. To understand this condition, it is necessary to understand the function of veins.[ivein.com]
  • The use of compression garments and/or wraps are known to provide excellent pain relief. Compression therapy puts pressure on the legs that helps increase blood circulation.[centerforvein.com]
Physician
  • Fucci, DO, FACC Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice.[cancercarewny.com]
  • Contact the venous insufficiency doctors at Fairfax Vein Center today to schedule a consultation or a free screening appointment with an experienced physician assistant.[fairfaxveincenter.com]
  • Our specialty-trained surgeons and physicians are leaders in their field and have excellent track records in treating some of the most complex vascular diseases and conditions.[uabmedicine.org]
  • To locate a vein specialist in your area, please visit our Find a Doctor Physician Locator. References: 1. Criqui, M.H., Denenberg, J.O., Langer, R.D., Kaplan, R.M., & Fronek, A. (2013). Epidemiology of Chronic Peripheral Venous Disease. In J.J.[medtronicendovenous.com]
Fatigue
  • “For most people, venous insufficiency is a gradual problem that starts with simple symptoms like aching or fatigue in the legs, and is often characterized by spider or varicose veins,” Dr.[stgeorgeutah.com]
  • Venous insufficiency is the medical condition that causes varicose veins and the symptoms of leg heaviness, fatigue, pain, and swelling. Tens of millions of Americans suffer from this condition.[fairfaxveincenter.com]
  • They may ache and fatigue easily. These stockings act to prevent leg swelling by counteracting pressures inside the leg and promoting blood flow back to the heart rather than allowing blood to pool in the legs. Compression squeezes the legs.[biotabhealthcare.com]
  • Symptoms Symptoms caused by venous insufficiency and varicose veins include: Aching legs Leg fatigue Throbbing Swelling Leg heaviness Symptoms that worsen as the day progresses Many people find they need to sit down in the afternoon and elevate their[inovaheart.org]
  • This can manifest through fatigue or general discomfort that gets worse over the course of a day or after standing for long periods, and can often be relieved by elevating the legs.[veinhealthcarecenter.com]
Limited Mobility
  • mobility Tissue ischemia and necrosis secondary to prolonged pressure Located over bony prominences; risk factors include excessive moisture and altered mental status Off-loading of pressure; reduction of excessive moisture, sheer, and friction; adequate[aafp.org]
Soft Tissue Swelling
  • tissue swelling from subcutaneous edema Ultrasound Venous Doppler ultrasound Considered the primary imaging modality of choice.[radiopaedia.org]
Constipation
  • […] standing or sitting for long periods of time being overweight, which increases pressure on the legs menopause aging, which results in decreased elasticity of blood vessels weakened blood vessel walls inflammation of the veins (known as phlebitis ) chronic constipation[radiologyinfo.org]
Venous Insufficiency
  • OBJECTIVE: The correlation between ovarian venous insufficiency and lower limb venous insufficiency remains poorly understood.[ncbi.nlm.nih.gov]
  • METHODS: In this prospective cohort study including obese (body mass index, BMI 30 kg m(-)(2)) and non-obese (BMI 25 kg m(-)(2)) subjects without venous insufficiency, lower leg volume was assessed by optoelectronic volumetry in the morning and in the[ncbi.nlm.nih.gov]
  • Abstract Chronic wounds on lower extremities most commonly result from chronic venous insufficiency.[ncbi.nlm.nih.gov]
  • Causes of venous insufficiency The risk of developing venous insufficiency rises with increasing age. Women are far more often affected than men.[mediuk.co.uk]
  • Causes Symptoms Treatment Prevention What is venous insufficiency ? Venous insufficiency is a condition marked by the inability of veins in your legs to send blood back to your heart.[veinsofhouston.com]
Thrombosis
  • Pain or tenderness in legs may also be the result of clotting (thrombosis) in the veins.[tennesseeveincare.com]
  • If your exam is positive for deep vein thrombosis (DVT), one of our providers will discuss exam results and treatment recommendations with you following the exam.[evergreenhealth.com]
  • Those who are prone to high blood pressure are at even greater risk for obvious reasons, as are those with a history of circulatory problems such as deep vein thrombosis, defective valves, or phlebitis (and inflammation of the walls of the veins.)[orthosleeve.com]
  • Valves in the vein may become damaged after the development of deep vein thrombosis (DVT).[saringer.com]
  • In more advanced cases, or cases where deep vein thrombosis has occurred, surgical intervention may be necessary to close or remove problem veins.[disability-benefits-help.org]
Venous Insufficiency of Leg
  • METHODS: In this prospective cohort study including obese (body mass index, BMI 30 kg m(-)(2)) and non-obese (BMI 25 kg m(-)(2)) subjects without venous insufficiency, lower leg volume was assessed by optoelectronic volumetry in the morning and in the[ncbi.nlm.nih.gov]
  • Abstract Chronic wounds on lower extremities most commonly result from chronic venous insufficiency.[ncbi.nlm.nih.gov]
  • Also Called Phlebitis, Post-Thrombotic Syndrome, Venous Insufficiency, Venous Leg Ulcer BY DR. PETER K.[vascular.org]
  • Women over the age of 50, or individuals who spend majority of time on their feet (EMS, retail or food service employees) are at a greater risk for developing chronic venous insufficiency; however, leg pain and CVI can develop in individuals who live[theveindoctors.com]
  • What causes Chronic Venous Insufficiency? Your legs have a network of veins. These veins have dozens of one-way valves that help blood return back to the heart.[veinatlanta.com]
Vein Disorder
  • In fact, more people lose work time from vein disorders than from artery disease. By the age of 50, nearly 40% of women and 20% of men have significant leg vein problems. Spider veins occur much more frequently in women.[vascularcures.org]
  • When restless leg occurs in conjunction with vein disorders, vein treatment can cause relief of symptoms and eliminate the need for medication. Skin Changes Skin changes can occur during many stages of venous disease.[veinhealthcarecenter.com]
Leg Pain
  • Leg pain at night is also a common phenomenon. Hot weather can incite leg pain and while walking, some patients describe pain in the first few steps that slowly lessens with movement.[theveindoctors.com]
  • Leg pain and cramps can hinder your performance or in more extreme cases, completely stop you in your tracks.[ivein.com]
  • An inflammatory condition will develop over time around the veins resulting in pain and/or tenderness in the soft tissues of the leg. Pain or tenderness in legs may also be the result of clotting (thrombosis) in the veins.[tennesseeveincare.com]
  • Venous hypertension syndrome – leg pain when standing and leg pain when the leg is dangled. Leg elevation relieves the pain. Patients are often young women. There are no other signs or symptoms.[angiologist.com]
  • You have a sudden increase in leg pain or swelling, fever, redness of the leg, or leg sores. Chronic venous stasis; Chronic venous disease; Leg ulcer - venous insufficiency; Varicose veins - venous insufficiency Dalsing MC, Maleti O.[medlineplus.gov]
Muscle Cramp
  • If your muscles cramp with walking for a short time and recover with rest this may indicate arterial disease. Other causes for leg cramps include muscle injury, thyroid conditions, pregnancy, electrolyte imbalance, dehydration or other causes.[lajollaveincare.com]
  • cramps itching, restlessness, etc.[leg-pain.com]
  • Venous insufficiency causes symptoms such as: twisted and bulging veins the appearance of dark purple or blue colors at the surface of the skin leg swelling, itching, aching, burning, throbbing and muscle cramping leg heaviness and fatigue skin discoloration[radiologyinfo.org]
  • When symptoms are present the most common are heaviness or fullness, aching, restlessness, tiredness, fatigue, pain, throbbing, burning, itching and muscle cramping.[vascularcures.org]
  • S: symptoms including ache, pain, tightness, skin irritation, heaviness, muscle cramps, as well as other complaints attributable to venous dysfunction. A: asymptomatic. ETIOLOGIC CLASSIFICATION (No change) Ec: congenital. Ep: primary.[jobst.com]
Social Isolation
  • Chronic leg ulcer impacts the quality of life in a number of ways such as reduced mobility, pain, unpleasant odor, sleep disturbances, social isolation, etc.[ncbi.nlm.nih.gov]
Sleep Disturbance
  • Chronic leg ulcer impacts the quality of life in a number of ways such as reduced mobility, pain, unpleasant odor, sleep disturbances, social isolation, etc.[ncbi.nlm.nih.gov]

Treatment

  • According to sex, the disease was found to have greater effect on women (especially on their emotional condition) and women had more faith in successful treatment, while correlation with age was nonsignificant.[ncbi.nlm.nih.gov]
  • Learn about your options for treatment of venous disease by visiting the Treatment Options page. Expand Your Knowledge: DVT that results in an embolism can cause the immediate onset of extreme pain.[veinhealthcarecenter.com]
  • That expertise is backed by the latest and most advanced technology, facilities, and treatment options, as well as our dedication to patient-centered care.[uabmedicine.org]
  • Symptoms and signs of CVI The problems associated with CVI do not disappear without treatment and the complexity of treatment increases as the disease progresses.[lymphedemablog.com]
  • These names include: EVLA (Endovenous Laser Ablation), EVLT ( Endovenous Laser Treatment ), ELAS (Endolumenal Laser Ablation Saphenous). The radiofrequency treatments are most commonly referred to as the VNUS Closure.[txvein.com]

Prognosis

  • Prognosis The prognosis is variable and depends on the progression of disease, extent of damage, and the presence of other diseases, which may affect the cardiovascular system.[medical-dictionary.thefreedictionary.com]
  • Outlook (Prognosis) Chronic venous insufficiency tends to get worse over time. However, it can be managed if treatment is started in the early stages.[baptistjax.com]

Etiology

  • Classification C- clinical manifestation E- etiologic factors A- anatomic distribution P- pathophysiologic dysfunction Severity Scoring 1. Number of anatomic segments affected 2. Grading of signs and symptoms 3.[jobst.com]
  • Bottom line: You need to consider the etiology. That's where my statement "it's not an ulcer with a varicose vein, it's a varicose vein with an ulcer" comes into play.[aapc.com]
  • We must identify the underlying etiology in order to help with the treatment protocol. Stay tuned for my next blog post on treatment options for patient with venous insufficiency. References 1. Callam MJ. Epidemiology of varicose veins.[podiatrytoday.com]
  • Venous ulcer, also known as stasis ulcer, is the most common etiology of lower extremity ulceration, affecting approximately 1 percent of the U.S. population.[aafp.org]
  • Figure 1: Venous ulcer with obesity as cofactor Figure 2: Large superficial venous ulcer Etiology Any condition that causes blood to pool in the veins of the leg is a potential cause of venous ulcers, including varicose veins, deep vein thrombosis, or[woundsource.com]

Epidemiology

  • Epidemiology of Chronic Peripheral Venous Disease. In J.J. Bergan & N. Bunke-Paquette (Eds.), The Vein Book (pp. 27-36). New York, NY: Oxford University Press. 2. American Heart Association, SIR, Brand et al.[medtronicendovenous.com]
  • Epidemiology of varicose veins. Br J Surg . 1994; 81(2):167–73. 2. Fowkes FG, Evans CJ, Lee AJ. Prevalence and risk factors of chronic venous insufficiency. Angiology . 2001; 52(Suppl1):S5–15. 3. Krajcar J, Radakovic B, Stefanic L.[podiatrytoday.com]
  • Venous ulcer: epidemiology, physiopathology, diagnosis and treatment. Int J Dermatol. 2005;44(6):449–456. 4. Callam MJ, Harper DR, Dale JJ, Ruckley CV. Chronic ulcer of the leg: clinical history. Br Med J (Clin Res Ed). 1987;294(6584):1389–1391. 5.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • PATHOPHYSIOLOGIC CLASSIFICATION Basic CEAP: Pr: reflux. Po: obstruction. Pr,o: reflux and obstruction. Pn: no venous pathophysiology identifiable.[jobst.com]
  • Pathophysiology of venous insufficiency during pregnancy. Acta Med Croatica . 1998; 52(1):65–69.[podiatrytoday.com]
  • B 32 Pathophysiology The pathophysiology of venous ulcers is not entirely clear. Venous incompetence and associated venous hypertension are thought to be the primary mechanisms for ulcer formation.[aafp.org]

Prevention

  • There are special valves in veins designed to prevent back-flow. Venous insufficiency prevents successful transportation of blood back to the heart due to impaired valves or other obstruction preventing proper vein function.[veinsofhouston.com]
  • […] your weight is one way to prevent varicose veins.[coastalvascularcenter.com]
  • There is less pressure to pump the blood up the veins to the heart and to prevent the blood from flowing back in the wrong direction. Numerous one-way valves in the veins prevent the backflow.[healthbeat.crozerkeystone.org]
  • The goals of treatment are to reduce the pooling of blood and prevent ulcers.[cleaverderm.com]
  • Again, the key to prevention of the late sequelae of DVT and thrombophlebitis, called chronic venous insufficiency, is wearing supportive hose.[footsmart.com]

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