Removing varicose veins may reduce risk of venous insufficiency
BY DR. KOMOROFF Universal Uclick
Friday, March 15, 2013
3/15/13 at 5:22 AM
Dear Doctor K: I have unsightly varicose veins and would like to get them treated. But could that lead to venous insufficiency?
Dear Reader: In a nutshell, varicose veins are both a cause and a result of venous insufficiency, and treating them can improve venous insufficiency.
Normally, leg veins return blood from the legs back to the heart. When you use your legs, the muscles in your legs also help squeeze the blood upward toward the heart. But at the same time gravity is pulling the blood down, so the circulation needs some help.
That's why your leg veins have a series of one-way valves. These valves open to allow blood to flow upward toward the heart. They close to keep blood from flowing back down into the legs. When the valves are damaged or don't close properly (as with varicose veins), blood can pool in the legs. This increases pressure in the veins, causing them to expand.
When something is making it hard for blood to return from the legs to the heart, you've got venous insufficiency. It could be caused by varicose veins, or by not using your leg muscles enough, or by blood clots that form in the veins and block blood flow.
Having varicose veins removed doesn't make you more likely to develop venous insufficiency. In fact, by removing the varicose veins with defective valves it might even help to reduce the risk of developing chronic venous insufficiency. It will force blood to return to the heart through other veins that do not have defective valves.
Try the following to help reduce the risk of vein problems progressing or recurring: avoid sitting or standing in one place for long periods; wear compression hose; elevate your legs a few times each day to reduce blood pooling and leg or ankle swelling; exercise your toes and feet while sitting; don't cross your legs; take walks to get your leg muscles moving, they help squeeze veins and pump blood back to the heart; and maintain a healthy weight.
Write Dr. K at www.AskDoctorK.com or c/o Universal Uclick, 1130 Walnut, Kansas City, MO 64106