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Chronic venous disease is a progressive vascular pathology. It is very common in industrialized countries and can have serious consequences if not treated in time.
What is chronic venous disease?
it is expected thatOne in three French people feel anxious by chronic venous disease. This condition affects and results in the lower extremitiesPoor blood circulation in the veins.
Normally, venous blood flows from the feet back to the heart. “Simply put, a vein is a tube with a wall and valves that prevent blood from descending under the influence of gravity,” explains Dr. Mathieu Josnin, vascular physician and president of the French Society of Phlebology. In venous disease, the walls and valves are altered, and the blood has difficulty rising and becomes stagnant in the vein. »
This vascular disease, which can remain stable or progress to cause serious complications, is likely to occur at any age.
How is chronic venous disease explained?
The origins of this disease are above all genetic. But the environment also plays a role. Mathieu Josnin asserts: “In our Western societies, we are subjected to physical inactivity, stomping (stomping is considered to be taking less than seven steps) and the fact of wearing tight clothes.”
Certain professions that require a prolonged vertical position (waiter, cook, hairdresser, nurse, etc.) are more likely to develop venous insufficiency.just like those that require you to stay seated for a long time (secretary, truck driver, etc.)
Pregnancies, especially if they are multiple and close together, are also a risk factor. Women are also statistically affected more often by chronic venous disease than men. However, this pathology is far from exclusively female.
Regular, intense practice of some push or rhythm sport, such as weightlifting, rugby, running, or hard-court tennisIt can also lead to deterioration of the valves on the vein wall.
As for the extra pounds, it is also not ideal for blood circulation When the legs are subjected to high stress on a daily basis associated with heavy weight bearing, venous return is less effective.
How does this disease manifest itself?
Chronic venous disease includes a very wide range of manifestations ranging from: spider veins (either these little purple or red-purple veins) for ulcersPrescribes Dr. Josnin. Some people experience symptoms of small spider veins. Others, on the contrary, have huge varicose veins, but asymptomatic. It’s so amazing. »
Among the symptoms most commonly described are: Feeling of heaviness in the legs (especially at the end of the day), NumbnessWith them Impatient (i.e. the need to move one’s legs without finding a comfortable position) night cramps In more advanced stages, edema; (especially the ankles), feczema and the dermatitis ocher *.
for Varicose ulcers, which cause a wound in the leg, constitute the “end stage of chronic venous disease.” “The doctor says. This has serious consequences for patients’ quality of life, because recovery takes between six months and two years. Moreover, recurrence after the first ulcer is very common because the disease has damaged the skin and weakened the skin. We also regret the deaths that occurred.” They occur every year due to bleeding due to varicose veins that open after trauma .. However, we can avoid reaching this stage if patients are taken care of early. »
Shellfish dermatitis is a brown discoloration of the skin that is generally found on the lower legs.
When should you consult?
Even if you come from an at-risk family, there is no need to rush to the doctor if your legs look normal and you don’t feel any problems. On the other hand, if you have symptoms, it’s important not to take them lightly. The main risk factor for developing varicose veins is age: The older you get, the worse it getsDr. notes. Josnin. So the best is to get sick early, not necessarily to work but at least to raise awareness. »
Early care is especially important for women who want to have children. “We must not forget thatPregnancy is one of the causes of phlebitis and pulmonary embolism. and that’One risk factor for pulmonary embolism or phlebitis is varicose veins ”recalls the specialist.
The main examination for the diagnosis of venous disease is venous Doppler echo of the lower extremities. This ultrasound, which is accompanied by a study of blood flow, is painless.
What are the possible treatments?
the Compression is the primary treatment Chronic venous diseases. Restriction should always be subject to prescription as it is appropriate for each patient. ” Socks, stockings or tights are equally effective – confirms the specialist.
the Intravenous medications They may also be helpful, although they will not treat varicose veins. “It’s interesting, especially in the summer, when it can be difficult to wear intravenous compresses or in addition to them,” Dr. Josnin specifies.
On a daily basis, certain lifestyle actions can also slow the progression of the disease, such as: Engage in “gentle” physical activity (walking, swimming, cycling) or sleep with your legs slightly elevated. It should also be avoided Exposure to heat (hot baths, saunas, floor heating, etc.), wearing heels that are too high (more than 3-4 cm), The pants are too tight as Extend the squat position.
for the more advanced stages of the disease, Surgery can be done (laser, radiofrequency)being the least invasive and under local anesthesia.
As for the process that consists of injecting a sclerosing product into the varicose veins (sclerotherapy), it is recommended for: small unsightly varicose veins under the skin, recurrences as well as varicose veins remaining after the completion of laser or radiofrequency.
- Image credit: Getty Images
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