Introduction
Varicose veins are enlarged veins with retrograde blood flow
  • Varicose veins are enlarged veins with retrograde blood flow
  • It is an inherited disorder that is chronic and progressive
  • While arteries carry blood from the heart to all tissues and organs, veins serve to transport blood back to the heart. To perform that efficiently against gravity, veins have one-way valves.  When the valves malfunction,
    blood flow is impaired and the veins enlarge
  • The abnormal veins are named after their size with the smaller called spider veins and the largest called varicose veins
  • The lower limbs are the commonest site to suffer from varicose veins
  • The veins of the lower limb can be divided into three groups: superficial (closest to the skin surface but still not visible), deep (closer to the bone) and a third group called perforators (perforate the muscles to connect the two groups)
  • The commonest veins to be affected are the superficial veins
  • In addition to the anatomically known veins, a percentage of patients have duplicate or accessory veins that could get affected and increase the number of sessions/treatments
  • Around the ankle particularly on the inner aspect, clusters of small veins, discolouration and ulcers are progressive indicators of chronic venous disease
doctor looking at leg