What is the significance of varicose veins in the evaluation of venous insufficiency?

Updated: Sep 25, 2020
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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Subjective complaints are also common in patients with truncal varices: 18% of patients with varicosities report frequent or continuous symptoms, whereas almost 50% complain of episodic symptoms.

In addition to poor cosmesis, varicose veins serve as indicators of venous hypertension, the most common reason for patient complaints regarding chronic venous insufficiency (CVI). [15] Venous hypertension in muscles and fascial compartments of the lower leg from exercise and prolonged standing results in the characteristic ache of CVI. The discomfort is described as pain, pressure, burning, itching, dull ache, or heaviness in affected calves or legs.

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