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Varicose Veins

Joseph A. Florence, MD and Fereshteh Gerayli, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Superficial venous disease causing a permanent dilatation and tortuosity of superficial veins ≥3 mm in diameter usually occurring in the legs and feet; caused by systemic weakness in...

DIAGNOSIS

HISTORY

  • Symptoms range from minor annoyance/cosmetic problem to a lifestyle-limiting problem (1).

  • Localized symptoms: pain, burning, itching

  • Generalized symptoms

    • Leg muscular cramp, aching

    • Leg ...

TREATMENT

  • Indications for treatment include pain, aching, soreness, heaviness, fatigue, burning, edema, stasis dermatitis, recurrent superficial phlebitis or ulceration.

  • Conventional wisdom suggests co...

ONGOING CARE

DIET

  • No special diet

  • Weight-loss diet is recommended if obesity is a problem.

PATIENT EDUCATION

  • Avoid long periods of standing and crossing legs when sitting.

  • Exercise (walking, running) regul...

REFERENCES

1
Bootun R, Onida S, Lane TRA, et al. Varicose veins and their management. Surgery (Oxford).  2016;34(4):165–171.
2
Shingler S, Robertson L, Boghossian S, et al. Compression stockings for...

CODES

ICD10

  • I83.90 Asymptomatic varicose veins of unspecified lower extremity

  • I83.009 Varicose veins of unsp lower extremity w ulcer of unsp site

  • I83.10 Varicose veins of unsp lower extremity with inflam...

CLINICAL PEARLS

  • Once considered the gold-standard treatment, now minimally invasive outpatient procedures are preferred.

  • RFA and EVLA have been demonstrated to be superior to open surgical techniques f...

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