How should young people deal with varicose veins in the lower legs?

Written by Zhang Xue Min

Vascular Surgery

Updated on September 16, 2024

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Firstly, for young people with varicose veins in the lower leg, it is recommended to go to the hospital for an ultrasound examination to check the condition of the deep veins. Additionally, consult a professional vascular surgeon to assess the severity. If the deep veins are unobstructed and the superficial varicose veins in the lower leg are not too severe, the doctor will suggest the patient wear medical compression stockings and continue with normal life activities. If the condition is more serious or there are certain issues with the deep veins, the doctor might recommend surgery. For such patients, it is important in daily life to avoid standing or sitting for long periods, and to avoid letting the legs dangle for too long. If standing, one can also step in place appropriately, which helps alleviate varicose veins. Also, when resting, take any opportunity to elevate the legs and avoid soaking feet in hot water.

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Written by Zhang Xue Min

Vascular Surgery

1min 19sec

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How to treat varicose veins stage II?

If you're referring to the second stage of varicose veins, I'm not sure if you mean the clinical manifestation stage two, or if it's a recurrence after one surgery. Let's first talk about stage two varicose veins, which means there are visible and tortuous vein clumps. There are several main treatment methods for this condition: First, conservative treatment, which involves wearing medical compression stockings. If symptoms include soreness, heaviness, or cramping, some medications can be taken orally. Then, if there is a desire for surgical treatment, options like vein stripping, radiofrequency, or laser treatments are available. Some may involve sclerotherapy or another method called venous angle keratin treatment, specifically for stage two varicose veins. If it's a recurrence of varicose veins, we need to assess the specific situation. Some people might have had previous endovenous closure surgeries, and their veins are still present. In such cases, we can choose to redo the closure or opt for surgery to remove them. Another scenario is if the varicose veins have recurred after surgery. We need to investigate the cause. Some people might have iliac vein stenosis, and in such cases, treatment targeted at the iliac vein is necessary.

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Written by Zhang Xue Min

Vascular Surgery

55sec

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Is vein varicose treatment better with injections or surgery?

Venous sclerotherapy involves injecting a sclerosing agent and is a relatively good and minimally invasive treatment method. Its advantages include being minimally invasive and even suitable for outpatient surgery, with low costs. However, there are drawbacks; one is that the medication might enter the deep veins, causing deep vein thrombosis. If the dosage is too large, it could reach the lungs, causing pulmonary embolism. Additionally, the medication might seep into surrounding tissues, causing inflammatory reactions. Some patients may experience temporary hyperpigmentation. Surgical treatment is a more traditional method, but it depends on the specific situation. Generally, it causes more trauma than sclerotherapy and usually requires some level of anesthesia. Surgery entails a certain amount of blood loss, and like other methods, it cannot prevent recurrence.

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Written by Zhang Xue Min

Vascular Surgery

1min 3sec

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Can you run if you have varicose veins in your lower legs?

Patients with simple varicose veins can run. The movement of muscles, especially during running when the calf muscles are active, can compress the deep veins, facilitating the emptying of these veins. This benefits the flow of blood in the superficial veins through the communicating veins back to the deep venous system, thus participating in the systemic circulation. Therefore, patients with varicose veins in the calves can still run in the majority of cases. However, there are exceptions. If a person experiences significant muscle pain, it is important to be cautious as there may be a thrombus in the muscle veins. If there is a thrombus in the muscle veins, and the return flow in the deep veins is obstructed, this may also cause varicose veins. In cases of fresh thrombosis, running might lead to the detachment of the thrombus. Thus, patients in such conditions are advised not to run until further evaluation is confirmed by an ultrasound examination.

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Written by Zhang Xue Min

Vascular Surgery

1min 9sec

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Will varicose veins recur and have sequelae after surgery?

After varicose vein surgery, there may be a recurrence, and there may also be sequelae. The main reason for recurrence is that we only close off the varicose veins, but the causes that lead to varicose veins are not removed, such as some people having a family history, some being involved in long-term physical labor, and some being excessively obese. If these factors are not eliminated, the patient is very likely to relapse. The recurring veins may be some other nearby superficial veins that some surgical methods did not remove but merely closed locally. These veins might also reopen, and sequelae are possible. The most common sequelae include nerve damage, such as saphenous nerve damage, which is quite common with an incidence rate of about 14%. The main symptom is numbness near the inner ankle, which might improve over time. Some people feel discomfort at the surgical site on rainy or cloudy days shortly after surgery, and if the deep veins are damaged during surgery, more severe consequences may occur, including poor reflux in the deep veins and deep vein thrombosis, etc.

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Written by Chen Feng

Urology

48sec

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What should be paid attention to after varicocele surgery?

The precautions to take after varicocelectomy surgery are as follows: 1. After the surgery, it is important to keep the surgical incision clean and dry to reduce the chances of infection. 2. In the postoperative diet, eat lightly, consuming more fresh vegetables and fruits, and moderately include protein-rich foods such as lean meat, fish, eggs, and milk. Protein supplementation is beneficial for the healing of the surgical incision. 3. Rest is crucial after surgery. Generally, it is advised to rest in bed, avoid standing for long periods, and refrain from extensive walking. Extended standing may cause discomfort and swelling of the scrotum, so more bed rest is recommended.