What is varicose?

"Varicose" refers to a condition known as varicose veins. Varicose veins are enlarged, twisted veins that often appear blue or dark purple. They usually occur in the legs and can cause symptoms such as aching pain, discomfort, swelling, and in severe cases, skin ulcers.

These veins develop and form when the valves in the veins that are supposed to prevent blood from flowing backward malfunction or weaken. As a result, blood pools in the veins, causing them to swell and become varicose.

Varicose veins are quite common and can be influenced by factors such as genetics, age, pregnancy, obesity, prolonged standing or sitting, and hormonal changes. Treatment options vary from lifestyle changes (exercise/wearing compression stockings) to medical procedures (sclerotherapy/laser treatment) depending on the severity and symptoms experienced by the individual.

How is varicose diagnosed?

Diagnosing varicose veins involves a combination of medical history, physical examination, and sometimes imaging tests. Here's a breakdown for diagnosing varicose veins:

·       Medical History: Your doctor will first ask about your symptoms, including any pain, swelling, or discomfort you may be experiencing. They will also inquire about your family history of varicose veins or any other related conditions that may be found as triggers.

·       Physical Examination: During the physical exam, your doctor will inspect your legs while you're standing and sitting to observe any visible signs of varicose veins. They may also palpate your legs to check for tender areas or swelling.

·       Duplex Ultrasound: This is the most common test used to diagnose varicose veins. It combines two types of ultrasound: Doppler ultrasound, which evaluates blood flow, and B-mode ultrasound, which provides images of the veins themselves. This test allows your doctor to see the structure of your veins, identify any blood clots, and assess how well the valves in your veins are functioning.

·       Venography: In some cases, especially if the diagnosis is unclear or if you're being considered for a procedure, your doctor may recommend a venography. This is an X-ray imaging test where a contrast dye is injected into a large vein in your foot or ankle. As the dye travels through your veins, X-ray images are taken to reveal any abnormalities in the veins and blood flow.

·       Other Tests: Occasionally, other tests such as CT scans or MRI scans may be used if there are concerns about deeper vein problems or if there's a need for detailed imaging.

Based on the findings from these tests, your doctor will determine the severity of your varicose veins and recommend appropriate treatment options.

What are the symptoms of varicose?

Varicose veins can cause a variety of symptoms, which can range from mild discomfort to more severe issues. Common symptoms of varicose veins include:

·       Visible, Enlarged Veins: Veins that are swollen, twisted, and bulging, often appearing blue or dark purple in color. They may be visible on the surface of the skin, typically on the legs.

·       Aching or Heaviness: Many people with varicose veins experience aching pain or a feeling of heaviness in the legs, especially after standing or sitting for long periods.

·       Swelling: Swelling, particularly in the ankles and feet, can occur due to fluid buildup from inefficient circulation in the affected veins.

·       Cramping or Throbbing: Some individuals may have muscle cramps or a throbbing sensation in the legs, particularly at night.

·       Itching or Irritation: Skin over varicose veins may become dry, irritated, or itchy.

·       Discoloration: Skin around varicose veins may darken or develop a reddish or brownish discoloration, especially around the ankle area.

·       Complications: In severe cases, varicose veins can lead to complications such as skin ulcers (open sores), bleeding from the veins, or superficial thrombophlebitis (inflammation and clotting in a vein just below the skin).

Symptoms of varicose veins can progressively worsen over the course of time if left untreated. It's essential to consult with a healthcare professional if you may be experiencing any of these symptoms, as early intervention can help manage symptoms and prevent complications.

What are the normal treatments for varicose?

Treatments for varicose veins are based on the severity of symptoms and the extent of the condition. Common treatments for varicose veins include:

·       Lifestyle Changes and Self-care:

o      Exercise: Regular physical activity, especially activities that work the calf muscles, can improve circulation and reduce symptoms.

o      Weight Management: Maintaining a healthy weight can help alleviate pressure on the veins.

o      Elevating Legs: Elevating the legs above the heart level when resting can help reduce swelling and improve circulation.

·       Compression Stockings: Wearing compression stockings can help reduce swelling and discomfort. These stockings apply gentle pressure to help support vein function and improve circulation.

·       Sclerotherapy: This is a common treatment for smaller varicose veins and spider veins. A solution is injected directly into the vein, causing it to collapse and eventually fade away.

·       Laser or Radiofrequency Ablation: These minimally invasive procedures use heat energy to close off varicose veins. A thin tube (catheter) is inserted into the vein, and heat is applied to seal the vein shut.

·       Ambulatory Phlebectomy: This involves the removal of small varicose veins through tiny incisions. It's typically used for veins that are close to the surface of the skin.

·       Endovenous Laser Therapy (EVLT) or Endovenous Radiofrequency Ablation (RFA): These procedures use laser or radiofrequency energy delivered via a catheter inserted into the vein to seal it shut. They are effective for treating larger varicose veins in the legs.

·       Vein Stripping and Ligation: In more severe cases or when other treatments haven't been effective, surgical removal (vein stripping) or tying off (ligation) of the affected vein may be considered.

The choice of treatment depends on factors such as the size and location of the varicose veins, the symptoms, and overall health considerations.

How does acupuncture help varicose patients?

Benefits of acupuncture for varicose veins include: 

·       Improved Circulation: Acupuncture is believed to help improve blood circulation by stimulating the flow of qi and enhancing overall energy balance. Better circulation could potentially reduce symptoms associated with varicose veins, such as swelling and discomfort.

·       Pain Relief: Acupuncture is known for its analgesic (pain-relieving) effects. It may help alleviate the pain and discomfort often associated with varicose veins, making it a complementary approach to managing symptoms.

·       Reduced Inflammation: Acupuncture may have anti-inflammatory effects, which could be beneficial for reducing inflammation in the veins and surrounding tissues.

·       Stress Reduction: Stress can exacerbate symptoms of varicose veins. Acupuncture is known to promote relaxation and reduce stress levels, which may indirectly help in managing varicose veins.

·       Support for Overall Health: Acupuncture is often seen as a holistic therapy that aims to balance the body's energy systems. By addressing overall health and well-being, acupuncture may support the body's natural healing processes and improve vein function.

It's important to note that while acupuncture is generally considered safe when performed by a trained and licensed practitioner using sterile needles, its effectiveness for varicose veins varies among individuals. It's typically used as a complementary therapy alongside conventional treatments rather than a standalone treatment for severe varicose veins. If considering acupuncture for varicose veins, it's advisable to consult with a healthcare provider who can provide guidance based on your specific condition and overall health.