Varicose veins: Difference between revisions

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=== Clinic ===
=== Clinic ===


* '''Varicose veins''', also known as '''varicoses''', are a medical condition in which superficial veins become enlarged and twisted
* Varicose veins, also known as varicoses, are a medical condition in which superficial veins become enlarged and twisted
* However, some individuals may experience fatigue or pain in the area.  
* However, some individuals may experience fatigue or pain in the area.  


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* Varices in the scrotum are known as a varicocele
* Varices in the scrotum are known as a varicocele
* Around the anus are known as [[Hemorrhoid|hemorrhoids]].
* Around the anus are known as [[Hemorrhoid|hemorrhoids]].
* Spider veins (Telangiectasia) affect the capillaries and are smaller than Varices.


=== Varicose vs spider veins ===
Spider veins affect the capillaries and are smaller.


=== Signs and symptoms ===
=== Signs and symptoms ===


* Aching, heavy legs
* Aching, heavy legs
* Appearance of spider veins (telangiectasia) in the affected leg
* Ankle swelling
* Ankle swelling
* A brownish-yellow shiny skin discoloration near the affected veins
* A brownish-yellow shiny skin discoloration near the affected veins
* Redness, dryness, and itchiness of areas of skin, termed stasis dermatitis or venous eczema
* Redness, dryness, and itchiness of areas of skin, termed stasis dermatitis or venous eczema
* Muscle cramps when making sudden movements, such as standing
* Muscle cramps when making sudden movements, such as standing
* Abnormal bleeding or healing time for injuries in the affected area
* Abnormal [[Bleeding, hemorrhagic remedies|bleeding]] or healing time for injuries in the affected area
* Lipodermatosclerosis or shrinking skin near the ankles
* Lipodermatosclerosis or shrinking skin near the ankles
* Restless legs syndrome appears to be a common overlapping clinical syndrome in people with varicose veins and other chronic venous insufficiency
* [[Restless legs syndrome]] appears to be a common overlapping clinical syndrome in people with varicose veins and other chronic venous insufficiency
* Atrophie blanche, or white, scar-like formations
* Atrophie blanche, or white, scar-like formations
* Burning or throbbing sensation in the legs
* Burning or throbbing sensation in the legs
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* Hyperhomocysteinemia
* Hyperhomocysteinemia


=== CEAP Stages ===
=== CEAP Stages ===
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=== First Class Remedies ===
=== First Class Remedies ===
Arn, Calc, Carb-v, Fl-ac, Ham, Puls, Sep
[[Arn, Arnica Montana|Arn]], [[Calc-c, Calcerea carbonica|Calc]], [[Carb-v, Carbo vegetabilis|Carb-v]], [[Fl-ac, Fluoricum Acidum|Fl-ac]], [[Ham, Hamamelis Virginiana|Ham]], [[Puls, Pulsatilla pratensis|Puls]], [[Sep, Sepia|Sep]]
 


=== Repertory ===
=== Repertory ===
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==== Quality ====
==== Quality ====


* Edematous: Puls
* [[Bleeding, hemorrhagic remedies|Bleeding]]: [[Ham, Hamamelis Virginiana|Ham]], [[Puls, Pulsatilla pratensis|Puls]]
* Bleeding: Ham, Puls
* Bluish: [[Ham, Hamamelis Virginiana|Ham]], [[Sep, Sepia|Sep]], [[Puls, Pulsatilla pratensis|Puls]]
* Bluish: Ham, Sep, Puls
* Inflamative: [[Ars, Arsenicum Album|Ars]], [[Calc-c, Calcerea carbonica|Calc]], [[Ham, Hamamelis Virginiana|Ham]], [[Puls, Pulsatilla pratensis|Puls]]
* Burning: Ars
** Painful: [[Ham, Hamamelis Virginiana|Ham]], [[Puls, Pulsatilla pratensis|Puls]]
* Inflamative: Ars, Calc, Ham, Puls
** Burning: [[Ars, Arsenicum Album|Ars]]
* Itching: Caps, Graph, Sep, Sul
** Edema: [[Puls, Pulsatilla pratensis|Puls]]
* Reticular: Calc, Carb-v
* Itching: [[Caps, Capsicum annuum|Caps]], [[Graph, Graphites|Graph]], [[Sep, Sepia|Sep]], [[Sul , Sulphur|Sul]]
* Painful: Ham, Puls
* Reticular: [[Calc-c, Calcerea carbonica|Calc]], [[Carb-v, Carbo vegetabilis|Carb-v]]
* Ulcerative: Ham
* Ulcerative: [[Ham, Hamamelis Virginiana|Ham]]


==== Modality ====
==== Modality ====


* Heat agg: Fl-ac, Sul
* Heat agg: [[Fl-ac, Fluoricum Acidum|Fl-ac]], [[Sul , Sulphur|Sul]]
* Touch sensitive: Fl-ac, Ham
* Touch sensitive: [[Fl-ac, Fluoricum Acidum|Fl-ac]], [[Ham, Hamamelis Virginiana|Ham]]
* Motion / Pressure agg: Ham
* Motion / Pressure agg: [[Ham, Hamamelis Virginiana|Ham]]

Revision as of 23:24, 9 August 2023

Clinic

  • Varicose veins, also known as varicoses, are a medical condition in which superficial veins become enlarged and twisted
  • However, some individuals may experience fatigue or pain in the area.


Special locations

  • Varices in the scrotum are known as a varicocele
  • Around the anus are known as hemorrhoids.
  • Spider veins (Telangiectasia) affect the capillaries and are smaller than Varices.


Signs and symptoms

  • Aching, heavy legs
  • Ankle swelling
  • A brownish-yellow shiny skin discoloration near the affected veins
  • Redness, dryness, and itchiness of areas of skin, termed stasis dermatitis or venous eczema
  • Muscle cramps when making sudden movements, such as standing
  • Abnormal bleeding or healing time for injuries in the affected area
  • Lipodermatosclerosis or shrinking skin near the ankles
  • Restless legs syndrome appears to be a common overlapping clinical syndrome in people with varicose veins and other chronic venous insufficiency
  • Atrophie blanche, or white, scar-like formations
  • Burning or throbbing sensation in the legs

People with varicose veins might have a positive D-dimer blood test result due to chronic low-level thrombosis within dilated veins (varices).


Complications

  • Pain, tenderness, heaviness, inability to walk or stand for long hours
  • Skin conditions / dermatitis which could predispose skin loss
  • Skin ulcers / Venous ulcers
  • Carcinoma or sarcoma (0.4-1%)
  • Severe bleeding from minor trauma, of particular concern in the elderly
  • Blood clotting within affected veins, termed superficial thrombophlebitis.
  • Acute fat necrosis: Females have a higher tendency of being affected than males


Causes

  • Mechanical: Pregnancy, obesity, menopause, aging, prolonged standing, leg injury and abdominal straining, Venous and arteriovenous malformations.
  • Phlebitic obstruction or incontinence
  • Venous reflux is a significant cause
  • Hyperhomocysteinemia


CEAP Stages

CEAP: Clinical, Etiological, Anatomical, and Pathophysiological

  • C0 – no visible or palpable signs of venous disease
  • C1 – telangectasia or reticular veins
  • C2 – varicose veins
  • C2r - recurrent varicose veins
  • C3 – edema
  • C4- changes in skin and subcutaneous tissue due to Chronic Venous Disease
  • C4a – pigmentation or eczema
  • C4b – lipodermatosclerosis or atrophie blanche
  • C4c- Corona phlebectatica
  • C5 – healed venous ulcer
  • C6 – active venous ulcer
  • C6r- recurrent active ulcer

Each clinical class is further characterized by a subscript depending upon whether the patient is symptomatic (S) or asymptomatic (A), e.g. C2S.


Tissue Salt Remedies

  • FP
  • CF

First Class Remedies

Arn, Calc, Carb-v, Fl-ac, Ham, Puls, Sep


Repertory

Quality

Modality

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