In more than half of all cases, people suffering from venous diseases complain about typical congestive discomforts and partly report an extremely impaired quality of life and profession. The physical quality of life decreases with the increasing severity of the disease according to the Bonner vein study while the incidence of complications such as inflammatory veins, thrombosis, and leg ulcer are increasing. Disturbing dilatations of cutaneous and subcutaneous veins such as spider-veins are mostly of esthetic importance. The perforating veins and truncus veins of V. saphena parva and magna are hemodynamically effective, and, for this reason also of medical significance. In most cases, it is the V. saphena magna that is more often affected than the V. saphena parva. Without any treatment, the symptoms of the chronic venous insufficiency with typical congestive symptoms such as edema and complications with cutaneous alterations, development of varicose ulcers, as well as thrombo-embolic diseases and bleeding may result as a consequence of truncus and perforating veins. Furthermore, severe alterations of the deep venous system including dilatation and insufficiency of the valves may result from the pressure and volume loading over many years.

Classification of the symptoms:

Varicose veins Fatigue/heaviness, restless legs, pain, calf cramps at night Chronic venous insufficiency Typical congestion signs such as edemas and complications with cutaneous alterations up to the formation of varicose ulcers Varicose ulcer Deep leg vein thrombosis Surgical high risk patients, pulmonary embolism in case of unknown and treated thrombosis, paradox embolism, and unclear fever with inflammatory signs Symptoms in case of further chronic venous diseases: Hemorrhoids With symptoms such as repeated anal bleedings and anal weeping, agonizing itching and stool smearing Lipedema Symmetric, spongy swelling Tenderness on pressure and on touch Tendency for hematomas already after mild injuries At an advanced stage, the skin is often cool with poor blood circulation and, depending on the stage, orange-peeled skin, mattress suture, or extensive fat lobes. Fat lobes result in disturbed gait and knock knees.