VARICOSE VEINS
PROBLEM
Varicose veins are caused when the valves inside of veins are damaged and allow blood to flow backward instead of toward the heart. This backflow of blood increases the pressure in the vein, leading to pain and swelling; this makes them more visible. Varicose veins can worsen and increase the risk of blood clots, infection, bleeding, and changes to the skin.
CAUSES
There are many factors that increase the chance of developing varicose veins. Some, like age and genetics, cannot be changed. Some can be changed; these include prolonged standing, restrictive clothing, excessive weight, and smoking.
PREVENTION
A.Avoid prolonged standing. If prolonged standing is required, shift weight from one leg to the other.
B.When possible, prop you feet up instead of keeping both feet on the floor.
TREATMENT PLAN
A.Raise the affected arm or leg whenever lying down to improve pain and swelling.
B.Wear compression stockings. Put them on before getting out of bed in the morning. Take them off just before going to bed at night.
C.Avoid standing or sitting for long periods of time.
D.Follow up with your primary healthcare provider on a regularly scheduled basis.
Activity:
A.Get regular exercise. Discuss with your healthcare provider what type and frequency of exercise is safe for you.
B.Exercise leg muscles by pumping ankles when sitting. Rocking in a rocking chair is another option.
Diet:
A.Discuss with your healthcare provider the type of diet that best suits your needs: Diabetic diet, low-fat diet, low-cholesterol diet, and/or low-sodium diet.
B.If you are taking the blood thinner Coumadin, ask your healthcare provider about which foods are high in vitamin K and whether you should limit those foods in your diet.
Medications:
You Have Been Prescribed: ___________________________________________________________
You Need to Take: ___________________________________________________________
You Need to Notify the Office If You Have:
A.Other: ___________________________________________________________
Phone: ____________________________
EMERGENT ISSUES/INSTRUCTIONS
A.Seek care in the emergency room if you have any of the following symptoms:
1.A bleeding varicosity with eroded surrounding skin.
2.A varicosity that has bled and is at risk for bleeding again.
3.An ulceration that is worsening and/or painful despite treatment.
RESOURCE
Vascular Cures–Varicose Veins: http://vascularcures.org/varicose-veins
PATIENT TEACHING GUIDE