Varicose Veins In The Elderly

Varicose veins are a very common problem – about 30% of the population will suffer from them at some stage in life. In some quarters, varicose veins are regarded as a purely cosmetic problem – and to a certain extent they are because no one especially not ladies is keen to have bulging blue veins all over their legs.

However, untreated varicose veins can cause a serious medical problem called a venous ulcer on the lower part of the leg.

An ulcer is basically a sore that does not heal. There are many reasons why ulcers can happen on the lower leg, but in the UK the commonest reason by far is untreated varicose veins. This is unfortunate, as prompt treatment of varicose veins can reduce the risk of a venous ulcer developing very significantly.

The basic problem in varicose veins is a leaking valve somewhere in the vein system. If one thinks of the vein system as a set of pipes that take the blood back out of the leg to the heart, one can readily appreciate that the pipes need some valves within them, as the blood has to travel against gravity to get back to the chest.

The valves in the veins are very delicate – if you actually seem them, they are so delicate you can see through them! For this reason, they commonly fail and start to leak. There are lots of valves in the vein system, but some valves in key locations are more important than others. All the veins in the leg eventually meet up together at main junction points – one of the main places is at the top of the leg in the groin crease, where lots of the superficial veins join the main deep vein of the leg called the femoral vein – it is basically like a venous spaghetti junction!

If the valve at that point fails, blood starts to flow the wrong way down the veins. The veins under the skin then start to bulge out as the pressure in them rises. In the early stages, they just look unsightly and lumpy, then they may become achy and sore. Finally, after a long period of time they start to damage the skin. There are lots of theories about how the skin damage happens, but in essence we think it is because the pressure inside the vein forces components of the blood out of the pipe and into the space under the skin. This sets up an inflammation in the skin, which damages it. The first signs are usually a darkening of the skin just above the ankle on the inside of the leg. The skin may become itchy and dry. Eventually the skin damage causes it to break down into an ulcer – usually after a trivial injury, which would otherwise heal up quickly in a normal leg.

Once an ulcer has formed, it is really difficult to get it to heal. It usually requires a prolonged period of time in compression bandages and then subsequent surgery on the leaky veins. Some ulcers defy all attempts to get them to heal and patients can spend literally years in bandaging for chronic ulcers.

Venous ulcers are a major source of unhappiness and pain in elderly people. They frequently get infected, they limit mobility and they can lead to patients becoming housebound and socially isolated. The financial cost alone of looking after venous ulcers is estimated at 1 billion pounds per year in the UK!

A more sensible way of treating the problem is to treat the veins before the skin damage starts and an ulcer develops. Fortunately, this is a lot easier and more effective in 2012 than it used to be 10 years ago. In the last decade, surgery for varicose veins has changed beyond all recognition. The old style ‘high tie and strip’ operation has been superseded by a variety of minimally invasive techniques, most of which are not just more effective and less painful than the old style surgery, but can be done under local anaesthetic, without needing to put the patient to sleep. This is particularly important in older people who may well have several other medical problems, which can make a general anaesthetic more hazardous than in a fit and well younger patient. Minimally invasive surgery with lasers can even be performed on patients who take warfarin (a blood thinning drug often used to reduce the risk of strokes in patients with irregular heart beats). So the best treatment for a venous ulcer is simple – you don’t have to get one in the first place if you get your varicose veins fixed early on!

Author: RadianceHealth

Eddie Chaloner is a consultant vascular surgeon at Radiance Health, a clinic in London, which specialises in the treatment of Varicose Veins, Thread Veins, and DVT. Eddie is one of the leading authorities on vein treatment, having been the first surgeon in London to use the EVLT method, and the first surgeon in the UK to use the new Clarivein technique.

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  104. With havin so much written content do you ever run into any problems of plagorism or copyright infringement? My blog has a lot of exclusive content I’ve either authored myself or outsourced but it looks like a lot of it is popping it up all over the web without my agreement. Do you know any methods to help stop content from being stolen? I’d really appreciate it.

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  126. Great blog! Do you have any tips and hints for aspiring writers? I’m hoping to start my own blog soon but I’m a little lost on everything. Would you suggest starting with a free platform like WordPress or go for a paid option? There are so many choices out there that I’m totally confused .. Any suggestions? Appreciate it!

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  148. Hello this is somewhat of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding know-how so I wanted to get guidance from someone with experience. Any help would be greatly appreciated!

  149. Amazing blog! Do you have any tips and hints for aspiring writers? I’m hoping to start my own blog soon but I’m a little lost on everything. Would you propose starting with a free platform like WordPress or go for a paid option? There are so many options out there that I’m totally confused .. Any ideas? Thanks a lot!

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  154. My developer is trying to persuade me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using Movable-type on a variety of websites for about a year and am nervous about switching to another platform. I have heard excellent things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any help would be greatly appreciated!

  155. With havin so much content and articles do you ever run into any problems of plagorism or copyright violation? My site has a lot of exclusive content I’ve either authored myself or outsourced but it looks like a lot of it is popping it up all over the internet without my permission. Do you know any techniques to help stop content from being stolen? I’d definitely appreciate it.

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  173. Howdy! Quick question that’s entirely off topic. Do you know how to make your site mobile friendly? My web site looks weird when viewing from my iphone. I’m trying to find a theme or plugin that might be able to fix this issue. If you have any suggestions, please share. With thanks!

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  182. Please let me know if you’re looking for a article writer for your site. You have some really good posts and I feel I would be a good asset. If you ever want to take some of the load off, I’d love to write some material for your blog in exchange for a link back to mine. Please send me an email if interested. Regards!

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  185. I was curious if you ever considered changing the structure of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two images. Maybe you could space it out better?

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  188. I’m really enjoying the theme/design of your website. Do you ever run into any browser compatibility issues? A couple of my blog readers have complained about my blog not working correctly in Explorer but looks great in Safari. Do you have any solutions to help fix this problem?

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  193. Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I’ve been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.

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  198. Hey there just wanted to give you a brief heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different web browsers and both show the same results.

  199. I know this if off topic but I’m looking into starting my own blog and was curious what all is required to get set up? I’m assuming having a blog like yours would cost a pretty penny? I’m not very internet savvy so I’m not 100% positive. Any recommendations or advice would be greatly appreciated. Thank you

  200. With havin so much content and articles do you ever run into any problems of plagorism or copyright violation? My blog has a lot of unique content I’ve either authored myself or outsourced but it seems a lot of it is popping it up all over the web without my agreement. Do you know any solutions to help prevent content from being ripped off? I’d certainly appreciate it.

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  208. Yesterday, while I was at work, my sister stole my iPad and tested to see if it can survive a 25 foot drop, just so she can be a youtube sensation. My apple ipad is now broken and she has 83 views. I know this is entirely off topic but I had to share it with someone!

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  315. Today, I went to the beach front with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!

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