Understanding varicose veins ...Middle East

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According to Cardiac Vascular Sentral Kuala Lumpur (CVSKL) consultant vascular and endovascular surgeon Dr Tan Kia Lean, varicose veins are linked to how blood flows back to the heart.

Because of this uphill battle, veins in the legs and sometimes the pelvic region are more vulnerable to problems.

Tan described the two main systems of blood vessels in the body:

Veins return the blood, now deoxygenated, back to the heart.

What varicose veins look and feel like

According to the doctor, they are more than just a cosmetic issue.

These ulcers, he added, are “a late complication of untreated varicose veins and are very difficult to heal”.

Varicose veins can take years to develop. Several factors increase the risk:

Gender – women are more prone than men, partly due to hormonal effects.

Pregnancy – pelvic pressure and hormonal changes on the veins during pregnancy can trigger them.

Long flights can also pose risks, though in this case, the concern is usually deep vein thrombosis (DVT), a more dangerous condition where clots form in the deeper veins. Unlike varicose veins, DVT can be fatal if clots travel to the lungs.

The good news is varicose veins can be treated. The choice depends on severity.

“Walking regularly, keeping your legs elevated when resting and avoiding prolonged standing all make a difference,” said Tan.

Tan said modern treatments are safe and have become increasingly effective over the decades, with quick recovery times.

Varicose veins may not always need treatment, but based on theSun’s conversation with Tan, ignoring them completely is not wise.

According to Tan, there are stages that the average person may not be aware of. He also explained the severity of varicose veins grouped according to the Clinical, Etiological, Anatomical and Pathophysiological classifications of:

C1: Small appearance. It may or not progress to the second stage

C3: The symptoms begin to appear

C5: The skin develops into a healed venous ulcer from stage 6

As the doctor explained, the earlier varicose veins are addressed, preferably at C3, the easier it will be to manage, as waiting or neglecting the issue entirely will lead to complications that make treatment harder.

While you cannot change your genes or age, there are steps you can take to reduce your risk:

Elevate your legs when possible.

Wear compression stockings if recommended.

Varicose veins may be common, but they should not be ignored. With better awareness and timely treatment, you can prevent them from becoming a bigger problem.

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