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It is very useful when legs are painful or very edematous (swollen with fluid). [20] Flexing the toes and feet and extending on tiptoes can all be very useful in detecting perforator vein incompetence. These movements unleash a muscle contraction which compresses deep veins.
The middle image shows where varicose veins might appear in a leg. Comparison of healthy and varicose veins. Varicose veins are more common in women than in men and are linked with heredity. [16] Other related factors are pregnancy, obesity, menopause, aging, prolonged standing, leg injury and abdominal straining. Varicose veins are unlikely to ...
Telangiectasia in the legs is often related to the presence of venous reflux within underlying varicose veins. Flow abnormalities in smaller veins known as reticular veins or feeder veins under the skin can also cause spider veins to form, thereby making a recurrence of spider veins in the treated area less likely.
Oftentimes, though, collateral veins are used instead, which is where other veins can take the blood as an alternate pathway so it doesn’t stagnate in the varicose vein, and these tend to actually be the deep veins in the legs. Other than the legs, in men it can also occur in the scrotum (usually on the left side) where it is called a varicocele.
A venous ulcer tends to occur on the medial side of the leg, typically around the medial malleolus in the 'gaiter area' whereas arterial ulcer tends to occur on lateral side of the leg and over bony prominences. A venous ulcer is typically shallow with irregular sloping edges whereas an arterial ulcer can be deep and has a 'punched out' appearance.
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From its origin, it courses around the lateral aspect of the foot (inferior and posterior to the lateral malleolus) and runs along the posterior aspect of the leg (with the sural nerve), where it passes between the heads of the gastrocnemius muscle. [1] [2] This vein presents a number of different draining points. [1]
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