Manifestations

A malfunctioning blood flow in the leg veins may result in varied subsequent damage. Beyond more general symptoms, superficial but also very serious forms may be a consequence.

Spider veins

In case a small superficial venous plexus is congesting (mostly a harmless, pure esthetic problem), it can be compared with brooms under the skin, and this is where the expression spider vein comes from.

Phlebitis

Blood that flows too slowly increasingly thickens and really “becomes viscous”. This may lead to a painful superficial inflammation of the vein.

Edematization

(Edema in the tissue): The venous walls become porous and permeable. Plasma (bright, liquid part of the blood) and proteins extravasate, sweep into the neighboring tissue and result in swelling (edema).

Varicose vein (varix)

If the venous wall is damaged within a larger vein, the vessel alters into to a thick winding varicose vein.
→ Mehr Information

Chronic venous insufficiency

In addition to chronic venous congestion syndrome, chronic venous insufficiency is based on a micro circulation disorder of the vessels due to a venous block. This partly results in severe vein and skin modifications.
→ Mehr Information

Ulcer

The expression varicose ulcer denominates in the medical field as substance impairment in the tissue of the distal lower leg area that typically is not healing and as an open, mostly exudating wound over a long period of time. This disease has already been described very early on. Colloquially, the varicose ulcer is also described as an ulcerated leg.
→ Mehr Information

Deep leg vein thrombosis

Deep leg vein thrombosis is, after heart attacks and stroke, the third most common acutely occurring cardiovascular disease. It is a relatively common disease with an annual incidence of 3: 1,000. 93% of thromboses occur in the vena cava inferior and in the basin-leg veins.

Other chronic venous diseases

Hemorrhoids

Hemorrhoids or piles are arteriovenous vascular paddings situated below the rectal mucosa in the form of a ring and serving for the fine occlusion of the anal orifice. If we talk about hemorrhoids, in most cases increased or deeper situated hemorrhoids in the sense of a hemorrhoidal disease are meant of which are causing the symptoms. Hemorrhoids are one of the most common diseases in the West, but also socially treated as a taboo. It is a disease of seniors. Hemorrhoids before the age of 35 are rare.

The causes of the disease are still largely not understood. Symptomatic hemorrhoids are a progressive disease such as varicose veins and the chronic venous insufficiency being classified into four states of disease. Due to the large spread, “hemorrhoids” are often diagnosed very carelessly by the concerned people. In this case, some more severe diseases show very similar symptoms.

Lipedema

The lipedema (colloquially bowleg or column shaped leg) is an atypical and symmetric accumulation of adipose tissue lateral at the hips and upper legs and upper arms (in the later course also at the lower legs, lower arms and in the neck) in connection with pain and sensitivity to pressure of the legs and the tendency to hematomas (“bruises”) in case of trivial injuries. Secondary, peripheral edemas are also possible. It is a progressive disease. The lipedema can almost exclusively be found among women especially after puberty, pregnancy, or during menopause. A genetic predisposition is assumed, but hormonal alterations and an increase of weight are seen as potential causes. The affected adipose cells are pathologically altered.

The lipedema is not an expression of overweight – for this reason, it does not seem to be successful to recommend a weight loss treatment to the patients affected. The pathologically altered adipose tissue tends furthermore, e.g. by a defect of the capillary functions, to lead to edema and can result in feelings of tension and pain on pressure. This generally does not damage damage the lymphatic system, but later, this may be damaged due to the increased vulnerability and propensity to infection of adipose tissue and, therefore, edema readiness may be increased.