Varicose veins of the legs are one of the most common medical problems in adults, especially women. It is believed that about 40% of the female population over 30 years in greater or lesser extent, expressed varicose veins in the legs. The first preserved description of varicose veins dating back to ancient Greece. Since then, advances in medicine has led to the explaining of the reasons for the formation of varicose veins and the possibilities of their treatment.
Varicose veins of the legs are not just a cosmetic problem. Problems that they can cause include leg swelling, leg pain, inflammation of the veins, bleeding varices, and long-term untreated varicose veins can lead to changes in the skin and subcutaneous tissue, usually the lower leg. This can cause discoloration of the skin on the lower leg, thinning of the skin and creating ulcers difficult to complete and tend to recur. All of these possible complications are the reason that the varicose veins needs to be treated when first as soon as possible. Positive effect of this is also positive cosmetic effect. It should be noted that the subjective symptoms that cause varicose veins may not be proportional to clinical findings.
Successful treatment of varicose veins requires a detailed clinical examination of the patient, which includes not only an overview of the leg veins but also complete vascular (arterial and venous) status. Furthermore, care must be taken and of any other health problems that the patient has. For example, a patient who in addition to varicose veins and has arterial insufficiency leg requires a different algorithm treatment from persons who have the proper arterial circulation in the legs.
Taking a detailed history and clinical examination is the first step on the road to adequate treatment. A further step is a detailed ultrasound (Color Doppler) which visualizes changes in the venous system and the underlying cause of varicose veins. Only after such exam treatment plan can be made.