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Prolonged standing increases the risk for hospitalization from varicose veins. [6] Among the working age population one out of five hospitalizations from varicose veins are as a result of prolonged standing. Prolonged standing leads to impeded blood flow and stasis in the veins in the lower limbs, which can cause varicose veins.
Some of the symptoms are: Pain and tingling in and around ankles and sometimes the toes; Swelling of the feet and ankle area. Painful burning, tingling, or numb sensations in the lower legs. Pain worsens and spreads after standing for long periods; pain is worse with activity and is relieved by rest. Electric shock sensations
Pain: While not as common as itching or burning, some patients may experience mild pain or tenderness in the affected areas. [3] Timing of onset: Symptoms typically appear after prolonged periods of walking or standing, especially in hot weather conditions. The rash often becomes noticeable several hours after the triggering activity. [1] [6]
A long, thin red area may be seen as the inflammation follows a superficial vein. This area may feel hard, warm, and tender. The skin around the vein may be itchy and swollen. The area may begin to throb or burn. Symptoms may be worse when the leg is lowered, especially when first getting out of bed in the morning. A low-grade fever may occur.
Rest pain is a continuous burning pain of the lower leg or feet. It begins, or is aggravated, after reclining or elevating the limb and is relieved by sitting or standing. It is more severe than intermittent claudication, which is also a pain in the legs from arterial insufficiency. [citation needed]
The symptom intensity can be mild to severe in a way that limits function due to pain. [5] Activity and position can affect the symptoms. For example, symptoms may be exacerbated by standing or prolonged hip extension, with relief when sitting or flexing the hip. [4] [3] Sometimes strenuous exercise may exacerbate symptoms. [7] [5]
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If the impaired vein function causes significant symptoms, such as swelling and ulcer formation, it is referred to as chronic venous disease. [3] It is sometimes called chronic peripheral venous insufficiency and should not be confused with post-thrombotic syndrome in which the deep veins have been damaged by previous deep vein thrombosis .