Chronic venous insufficiency and varicose veins: Info piece

  • Union of dorsal vein of the big toe and foot dorsal venous arch
  • Anterior to medial malleolus
  • Posterior to femur medial condyle
  • Traverses the fossa ovalis in the fascia lata
  • Ends in the femoral vein

Chrome

  • Union of the dorsal vein of the little toe and dorsal venous arch
  • Posterior to the lateral malleolus
  • Midline of the calf
  • Penetrates the deep fascia
  • Between two heads of the gastrocnemius
  • Ends in the popliteal vein

Chrome
Who gets Chronic Venous Insufficiency?
venous

  • Affects 2% -30% adult population
  • Males: 10-20%
  • Females: 25-33%
  • Risk Factors
  • Genetic
  • Older age
  • Obesity
  • Standing occupation
  • History of DVT
  • Smoking

Common Symptoms and signs

Symptoms:
Cramps, Itching, Swelling and Leg Tiredness
Signs:
Telangiectasia, Reticular or Varicose Veins, Oedema and Skin changes like Lipodermatosclerosis, Eczema, Ulceration and Pigmentation

Treatment Options

Medical

Elastic Stalkings

Surgical

High ligation and stripping greater saphenous vein.
Ligation small saphenous vein.

Powerful Performance

Endovenous laser ablation
Radiofrequency ablation
Sclerotherapy