What are the dangers of bruising due to varicose vein rupture?

Written by Zhang Xue Min
Vascular Surgery
Updated on September 24, 2024
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When varicose veins rupture and cause bruising, if the area is small, it may be absorbed on its own. If the area is large, or if there is a certain degree of fluid accumulation, this fluid can potentially lead to infection, especially if the patient has diabetes or is using steroids, which may cause the accumulated blood to become infected. Additionally, after the absorption of a bruise, some patients may experience local pigmentation. This occurs because the iron-containing hemoglobin from metabolized red blood cells remains in the area, leading to a change in color. In severe cases, if the discoloration recurs, it may darken, and further development in some people might result in the skin becoming rougher and potentially ulcerating.

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Written by Zhang Xue Min
Vascular Surgery
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Does Grade II varicose veins require surgery?

In our clinical staging, Grade 2 varicose veins are the most common type of varicose veins. Often, these do not have complications and are relatively early-stage. The decision to undergo surgery depends on the patient's personal treatment preference. Some individuals might be motivated by cosmetic reasons, such as wanting to wear skirts or shorts in the summer to show off their legs. In such cases, their desire for treatment might be stronger. For some older individuals, they might not care as much, so the choice of undergoing surgery or opting for conservative treatment for Grade 2 varicose veins really depends on the patient's own wishes.

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Written by Zhang Xue Min
Vascular Surgery
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Why does varicose veins sometimes feel like needle pricks?

In cases of varicose veins, the blood flow in the varicose veins is relatively slow. This blood, having undergone gas exchange, contains less oxygen and more carbon dioxide. If such blood remains in a local area for an extended period, it can potentially stimulate the nerves to some extent. Sometimes, including in varicose veins, if the blood flow pressure within these veins increases, it can also stimulate the nerves in the outer membrane of the blood vessels, leading to abnormal nerve discharges. Such incidents can manifest as brief, pin-like pain, not particularly intense, resembling the sensation of a needle prick. This condition is quite common and generally holds no special significance.

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Written by Chen Feng
Urology
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Can varicocele heal itself?

Varicocele generally cannot be cured, and most patients with varicocele do not have any symptoms and only discover their condition during physical examinations. Such patients can temporarily be under observation, but they should regularly have their varicocele rechecked and also have their semen quality tested. If there are abnormalities in semen quality, timely surgical treatment is necessary. Clinically, a small number of varicocele patients exhibit significant symptoms, typically presenting as discomfort and pain on the affected side of the scrotum, especially after long periods of walking or standing, with pain becoming more pronounced. In such cases, prompt surgical intervention is generally necessary, and surgery can also improve the quality of the patient's semen.

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Written by Zhang Xue Min
Vascular Surgery
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What happens if varicose veins worsen?

Varicose veins, when they worsen, can lead to changes in the skin, including thickening of the skin which feels woody to the touch. Additionally, the skin may exhibit pigmentation that can be severe enough to resemble the black color of a belt. More seriously, ulcers can develop, typically near the inner ankle, though they occasionally appear in other locations. These ulcers are referred to medically as “boot ulcers” and are commonly known among the general population as “continuous sore legs.” In extreme cases, these ulcers may persist for many years without healing and could potentially become malignant.

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Written by Zhang Xue Min
Vascular Surgery
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Can varicose veins be detected by ultrasound B?

Ultrasound is currently the main examination method for varicose veins. It is non-invasive, safe, and affordable, making it one of the standard methods for assessing varicose veins. Besides viewing the superficial veins, it also allows visualization of the deformed deep veins within the muscles, enabling a basic assessment of the causes of varicose veins. Ultrasound now plays a crucial role in the treatment of varicose veins. Many new treatment methods, such as blood flow modulation techniques like wrist flexing, require high precision in ultrasound use. It is essential to locate the reflux points using ultrasound, and then specifically target these points for ligation.