Chronic Venous Disease (CVD) refers to other chronic conditions related to or caused by veins that become diseased or abnormal. These problems can include:
- Varicose veins and spider veins
- Leg Swelling and leg pain
- Chronic venous insufficiency
- Leg skin changes
- Leg ulcers
- Vascular Malformations
Varicose Veins: Varicose veins are dilated, thickened, elongated and twisted blood vessels that don't control blood flow as they should. In some cases, they can be small spider veins and even appear thread-like. In other cases, they may appear as large grape-like clusters under the skin.
- Aching pain
- Easily tired legs
- Leg heaviness
- Swelling in the legs
- Darkening of the skin (in severe cases)
- Numbness in the legs
- Itching or irritated rash on the legs
Risk Factors: Varicose veins occur more often in women than men, especially during pregnancy (starting in the first trimester), during the last 14 days of the menstrual cycle, and in people who have a job for which they must stand for long periods of time.
Treatment: Dr. Azher Iqbal treats CVD using a variety of methods including:
- Sclerotherapy, in which a doctor injects the veins with a solution that causes the vein to close and the blood is then directed through healthier veins. This is a common treatment option, but may require multiple treatments. It is useful for treating small and medium sized varicose veins.
- Microsclerotherapy, which is similar to sclerotherapy, but uses different solutions and injection techniques. It is especially effective in treating spider veins.
- Endovenous thermal ablation, in which a thin tube (catheter) is inserted into the vein. Then, the surgeon applies heat through the tube, causing the vein to collapse. A scar results and the blood is forced through nearby healthy veins. This procedure is also used to treat larger varicose veins.
- Coil embolization, in which a catheter is first places into a large vein in the leg or calf; then, a small coil is inserted into the catheter and guided into the vein; alcohol is then injected. The alcohol is an irritant to the vein lining and causes it to close and scar. Again, the blood is rerouted to nearby health veins. This procedure requires local anesthesia.
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