{"id":58,"date":"2013-08-10T15:24:47","date_gmt":"2013-08-10T15:24:47","guid":{"rendered":"http:\/\/drradhakrishnan.com\/wordpress\/?page_id=58"},"modified":"2014-01-22T21:07:04","modified_gmt":"2014-01-22T15:37:04","slug":"cause-of-varicose-veins","status":"publish","type":"page","link":"https:\/\/drradhakrishnan.com\/wordpress\/?page_id=58","title":{"rendered":"Cause of Varicose Veins"},"content":{"rendered":"

Cause of Varicose Veins<\/strong>
\nGenetic dysfunction of the valve or wall of the vein is the commonest cause. Rarely malformations or congenital absence of the valves are responsible for the development of the disease. Persistently increased intravenous pressure damages the venous walls and results in stretching and loss of elasticity. This will produce a backflow (reversal of blood flow) due to the gravitational force. Occasionally,\u00a0 any block to the normal flow of blood through the deep vein of the leg either due to intrinsic or extrinsic\u00a0 factors may produce varicose vein.<\/p>\n

The predisposing factors<\/strong>
\n1) Age : As age advances the frequency of the disease may increase, maximum incidence observed around 50 years of age
\n2) Sex : There is a female predominance, obviously due to pregnancy
\n3) Racial factors
\n4) Hereditary \/ Genetic Factors : The commonest
\n5) Hormonal :\u00a0 Due to the Effect of female hormone
\n6) Pregnancy : Due to the Pressure effect of\u00a0 gravid uterus on the major veins of\u00a0 the lower abdomen (pelvic veins)
\n7) Secondary to Diseases: Fibroid Uterus, Lower abdominal tumors
\n8) Secondary to Deep Vein Thrombosis
\n9) Chronic Constipation
\n10) Occupational: Standing for long time was considered as a common predisposing factor but recent studies shows, sitting is worse than standing<\/p>\n

Symptoms<\/strong>
\nPain<\/strong><\/em>: Dull aching pain in the lower leg is the commonest early symptom
\nSwelling of the feet<\/strong><\/em>: Oedema of the feet especially on standing for long time or by evening\u00a0 is\u00a0 the commonest sign
\nBleeding<\/strong><\/em>: Seen only in\u00a0 very limited\u00a0 number of patients. It has no relation to age, stage of the disease, or the size of the vein or the stage of the disease
\nItching<\/strong><\/em>: Experienced only below the knee and the maximum at the lowermost part of the leg
\nDiscoloration<\/strong><\/em>: Blackish discoloration (pigmentation) around the ankle joints and the\u00a0 lower leg.The upper one third of the leg is spared.
\nEczematous Change<\/em><\/strong>: Around the ankle, foot or lower leg
\nLipodermatosclerosis<\/em><\/strong>: Leathery skin with pigmentational changes
\nAtrophie Blanche<\/strong><\/em>: It is a localised, circular area of atrophic skin surrounded by very fine veins. There can have pigmentation around. This may be sometimes mistaken for healed ulceration
\nUlcer Formation<\/strong><\/em>: Initially small ulcers develop and heal spontaneously over a period of time
\nGiant Ulcers<\/strong><\/em>:\u00a0 Later in the course of the disease, the ulcers refuse to heal and proceed to progressive skin erosion resulting in very\u00a0 large non healing ulcers
\nMalignant changes<\/strong><\/em>: The chronic ulcer may turn malignant<\/p>\n","protected":false},"excerpt":{"rendered":"

Cause of Varicose Veins Genetic dysfunction of the valve or wall of the vein is the commonest cause. Rarely malformations or congenital absence of the valves are responsible for the development of the disease. Persistently increased intravenous pressure damages the venous walls and results in stretching and loss of elasticity. This will produce a backflow […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-58","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P3PjU5-W","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/58","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=58"}],"version-history":[{"count":3,"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/58\/revisions"}],"predecessor-version":[{"id":130,"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/58\/revisions\/130"}],"up":[{"embeddable":true,"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/2"}],"wp:attachment":[{"href":"https:\/\/drradhakrishnan.com\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}