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

Written by Zhang Xue Min
Vascular Surgery
Updated on September 19, 2024
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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
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Late-stage complications of lower extremity varicose veins

In the advanced stages of lower extremity varicose veins, fixed ulcers can appear above the ankle in certain specific areas. These ulcers may improve or worsen intermittently and are long-lasting. The ulcers might gradually enlarge, and pigmentation can occur around them, with the skin gradually darkening, and even turning black. If these ulcers continue to remain unhealed for an extended period, there is a possibility of cancerous changes in some individuals. Therefore, it is essential to treat lower extremity varicose veins that have progressed to ulcers, with the primary treatments being compression therapy and medication, which can also be combined with surgical treatment.

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Written by Wang Shuai
Urology
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Symptoms of varicocele in the right spermatic cord

If it is a mild varicocele, most patients have no discomfort symptoms and it is not easily detected. If the varicocele reaches a moderate or even severe level, the patient may experience a sensation of dragging pain in the right testicle and a lax scrotum, especially after long periods of sitting, standing, or intense exercise. The pain and dragging sensation in the testicle will become more pronounced. However, the symptoms will gradually ease after lying down and resting. If varicocele persists for a long time, it can lead to a decline in sperm quality, causing male infertility, and can even result in testicular atrophy. If the above symptoms are present, it is necessary to promptly go to the hospital for an ultrasound examination to determine the diameter of the spermatic vein. A routine semen analysis may be necessary if there is a decline in semen quality. If needed, surgery may be required for treatment.

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Written by Chen Feng
Urology
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How is varicocele treated?

The treatment of varicocele depends on the severity of the condition. Clinically, some varicocele patients do not exhibit obvious symptoms, or show no symptoms at all and are only diagnosed during physical examinations. These patients can generally be treated conservatively by avoiding standing for long periods, avoiding prolonged walking, and by wearing tight underwear to alleviate symptoms of varicocele. However, some patients with varicocele do exhibit clear symptoms, including discomfort and pain in the scrotum on the affected side, especially after long periods of walking. These symptoms can become more severe and may also be accompanied by abnormalities in semen quality. These patients generally require surgical intervention, such as high ligation of the veins.

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Written by Zhang Xue Min
Vascular Surgery
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How should young people deal with varicose veins in the lower legs?

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
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What are the effects of secondary surgery for varicose veins?

If varicose veins recur, we need to carefully investigate the cause of the recurrence and rule out problems in the deep venous system. If there is an obstruction in the deep veins, recurrence can occur quickly even after secondary surgery on the superficial veins. If the deep veins are only involved in venous reflux, surgery can still be performed, but it is hoped that medical compression stockings will be worn for a period of time after surgery. Otherwise, there is still a possibility of recurrence after the secondary surgery.