Varicose veins indicate heart problems
admin FAQS & Myths

Do Varicose Veins Indicated Heart Problems?

Needless to say, varicose veins are cosmetic displeasure. But are these thick and twisted veins also a sign of deeper trouble?

Varicose veins are not only unsightly and uncomforting but also a bit scary. It is not unusual for you to wonder if these swollen and enlarged veins are the cause of a potential cardiac disorder.

In this blog, let us understand if varicose veins have any effect on the heart and the cardiovascular system.

Varicose Veins and Heart Disease

Our bodies have two types of blood vessels – arteries and veins. The arteries are blood vessels that carry oxygen-rich blood from the heart to all other body parts. The veins are responsible for bringing used and de-oxygenated blood back to the heart from all different body organs.

Varicose veins are those damaged veins whose valves do not function as desired and prevent blood from flowing back to the heart. This is a venous disorder and indicates blood flow problems in the veins.

Cardiac disorders are related to the arterial system and not the venous system. Thus, even though the presence of varicose veins signals towards an unhealthy blood circulation, it does not necessarily point towards heart disease.

Varicose veins definitely put you at a higher risk of other venous complications but the development of varicose veins does neither cause nor indicate heart disease. In simple terms, there is no connection between varicose veins and a cardiac disorder. Having varicose veins does not at all increase the risk for a heart ailment.

However, in some cases, the vascular system can get affected by cardiac disease. A patient who has a heart ailment and has developed varicose veins is at a high probability of complaining of swelling in the legs and infection in the varicose veins affected area.

Varicose Veins Complications

For a majority of the people, varicose veins are only a cosmetic concern. Although varicose veins are not a potential risk for heart ailments, they do pose a serious risk to the overall health and well-being of the patient. Thus, it is extremely important to understand the medical conditions and complications related to varicose veins in order to prevent health loss in the long run.

As varicose veins prevent blood flow, there is excessive accumulation of blood in the affected area. This causes the veins to enlarge and leads to swelling which is usually accompanied by pain and a feeling of heaviness. Patients also complain of discomfort in the form of itching, a feeling of heaviness, and a constant sensation of throbbing.

This medical condition can worsen further and progress to other health issues in case of delay or lack of treatment. Blood pooling causes extreme pressure and can result in open sores known as active venous ulcers. Some patients can even develop blood clots in their deep veins (DVT i.e. Deep Vein Thrombosis) and chronic venous insufficiency.

In DVT, if the blood clot breaks free, it can travel to any body part like the heart, lungs, and others. A blood clot in the lungs (pulmonary embolism) can hinder oxygen supply to the vital body organs and even cause the untimely death of the patient. Thus, varicose veins must never be ignored as a mere cosmetic annoyance.

Conclusion

Even though varicose veins and heart diseases are not inter-related medical complications, both respond well to healthy lifestyle changes. In both these health conditions, patients have been known to benefit from eating a nutritional diet and having a daily exercise regime.

If you have varicose veins, you are also sure to experience relief from swelling and pain by raising your legs above the level of your heart while lying down. You must also speak to your vascular expert about the recommended usage of compression stockings that help improve the blood flow from the legs back to the heart.

However, if your varicose veins are causing extreme trouble, you must consider getting them removed or permanently closed through surgical procedures. In contrast to the open surgeries which were much painful and discomforting, these days the minimally invasive procedures have got popular due to their high success rate and faster healing.

Dr. Rajah V Koppala is a trained vascular interventional radiologist and an expert at performing the painless laser ablation treatment of varicose veins. He performs the laser ablation as an outpatient procedure and all varicose veins are treated in a single session. The patients can go back home on the same day and continue to perform their everyday activities from the very next day.

It is a painless, minimally invasive, scar-less, convenient, and safe treatment procedure for varicose veins. There is no need of general anaesthesia as doctors only use local anaesthesia in the affected area to make small incisions and check for the location of varicose veins through a live duplex ultrasound scan.

The heat from the laser fibre is used to close off and burn away the damaged veins which get reabsorbed in the body. The body also automatically re-routes the blood to neighbouring healthy veins. Patients get immediate relief from pain, swelling, and itching.

Dr. Rajah V Koppala is internationally qualified and ranked as the best vascular surgeon in South India. He ensures patient comfort and satisfaction at all times before, during, and even after the procedure. If you are looking for the best treatment of varicose veins, do not look elsewhere, schedule your appointment with Dr. Rajah V Koppala today!

Is Varicose Vein Treatment Permanent?
admin FAQS & Myths

Is Varicose Vein Treatment Permanent?

In India, over 10 million varicose vein cases are reported every year. Varicose vein medical ailment is estimated to affect the legs and feet of nearly 30% of the adult Indians.

Also, most obese people have a tendency to develop one or more varicose veins as they age. Based on verified statistics, women are known to be somewhat more probable of suffering from varicose veins as compared to their male counterparts.

What are Varicose Veins?

In the case of a healthy person, the valves of the veins make the used and de-oxygenated blood flow back to the heart from all body parts. These valves also prevent the blood from staying stagnant at one place or flowing backward in the undesired direction.

But for patients who complain of varicose veins, the valves of the affected veins get damaged and hence restrict the blood flow back to the heart. This disturbs the circulatory system and causes the blood to pool around the impaired veins.

Varicose veins are those swollen and enlarged veins that are often seen bulging out from the skin surface of the legs. These twisted veins are bluish-purple in colour and are truly an ugly sight. The varicose vein patients often complain of pain, itching, burning, and mild cramping in the affected area.

You should never ignore any visible signs of varicose veins. Although not a very serious disorder, varicose veins may not require immediate treatment but genuine medical aid is vital to prevent the condition from getting worse.

In some critical scenarios, the delays in treating the varicose veins can further lead to other several other acute health hazards like Deep Vein Thrombosis (DVT) i.e. clots in the superficial veins, acute Venous Ulcers, and even Chronic Venous Insufficiency.

Why do Varicose Veins Re-appear?

By treating the varicose veins, patients not only get relief from the constant pain, and irritation, but also get rid of the unappealing sight of the varicose veins on their legs and feet.

The traditional treatment procedure of vein surgery, where the affected veins were stripped off, is definitely less efficient and has higher chances of making the varicose veins re-appear.

In the new era, with the invention of laser treatments for varicose veins, the swollen varicose veins are accurately identified with the help of the duplex ultrasound procedure and these are then permanently closed. This forces the body to re-route the blood to other neighbouring veins.

Although the advanced laser treatment massively reduces the chances of varicose veins coming back, it does not guarantee a permanent cure. In medical terms, varicose vein is a chronic ailment and the varicose veins may redevelop in the future for the patients who were successfully treated in the past.

A patient who has once had varicose veins always remains at high risk of redeveloping them. It is not usually the same vein, but different veins may get affected by the malfunctioning valves, thus causing the varicose veins to reoccur.

Some people are genetically more probable to develop varicose veins but all patients can reduce their chances of re-growing varicose veins by improving their lifestyle. Doing mild exercises every day, eating a balanced diet, and maintaining a healthy lifestyle with a BMI (Body Mass Index) score under 25, is known to reduce the risk of varicose veins.

Also, you must avoid sitting or standing for long periods at a stretch as this can cause extreme pressure on your veins and breakdown the valves. In an unfortunate incidence of the varicose veins recurring for you, you can still get them eliminated by the painless endovenous laser treatment.

This laser treatment is minimally invasive and absolutely painless. It leaves no cuts or scar marks on the patient’s body and has quick recovery time. Except for a few critical cases, patients are generally discharged on the same day. They can go back home and resume their daily activities without any difficulties or outside support.

The endovenous laser treatment procedure has very little post-operative care and the patients can even undertake long flights without the fear of DVT or blood clots that may cause a medical emergency. To a few patients, the vascular surgeon may suggest the use of compression stockings for a few days after the laser treatment.

Dr. Rajah V Koppala, MD in Vascular Interventional Radiology, is a distinguished doctor offering his medical services at Avis Hospitals, Hyderabad. With over 24 years of experience and a record of treating 4000+ varicose vein patients every year, Dr. Rajah V Koppala is not only renowned but also trusted for his knowledge and medical practice.

Schedule your appointment for the medical check-up of your varicose veins and its painless endovenous laser treatment today from Dr. Rajah V Koppala today!

5 Things Must Know About Varicose Veins
admin Preventions and Tips

5 Essential Things Need to Know About Varicose Veins

Varicose veins are truly bothersome. They are the enlarged and swollen veins that cause intense pain and constant irritation. Some varicose veins are internal while most of them are visible right under the skin.

Varicose veins are an unpleasant sight and cause extreme discomfort to a large number of patients. Occurring more frequently to women than men, varicose veins are formed when the vein valves get damaged over time and cause the blood to pool leaving the patients with a heavy feeling in the affected area.

Even though varicose veins is a common medical condition for the aged people, there is a total lack of awareness about its symptoms and treatment. Lets us burst the most common varicose vein myths below:

  1. Varicose veins are spider veins – Often times, varicose veins are considered to be spider veins and these two terms are used interchangeably. However, spider veins are not varicose veins. Spider veins are comparatively smaller, less painful and very thin. Spider veins look like thin ink lines drawn on the skin while varicose veins bulge out from the skin and are much more painful.

  2. Varicose veins are vital to the circulatory system – Varicose veins used to be an essential part of the circulatory system but now as their valves do not function well and they cause the blood to pool, they are no longer useful to the body. They are superficial and it is safe to get them cut or totally removed from the body. The body automatically re-routes the blood to other healthier veins and continues to function perfectly well without these veins.

  3. Varicose veins cannot be prevented – Varicose veins can most certainly be avoided by keeping a check on your weight, wearing comfortable footwear, and having an active lifestyle. If you are obese or overweight, there is additional unwanted pressure on the legs and that can damage the valves of the leg and feet veins thus leading to the severely painful varicose veins. Footwear that restricts the blood flow can also force the blood to pool in the legs and around the ankles. Mild regular exercises focussing on the ankles have also been known to reduce the chances of varicose veins in most patients.

  4. Varicose veins are not a hereditary medical condition – In a few cases, varicose veins have also been found to have developed in patients who were neither overweight nor had a sedentary lifestyle. Varicose veins are thus, also related to hereditary and have been found to be a genetic medical condition for a few people. If your family members have a history of varicose veins, sadly even you have a higher probability of getting them at some point in your life.

  5. Compression Stockings offer no comfort to varicose vein patients – Compression socks, also called support stockings are a blessing for the varicose vein patients. They are available in multiple sizes and are generally lose from the thighs but tighter near the ankles. They help keep the veins compressed and thus hinder the blood from pooling. Ideal for long flights or varicose vein patients who have desk jobs with long intervals of sitting in the same position, these help reduce the pain, slow down the progression of existing varicose veins, and also restrict new developments of varicose veins.

If you have any early signs of varicose veins or have been successfully diagnosed with them, there is absolutely nothing to worry about. Dr. Rajah V Koppala at Avis Hospitals is a vascular surgeon and specializes in non-invasive laser treatment of varicose veins. It is an absolutely safe and painless procedure. There is a minimal post-treatment care and the patients are usually discharged from the hospital on the same day as their endovenous laser treatment.

Avis Hospitals has a proven track record of happy patients who have been successfully cured of their varicose veins. No matter your age, if you have varicose veins, Dr. Rajah V Koppala is here to help you get rid of them. For pin-point diagnosis and world-class treatment, book an appointment at Avis Vascular Centre today!

Six Things to Know About Varicose Veins
admin Vascular Diseases

Six Things to Know About Varicose Veins

Six Things to Know About Varicose Veins

In India, as many as 20% of the adults suffer from varicose veins. Although more prevalent in adults, especially women who are over 50 years of age, numerous cases of varicose veins have already been reported in youngsters as well.

For a few patients, varicose veins may just only be an ugly sight, but for most others, these turn out to be truly painful and extremely discomforting. Let us learn more about varicose veins below:

  1. All leg veins are not the same

    Veins are vascular structures that are responsible for carrying the used and deoxygenated blood from all different body parts back to the heart. When valves of certain veins deteriorate and do not promote, rather hinder, the blood flow back to the heart, it causes pooling of blood and results in varicose veins.

    Veins lose their elasticity and become dilated thus leading to swollen and painful veins that are often seen bulging out from the skin surface of the legs. These are clearly visible to the naked eye and are accompanied by irritation and itching in the damaged area.

    Varicose veins are largely different from spider veins. Spider veins are smaller and tubular blood vessels that are usually seen in treelike or spiderweb like form on the legs. Spider veins do not have severe symptoms and do not usually lead to any medical complications.

  2. Some symptoms should not be ignored

    If your varicose veins are not causing any discomfort or pain, you may not necessarily get them treated immediately, but there are a few symptoms which must be reported to the doctor as soon as possible. Please make a note of them below:

    1. Itchy and dry skin around the affected area
    2. Redness on the damaged skin surface
    3. Hyperpigmentation on the lower leg and/or ankle
    4. Thickening and/or hardening of the skin of the affected area
    5. Skin ulcer that is an open sore and is not caused by an injury. It may or may not have pus fluid drainage.

All these are severe symptoms of varicose veins and you must seek medical care and treatment in a priority. In a few cases, varicose veins also develop due to Deep Vein Thrombosis (clots in the deep rooted veins) that may not have any symptoms for some people or may occur with severe leg pain and swelling in some other cases.

Another prominent symptom in cases of DVT is the pain in the calf of one leg that is usually accompanied by cramps and soreness. Your legs may also feel warm when you touch them. If you notice one or more of the above mentioned symptoms, you must not delay visiting a vascular expert.

  1. You will need an ultrasound

    If you have any early symptoms of varicose veins or doubt that you might be suffering from a venous disorder, you must visit a vascular expert and get an ultrasound done. The Doppler ultrasound scan will help the medical practitioner analyse and evaluate your condition and its severity.

    With the help of the doppler ultrasound scan, the vascular expert will be able to measure the amount of blood flow in your leg veins. These help the doctor to examine any abnormalities that may require treatment.


After the ultrasound scan reports, the vascular expert will suggest the best treatment option to cure the underlying medical condition.
The doctor will advise whether the affected veins can be treated by the latest laser ablation procedure or will necessarily require surgery.

  1. Painless treatment option is available

    About 15 years ago, the only way to treat varicose veins was a surgery where the patient was given general anaesthesia and operated in an operation theatre. The surgical procedures are quite painful and require massive post-operative care. The patient is usually advised complete bed rest after the surgery.

    With humungous advancements in medical technology, varicose veins can be effectively treated by the painless and minimally invasive laser technique. This process is quick and requires only local anaesthesia. Usually performed in the doctor’s office itself, there is minimal post-operative care and the patient can go back home on the very same day.

  2. Diet and exercise can help

    As we age, most of us will have ugly looking, prominently visible, abnormal, and enlarged veins on our legs and feet. Obesity, smoking, lack of exercise, and a job that requires you to sit or stand for longer durations at a stretch are the major risk factors of varicose veins.

    There is little that we can do to prevent venous disorders and diet and exercise play a major role in it. A nutritional diet and a moderate exercise routine may not be able to prevent varicose veins but can definitely assist in delaying its onset and reducing the probability of varicose veins turning into a critical condition.

  3. Varicose veins caused due to pregnancy may go away on their own

Some women develop varicose veins during pregnancy. The circulating blood volume increases in the woman’s body to take care of the foetus, hormonal changes also occur and cause dilation of the leg veins.

Women who suffer from varicose veins in their pregnancy term must wait for three to six months after delivery. If the varicose vein symptoms still persist, she must schedule an appointment with a vascular expert and seek expert medical assistance.

Varicose veins are not a very serious condition but can turn into a medical emergency if treatment is delayed. If you have visible but painless varicose veins in the lower leg region, immediate treatment may not be required but there are high chances of these varicose veins turning into highly painful and swollen veins in due course of time.

Thus, it is suggested to plan your medical check-up and treatment in a priority. Your search for a trusted and reliable vascular medical institution ends with Avis Hospitals. We have a team of internationally qualified and extensively trained interventional radiologists who specialize in the USFDA approved laser treatment of varicose veins.

The protocols that we follow are approved by the American College of Phlebology. We treat over 4500 patients every year and already have over 12,000 happy and satisfied patients with a whopping success rate of 95%

We also offer complete assistance to outstation patients with 100% price assurance at the time of admission itself. We have tie-ups with all leading insurance agencies of India and assist in quick Mediclaim clearance for one and all.

For the most trusted, reliable and efficient treatment of your varicose veins, schedule an appointment with us today!

Hidden Dangers If You Don’t Treat Varicose Veins
admin Vascular Diseases

Hidden Dangers If You Don’t Treat Varicose Veins

Most people believe varicose veins to just be a cosmetic issue, but in reality, they are a serious medical complication and pose a severe threat to your life! Not only do they make your legs look ugly but also negatively affect your body’s blood circulation, thus being the sole reason for many venous disorders and other health concerns.

Today, as many as 30% of the people suffer from these bulging and swollen veins that can be felt and seen right under the surface of the skin in the lower region of the legs. Caused when certain leg veins with a faulty valve become incapable of sending the deoxygenated blood back to the heart, these appear as bluish-purple veins and result in pooling of blood.

Varicose veins are a clear sign of some serious underlying health issues that must be addressed in a timely manner. Painful varicose veins must be immediately reported to your doctor as any delay in diagnosis and treatment can result in irreversible health conditions.

Below are the top 6 medical conditions that may crop up due to the lack of treatment of varicose veins:

  1. Leg Swelling – As the pressure builds up in the faulty veins, the blood fluid leaks into the surrounding tissues and causes swelling. Swelling can be felt like a tight sensation in your legs, the socks may begin to leave an impression on your legs, and in severe cases, the swelling can be to an extent that your shoes may not fit your feet anymore. Most times, elevating your legs with the help of a pillow will help reduce the swelling temporarily.


  2. Skin Ulcers – Open sores or wounds that are difficult to heal are called skin ulcers. Swelling in the legs for an extended duration of time can lead to skin colour changes in the affected area. The skin may also turn hard as the swollen tissues hamper the blood flow and restrict the nutrients and oxygen from reaching the involved tissues. Reducing the leg swelling is vital to healing these open sores.


  3. Skin Infection – As the tissues get stretched due to the swelling, the body loses its natural defense mechanism to fight against infections. The bacteria on the skin surface may get into the body and cause a bacterial infection referred to as cellulitis. The infected area becomes red and feels warm. This generally requires antibiotics for treatment. Reducing the swelling is also likely to help in the recovery process.


  4. Bleeding – Right below the surface of the skin, a large amount of blood remains pooled in the varicose veins and the surrounding tissues. If by any chance you get injured and hurt, cut or damage your veins, there is bound to be significantly more bleeding than usual. If the injury is very large, it will probably take you longer than normal to stop the bleeding.


  5. Thrombophlebitis – This refers to an inflammatory process where a blood clot is formed that blocks one or more of your veins, most commonly in the legs. It is highly probable for untreated varicose veins to cause blood clotting. The damaged area becomes very painful, it is warm to touch, and the veins also becomes quite hard.


  6. Deep Vein Thrombosis (DVT) – In about 25% cases where people have developed blood clots in their veins, the blood clots are formed in the deeper veins and this condition is referred to as DVT. The biggest risk in DVT is that of the blood clot breaking off and travelling to the lungs as that can result in the life-threatening disease called pulmonary embolism. DVT is a medical emergency and must be treated in a priority.

Varicose veins, whether painful or not, must be treated by a vascular expert to prevent further damage and unforeseen vein health complications. For the treatment of varicose veins, you need not undergo surgery as today, there are available minimally-invasive procedures that are painless and have zero downtime.

Avis Hospitals’ team of vascular specialists and interventional radiologists have expertise in treating the varicose veins with the latest endovenous laser ablation process that is a no-cut, no-scar, and no-stitch procedure. The process requires only local anaesthesia and the patient can go back home the same day to resume work and everyday activities from the next day itself!

If you are eager to know more about the endovenous laser treatment process, get your medical check-up done from experienced doctors, learn about the treatment expenses, and ask your queries regarding the available medical insurance assistance, feel free to schedule an appointment at https://avisvascularcentre.com/

Can Varicose Veins affected legs be brought back to normal?
admin FAQS & Myths

Can Varicose Veins affected legs be brought back to normal?

What are varicose veins?

Veins are the blood vessels that are responsible for carrying the de-oxygenated blood back from the body parts to the heart. The blood is also pumped back to the heart from the legs and feet of the human body, strongly against the gravitational force of the Earth.

In a few patients, the valves of the leg and feet veins begin to dysfunction due to the patient’s growing age or a poor lifestyle and this leads to the pooling of blood. The blood remains collected in the veins and makes the patient’s legs feel heavy and irritated. In a few rare cases, the patient may feel constant pain and suffer from the inability to stand or walk.

These veins, called the Varicose Veins are often swollen or enlarged in size, turn dark purple in colour, and are clearly visible right under the skin even with a naked eye. Due to the lack of medical awareness in India, most patients suffering from Varicose Veins often remain uninformed about their medical condition until it becomes serious.

What Causes Varicose Veins?

There are more than a few reasons that lead to varicose veins, let us address the most common ones below:

  1. Lack of physical activity – A poor lifestyle accompanied with a total lack of exercise, immobility due to a desk job, and insufficient body movements, all these reasons cause obesity which in turn causes excessive pressure on the leg veins and is known to be the most prominent cause of varicose veins
  2. Improper diet –The absence of a balanced diet and increased consumption of junk food where meals have greater portions of saturated fat plus carbohydrates and lower quantities of fiber and protein result in higher body cholesterol levels and restrict blood flow in legs and feet.

  3. Uncomfortable footwear – Wearing high heels for longer durations, unfitting footwear, shoes with a poor or hard sole, or standing and sitting in the same position for extended durations is known to hamper the blood flow and thus cause the blood the pool in the veins.

  4. Birth Control Pills – Frequent intake of birth control on contraceptive pills has been proven to disrupt the blood flow in the blood vessels especially those in the legs and feet. The condition gets worse for women during menstruation and pregnancy. This may cause varicose veins and leg ulcers.

  5. Other Reasons –  Heredity, old age, weakened or damaged veins, blood clots or DVT are the other leading causes of varicose veins. Regularly exercising the calf muscles is known to improve the condition for patients with mild to medium symptoms.

Can Varicose Veins be brought back to normal?

Absolutely YES. In this modern era with huge advancements in medical technology, the varicose veins can totally be cured and brought back to normal for patients with even the most critical cases. There are multiple treatment options and the doctor chooses the most appropriate one only after seeing the patient’s condition and medical history.

Doctors first conduct the physical examination of the patient’s varicose veins while he/she is sitting or standing. They ensure to precisely check for the painful varicose veins and at times may require an ultrasound before advising the available treatment options. In the ultrasound, the blood flow in the affected veins is measured with the help of high-frequency waves that help the doctor to evaluate the severity of the issue.

There are some surgical treatments like sclerotherapy and radiofrequency ablation that are painful but have a fair success rate. The best treatment is Endovenous Laser Treatment which is minimally invasive and there are no big cuts made on the patient’s legs. In most cases, the patients can also go back home the same day.

Can Varicose Veins be cured at Avis Hospitals?

Most definitely. If you have varicose veins and are in deep pain, do not delay your treatment any longer. Dr. Rajah V Koppala at Avis Hospitals has years of experience and a huge array of happy patients who are totally satisfied with his advice, treatment procedures and the post-operative care as well.

Renowned as the leading vascular surgeon in Hyderabad, Dr. Rajah V Koppala is undoubtedly the best doctor for your all your concerns relating to varicose veins. Schedule an appointment today and get cured in no time!

What Is Chronic Venous Insufficiency?
admin Vascular Diseases

What Is Chronic Venous Insufficiency?

Blood is pumped from the heart to all body parts and limbs. The human body veins are responsible to carry the used and deoxygenated blood back from the body parts to the heart. All veins have one-way valves that direct the blood to flow to the heart and restrict its backward movement.

The blood in the leg veins must flow upward, against the pull of the gravity to reach the heart. Venous insufficiency occurs when the leg vein valves do not function as desired and restrict the blood’s movement to the heart. As a result of this, the blood flows back to the leg veins. These malfunctioning valves force the blood to remain collected in the leg veins thus causing blood pooling.

If this medical ailment is left untreated, the condition becomes chronic and the symptoms get worse leading to a disorder that is referred to as Chronic Venous Insufficiency (CVI) in medical terms. CVI is also accompanied by extremely high blood pressure in the affected leg veins which may also result in stasis ulcers and other severe health complications.

Causes of Chronic Venous Insufficiency

Women are more probable to suffer from CVI than men. It usually occurs in people over 50 years of age and there are more than a handful of reasons that can lead to chronic venous insufficiency. Let us have a look at the risk factors below:

  • Presence of blood clots in the deep veins of legs that cause Deep Vein Thrombosis (DVT) which is responsible for damaging the venous walls and the vein valves
  • Pelvic tumors and vascular malformations
  • Any leg injury
  • Pregnancy or being pregnant again with not enough time gap in between
  • A family history of CVI or varicose veins
  • A poor lifestyle that includes an absence of regular exercise and lack of a balanced diet
  • Excessive smoking or chewing tobacco
  • Being obese or inactive
  • Standing for prolonged hours at a stretch that raises the blood pressure in the leg veins and weakens the valves

Symptoms of Chronic Venous Insufficiency

There are subtle symptoms in the earlier stages of chronic venous insufficiency but if you pay attention to the appearance and sensation in your legs, it will not be very difficult for you to understand and evaluate the urgent need to visit a vascular specialist.

Given below are some of the major warning signs of CVI :

  • Constant itching on the legs
  • Lower leg skin color changing to brown and the skin looking dull
  • Leg cramps and restlessness
  • Severe leg pain when walking or resting
  • Swelling around the ankle and/or lower leg area
  • Wounds that do not heal and lead to leg ulcers
  • Tightening in calves
  • New development of varicose veins
  • Skin commences to look and feel like leather

Treatment for Chronic Venous Insufficiency

Chronic venous insufficiency is 100% treatable. If you notice any early symptoms, you must immediately consult a vascular expert as delayed treatment may have serious ill-consequences.

Following is a list of the feasible treatments that the vascular expert might undertake :

  • Antibiotic oral medicines to cure dermatitis or skin infections with steroid-based ointments for direct application on the skin. A medical wrap may also be suggested for the affected leg area
  • Medication to prevent the possibility of blood clots
  • Sclerotherapy – the medical procedure where a thin needle is used to inject medicines directly into the affected veins. These medicines disrupt the lining of the vein and completely shut it off. The dead vein is later absorbed by the body itself.
  • Endovenous ablation – this is an invasive process that uses laser light or laser fiber to dissolve the problematic veins
  • Surgery – this is comparatively a much more complicated process where the vein is either repaired or cut and tied off so that blood no longer flows through it.
  • Compression stockings – These stockings offer support to the legs and improve blood circulation. Available in multiple sizes, tightness, lengths, and style, your doctor will be able to guide you with the right pair of compression stockings as per your need
  • Lifestyle changes – This undoubtedly is the most important form of self-care and the most effective treatment for CVI. Regular exercise, weight loss, giving up on cigarettes, and not standing or sitting for too long will aid in the recovery of CVI

Though the treatment offered to a patient depends on the age, the severity of  the symptoms and a few other factors, all doctors will first attempt to curb the swelling in the legs and prevent the formation of leg ulcers.

Dr. Rajah V Koppala, the vascular specialist at Avis Vascular Centre has successfully treated thousands of patients suffering from varicose veins, leg ulcers, and CVI. Schedule a consultation to avail his expert medical assistance today!

How Vein Specialists Classify Venous Diseases
admin FAQS & Myths

How Vein Specialists Classify Venous Diseases

Most people, especially women who are over 50 years of age often complain of vein issues in legs and feet. Venous diseases take different shapes and forms in different patients. While some may suffer from invisible yet painful venous insufficiency symptoms, a few others may have signs of painless but ugly looking varicose veins.

No matter the form, venous diseases not only point towards a serious health condition but are also highly progressive in nature which means that the patient’s condition may worsen in the absence of an effective treatment.

As all forms of venous diseases have more or less the same identical signs and symptoms, the doctors found it difficult to differentiate between the various stages and thus CEAP, the comprehensive classification system was used to clearly define distinctive boundaries between the various stages.

CEAP refers to the following :

  •   Clinical observation – What does the affected vein look like?
  •   Etiology – Is the venous disease inherited or there is some other underlying cause?
  •   Anatomy – Which veins are affected?
  •   Pathophysiology – What is the direction of blood flow (normal or abnormal)? Also, is the blood flow restricted ?

As per CEAP, the following is the official classification of venous insufficiency in 7 different stages, listed in increasing levels of severity:

  1. C0 : Asymptomatic : In this stage, there are no signs and symptoms of venous diseases and all veins are working normally. The veins are efficiently able to return the blood from the legs and the feet veins back to the heart.

     

  2. C1 : Spider Veins : Also called telangiectasia or reticular veins, these veins appear to be red, blue or purple in color and are tangled with one another, hence the names spider veins. These veins rise to the skin surface on the legs, upper thighs and around the ankles and hint towards underlying varicose veins.

     

  3. C2 : Varicose Veins : This is a condition where the valves of the leg and feet veins malfunction leading to severe difficulty in pumping the blood back to the heart. These veins force the blood to pool thus causing the patients to develop a heavy feeling and tiredness in the legs. Veins become enlarged and patients may complain of pain, cramps, itching or a burning sensation in the affected area.

     

  4. C3 : Edema : In this stage of venous insufficiency, there develops a prominently visible swelling in the legs around the affected veins. While daily use of compression stockings may offer extended support to the veins, it is vital to address the underlying cause of the symptoms for long term relief or the condition is bound to get worse over time.

     

  5. C4 : Skin Changes : By this stage of the venous disease, the skin around the affected veins tends to change its color, texture, and the overall look and feel. It some cases, patients have reported skin discoloration and eczema as well. 

     

  6. C5 : Healed venous ulcer : Excessive pressure on the varicose veins and highly restricted blood flow may cause the leg tissues to die thus forming an open ulcer. This is not a very serious condition as the ulcer generally heals on its own as soon as the blood flow is rectified and brought back to normal.

     

  7. C6 : Active venous ulcer : This is the final and the most severe stage of venous insufficiency. Although found in less than 1% of the total reported cases of venous diseases, this is a serious health hazard. Prolonged therapy is needed for an effective cure of this condition. Endovenous laser treatment with extended compression therapy sessions may be suggested for quick wound healing.

Treatments

Venous diseases hampers the patient’s overall quality of life. Owing to its progressive nature, a vein issue has a high tendency of getting worse with growing age. It is important to be able to differentiate between the various stages of venous insufficiency for pinpoint diagnosis and timely treatment.

Dr. Rajah V Koppala at Avis Hospitals has international medical certifications and years of extensive experience in offering the most advanced treatments for the various different stages of venous insufficiency.

He always analyses each patient’s unique symptoms and thoroughly goes through his/her medical history before advising medications or therapies. With the most technologically advanced medical care provisions of non-invasive treatments like laser ablation for venous diseases, Avis Hospitals is the most reliable medical centre for any vein diseases. Schedule a consultation with Dr. Rajah V Koppala today, visit : http://www.avishospitals.com/