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Varicose Veins

Natalie T. Dal’Bo, MD, BSc and Jana E. Montgomery, MD, ScM Reviewed 06/2020
 


BASICS

DESCRIPTION

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

DIAGNOSIS

HISTORY

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

  • Localized symptoms: pain, burning, itching

  • Generalized symptoms

    • Leg muscular cramp, aching

    • Leg fatigu...

TREATMENT

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

  • Conservative therapy (e.g., elevation, e...

ONGOING CARE

DIET

Weight-loss diet if obesity is a problem. 

PATIENT EDUCATION

  • Avoid long periods of standing and crossing legs.

  • Exercise (walking, running) regularly to improve leg strength and circulati...

REFERENCES

1
Shingler S, Robertson L, Boghossian S, et al. Compression stockings for the initial treatment of varicose veins in patients without venous ulceration. Cochrane Database Syst Rev.  201...

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

  • Minimally invasive procedures are preferred.

  • RFA and EVLA have been demonstrated to be superior to open surgical techniques for the treatment of varicose veins with similar improvement ...

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