Varicose veins on the inner side of the calf

Varicose veins of the lower legs are a very common disease, often manifested by tortuosity, irregular protrusion, twisting, dilation or elongation of the superficial veins of the lower limbs. The range of lesions may include both large and small saphenous veins. People who stand for long periods of time or engage in physical labor are most susceptible to it. Patients with mild symptoms will only have their legs aesthetically affected, while severe cases will cause edema, ulceration, and venous thrombosis. This article describes the detailed clinical manifestations of varicose veins.

Varicose veins are the most common disease of the venous system.

1. The surface blood vessels are varicose like earthworms, and the skin is obviously bulging and varicose in the form of clumps or nodules. This is the most common symptom of varicose veins.

2. Symptoms of varicose veins include ascites, hepatosplenomegaly; patients with varicose veins may experience vomiting blood and black stools; extensive edema of both lower limbs and pain in the affected limbs, which is aggravated by movement, and sometimes pain when still, and worsens at night.

3. There are strange sensations in the limbs, cold limbs, hot flashes in the limbs, thinning and thickening of the affected limbs, and the skin of varicose veins patients has a series of symptoms such as tingling, itching, numbness, and burning sensation.

4. There is a sore and swollen feeling in the legs. Patients with varicose veins feel more severe at night and less severe in the morning. The skin has pigmentation and dark color. The skin has desquamation and itching, and there is edema in the feet and ankles. These symptoms of varicose veins are also relatively common.

5. There may be slight swelling in the ankles or knees in the evening;

6. Spasms and leg cramps, such as calf cramps while sleeping.

7. The symptoms of varicose veins do not change significantly in the early stages. Some patients with varicose veins often feel heaviness, swelling, pain, and fatigue in the affected limbs, which can be relieved after rest.

8. The superficial veins in the calves of patients with varicose veins gradually become bulging and dilated. The symptoms of varicose veins are sometimes curled into clumps or cysts, which are especially obvious after standing and disappear after raising the legs. We can feel these symptoms of varicose veins ourselves.

9. For patients with a long course of varicose veins, the symptoms include pigmentation, itching, and eczema on the skin of the lower leg and ankle. Some patients with varicose veins may develop thrombophlebitis. The symptoms of local varicose veins are redness, swelling, lumps and tenderness.

1. Clinical manifestations of varicose veins in the lower limbs include progressive dilation, bulging and tortuosity of the superficial veins in the lower limbs, especially on the inner side of the calf. Varicose veins of the small saphenous vein are mainly located on the outer side of the lower leg. In the early stages of the disease, patients often experience soreness and discomfort in the lower limbs. At the same time, the limbs feel heavy, weak, and mild edema. The feeling worsens after standing for a long time or in the afternoon, and is significantly relieved after lying down or treating limb illness, sometimes accompanied by calf muscle cramps. Some patients have no obvious discomfort. For patients with a long course of disease, nutritional changes in the skin may occur in the lower legs, especially on the calves, including skin atrophy, desquamation, pigmentation, nodules on the skin and subcutaneous tissue, eczema and refractory ulcers, sometimes complicated by thrombophlebitis and acute lymphangitis.

2. For the superficial venous valve function test, lie on your back and raise your lower limbs to empty the veins. A tourniquet is placed below the groin to compress the great saphenous vein. Ask the patient to stand. If varicose veins appear from top to bottom within 10 seconds after releasing the tourniquet, it indicates great saphenous vein valve insufficiency. By the same principle, the function of the cryptocoyin valve can be tested by tying a tourniquet at the pharyngeal fossa.

3. Deep vein patency test: Stand up and tie a tourniquet below the groin to compress the great saphenous vein. After the vein is filled, the patient kicks or pushes down more than 10 times. If the filled varicose veins are significantly reduced or disappear, it indicates that the deep veins are unobstructed; otherwise, there may be deep vein obstruction.

4. Perforating vein valve function test The patient lies on his back, lifts up the lower limbs, and ties a tourniquet below the groin. First, wrap the first elastic bandage from the toes upward to the fossa, and then wrap the second elastic bandage downward from the tourniquet. Ask the patient to stand up and untie the first bandage while continuing to wrap the second bandage downwards. If varicose veins appear in the gap between the two bandages, it indicates that there is an incompetent perforating vein at that location.

5. Color Doppler ultrasound and venography can more accurately determine the nature, location, range and extent of the lesion.