Why do my legs ache?

Leg pain can be annoying and disturbing, when it tries to disturb your daily routine. The main cause of the leg ache is often related to chronic venous insufficiency of the lower limb.

As a way of understanding the chronic venous insufficiency and leg pain, it is very important to know the basic physiology and anatomy of the venous system briefly.

The human body consists of arteries and veins, where arteries supply blood to the body organs from the heart, while veins return blood to the heart. If the blood returning to the heart fails, hence, the insufficiency of venous system occurs; this in time becomes chronic venous insufficiency.

Chronic venous insufficiency of the lower limbs is the most common peripheral vascular disease today. The prevalence of this disease is mostly among the working-age population.

What are the causes of chronic venous insufficiency?

  • High venous pressure in the lower extremities due to activities such as sitting or standing for a long period.
  • Deep vein thrombosis and phlebitis (inflammation of the walls of veins), which develops when an obstruction (blockage) of veins, which leads to increased venous pressure and dysfunction of the lower parts of the veins. Phlebitis (inflammation of the walls of veins) often develops in superficial veins; as a result appearance of edema adjacent to the soft tissue. Inflammation, in that area in turn, promotes the formation of blood clots (thrombosis), including deep vein thrombosis, and paves the way to chronic venous insufficiency.
  • Smoking
  • Physical inactivity
  • Obesity
  • Family history (genetics)
  • Sometimes in pregnancy

       What are the most common symptoms of chronic venous insufficiency of lower limb?

  • A feeling of heaviness in the legs, leg cramps
  • Itching and tingling in the legs
  • Swelling of feet and legs
  • Pain in the legs, worse when standing Pain in the legs, ameliorated when in raised position.
  • Leg sores, dermatitis and stagnant lipodermatosclerosis.
  • Hyperpigmentations of the skin of the ankles
  • Dilation of the saphenous veins of leg and foot Thickening and hardening of the skin of the legs and ankles (lipodermatosclerosis) Ulcers of the lower third of the leg and ankle
  • How is diagnosis of chronic venous insufficiency of lower limbs performed? The diagnosis of this disease with the help of these instruments Doppler ultrasound.
  • How can one get rid of this leg ache? Treatment of chronic venous insufficiency is a complex process, the duration of which depends on the stage of the disease.
  • The treatment measures are divided into surgical and conservative (non-surgical). It is important to understand that the timely treatment will restore normal venous blood flow furthermore, helps to avoid the complications.
  • Conservative treatment of venous insufficiency includes the reduction of the risk factors such as obesity, oral contraceptives, improper exercise, and so on. Therefore, we need to use special recommendations as if physical activity, elastic compression stockings, and leg elevation for 0 minutes four times per day. The other therapy widely used in practice is sclerotherapy. This therapy uses specialised sclerosing agents and occludes the vein, as a result, blood flow will be restored through another vein, and hence the result is relieving of the symptoms of chronic venous insufficiency. Surgical treatment – The surgery can be an option only for the 10% of the cases. The main surgical treatments used in chronic venous insufficiency are MOCA, also known as Clarivein Radiofrequency Ablation What are the specific complications associated with chronic venous insufficiency of lower limbs? The most severe complications are Deep vein thrombosis Pulmonary embolism Ulceration Lymphedema, which is secondary to the disease. The less severe complications are Chronic pain Non-healing ulcers of leg Cellulites Swelling (edema) Restless leg syndrome How can you prevent the development of chronic venous insufficiency? This can be achieved through Lifestyle modification Weight loss Regular physical exercise Leg elevation 

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