The battle with the veins
Dr. med. Simon Gregor Wrann
December 5, 2022
5 min
What are varicose veins?
The term "varicose veins" is probably derived from the Old High German word "Krummadern", which would be a more accurate term. Varicose veins are dilated and sometimes tortuous blood vessels whose vein wall is pathologically altered. At first, varicose veins may appear to be mainly an aesthetic problem, but they can lead to a variety of complaints, including swollen legs, a feeling of heaviness in the legs, cramps, permanent skin changes or thrombosis. Especially at an advanced age, untreated varicose veins can lead to serious health problems.
What are the causes of varicose veins?
A tendency to varicose veins is mainly due to a hereditary predisposition, and vein problems can worsen as patients get older. Lack of exercise and obesity are among the factors that favour varicose veins. Varicose veins can also occur more frequently during pregnancy.
When should varicose veins be checked?
Clarifications should be carried out when varicose veins become noticeable or symptoms are present. At the latest when thromboses (painful blood clots) or open legs occur, a diagnosis should be made urgently.
What options are there for treating varicose veins? Which procedure is recommended today?
Compression stockings are a simple and extremely effective method of treating the symptoms of varicose veins. However, the daily application of these stockings requires a lot of effort and can cause dry skin. In summer, many people understandably avoid wearing these stockings. Older people are sometimes completely dependent on the help of others. Many patients therefore prefer interventional or surgical treatment. The very gentle interventional treatment is now the treatment of choice. This involves inserting a probe into the vessel. If there are reasons why this treatment should not be used, surgical treatment may be recommended.
What are the advantages and disadvantages of interventional measures?
The advantage of interventional procedures is that they are low-complication, gentle and painless. A minimal disadvantage is a very slightly increased recurrence rate of venous insufficiency in the treated vein. However, the advantages clearly outweigh the disadvantages.
How long does the procedure take? Is the procedure performed under general anaesthetic?
The procedure usually takes about 30 minutes. Sometimes the placement of the probe can be more difficult due to the course of the vein, so that the procedure takes a little longer. The procedure can be performed under local anaesthetic. Most patients tolerate this procedure very well. If necessary, a medication can be administered to induce a light sleep. Of course, a general anaesthetic is advisable for some patients. This can be determined in the consultation before the procedure according to the needs of the person to be treated.
Can varicose veins reappear after an operation?
Yes, varicose veins can reappear. They usually reappear in a new location because it is a naturally progressive disease. Occasionally the same vein is affected and may need to be treated again.
Weitere Beiträge
Counsellor
Understanding panic attacks: What triggers them and how to counter them
Panic attacks are like sudden storms in the soul - they strike unexpectedly, unleashing a wave of intense fear and often leaving confusion and uncertainty in their wake. But what exactly is a panic attack, how are they diagnosed and treated, and what can sufferers do to deal with them? To delve deeper into this topic, we spoke to Dr Ruedi Schweizer, Medical Director of our Centre for Mental Health.
Counsellor
Can psycho-oncological support improve the chances of recovery or the quality of life of breast cancer patients?
In psycho-oncological topics, you and your relatives will be accompanied through all phases of the illness by experienced psychologists specialising in psychotherapy and specialists in psychiatry and psychotherapy. In this way, we can provide relief, give courage and open up new perspectives. Dr Ruedi Schweizer, our expert in psycho-oncology and Medical Director of the Centre for Mental Health, explains in the following video.
Counsellor
Focus on women's health: An interview with Dr Julia Graf, specialist in gynaecology and obstetrics
On International Women's Day, we would like to focus on women's health. To this end, we met with Dr Julia Graf, an experienced specialist in gynaecology and obstetrics and senior physician at the Women's Clinic, to talk about various aspects of women's health.