Varicose veins

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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.

Remedies

Banerji protocols

First line
  • Ham C200 + Arn C3 two dose daily
  • In acute cases repeat it every 3 hours
Second line
  • Crot-h C6 two doses daily
  • Painful case: Hyper C200 one dose every 3 hours alternating with Crot-h C6
Third line
  • Lach C200 one dose every 2 days
  • Card-m 0 two doses daily
  • Ham C200 + Arn C3 two dose daily

Tissue Salt Remedies

  • FP
  • CF

First Class Remedies

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


Repertory

Quality

Modality

Concomitant

MIND - INSANITY - varicose veins - with arn. ars. fl-ac. laugh. lyc. sulph. Zinc.