Tags

Type your tag names separated by a space and hit enter

Management of varicose veins.
Am Fam Physician. 2008 Dec 01; 78(11):1289-94.AF

Abstract

Varicose veins are twisted, dilated veins most commonly located on the lower extremities. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity, older age, pregnancy, and prolonged standing. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. A heavy, achy feeling; itching or burning; and worsening with prolonged standing are all symptoms of varicose veins. Potential complications include infection, leg ulcers, stasis changes, and thrombosis. Some conservative treatment options are avoidance of prolonged standing and straining, elevation of the affected leg, exercise, external compression, loosening of restrictive clothing, medical therapy, modification of cardiovascular risk factors, reduction of peripheral edema, and weight loss. More aggressive treatments include external laser treatment, injection sclerotherapy, endovenous interventions, and surgery. Comparative treatment outcome data are limited. There is little evidence to preferentially support any single treatment modality. Choice of therapy is affected by symptoms, patient preference, cost, potential for iatrogenic complications, available medical resources, insurance reimbursement, and physician training.

Authors+Show Affiliations

Naval Health Clinic, Quantico, Virginia, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19069022

Citation

Jones, Richard H., and Peter J. Carek. "Management of Varicose Veins." American Family Physician, vol. 78, no. 11, 2008, pp. 1289-94.
Jones RH, Carek PJ. Management of varicose veins. Am Fam Physician. 2008;78(11):1289-94.
Jones, R. H., & Carek, P. J. (2008). Management of varicose veins. American Family Physician, 78(11), 1289-94.
Jones RH, Carek PJ. Management of Varicose Veins. Am Fam Physician. 2008 Dec 1;78(11):1289-94. PubMed PMID: 19069022.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of varicose veins. AU - Jones,Richard H, AU - Carek,Peter J, PY - 2008/12/17/entrez PY - 2008/12/17/pubmed PY - 2009/1/1/medline SP - 1289 EP - 94 JF - American family physician JO - Am Fam Physician VL - 78 IS - 11 N2 - Varicose veins are twisted, dilated veins most commonly located on the lower extremities. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity, older age, pregnancy, and prolonged standing. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. A heavy, achy feeling; itching or burning; and worsening with prolonged standing are all symptoms of varicose veins. Potential complications include infection, leg ulcers, stasis changes, and thrombosis. Some conservative treatment options are avoidance of prolonged standing and straining, elevation of the affected leg, exercise, external compression, loosening of restrictive clothing, medical therapy, modification of cardiovascular risk factors, reduction of peripheral edema, and weight loss. More aggressive treatments include external laser treatment, injection sclerotherapy, endovenous interventions, and surgery. Comparative treatment outcome data are limited. There is little evidence to preferentially support any single treatment modality. Choice of therapy is affected by symptoms, patient preference, cost, potential for iatrogenic complications, available medical resources, insurance reimbursement, and physician training. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/19069022/Management_of_varicose_veins_ L2 - https://www.aafp.org/link_out?pmid=19069022 DB - PRIME DP - Unbound Medicine ER -