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Chronic venous insufficiency (CVI) is a medical condition characterized by blood pooling in the veins, leading to increased pressure and strain on the vein walls. [1] The most common cause of CVI is superficial venous reflux, which often results in the formation of varicose veins, a treatable condition. [2]
[nb 3] [23] A shunting of blood from the thigh veins back into the lower-leg veins produces a reflux situation. The veins most often found to be incompetent are the saphenous veins and the perforators communicating with the deep veins of the thigh. [24]
Veins have a much higher compliance than arteries (largely due to their thinner walls.) Veins which are abnormally compliant can be associated with edema. Pressure stockings are sometimes used to externally reduce compliance, and thus keep blood from pooling in the legs.
Varicose veins are veins that have become enlarged and twisted, especially within the legs, ankles and feet of an affected individual. [4] When standing, gravity pulls the blood downwards to the lower part of the body. Body mechanisms, such as vasoconstriction and valves of the veins, assist in pumping blood upwards. [5]
Veins become more visually prominent when lifting heavy weight, especially after a period of proper strength training. Physiologically, the superficial veins are not as important as the deep veins (as they carry less blood) and are sometimes removed in a procedure called vein stripping , which is used to treat varicose veins .
Lack of exercise is another common cause of water retention in the legs. Exercise helps the leg veins work against gravity to return blood to the heart. If blood travels too slowly and starts to pool in the leg veins, the pressure can force too much fluid out of the leg capillaries into the tissue spaces.
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Avoiding activities such as squatting, kneeling, heavy lifting, climbing, and even running can help prevent pain. Despite this, some exercises can help relieve pain, and a physiotherapist may instruct on hamstring stretching to reduce pressure on the Baker's Cyst, and strengthening exercises for the quadriceps and/or the patellar ligament .
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