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Varicose Veins

The document provides a comprehensive overview of varicose veins, including their definition, anatomy, etiology, symptoms, complications, and management options. It details both surgical and physiotherapy assessments and treatments aimed at preventing disease progression and improving quality of life. Key topics include the anatomy of the venous system, investigation methods, and specific physiotherapy interventions such as compression therapy and vascular exercises.

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Maitri Thaker
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11 views15 pages

Varicose Veins

The document provides a comprehensive overview of varicose veins, including their definition, anatomy, etiology, symptoms, complications, and management options. It details both surgical and physiotherapy assessments and treatments aimed at preventing disease progression and improving quality of life. Key topics include the anatomy of the venous system, investigation methods, and specific physiotherapy interventions such as compression therapy and vascular exercises.

Uploaded by

Maitri Thaker
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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VARICOSE VEINS

By:
Dr. Maitri Thaker PT
MPT (Cardio-pulmonary)
Topics to be covered:

1. Definition and Sites


2. Anatomy
3. Pathology
4. Etiology
5. Symptoms
6. Complications
7. Investigations
8. Surgical Management
9. Physiotherapy Assessment
10.Physiotherapy Treatment
Definition:
When a vein becomes dilated, elongated and totuous, the
vein is said to be ‘varicose’.

Sites:
1. Venous system of lowerlimbs
2. Oesophageal veins
3. Haemorrhodial veins
4. Spermatic veins
Anatomy of Venous system of Lower limbs:

Superficial Veins Deep Veins

1. Long Saphenous 1. Anterior Tibial


Vein 2. Posterior Tibial
2. Short Saphenous 3. Femoral
Vein Communicating 4. Peroneal
Veins 5. Popliteal

 Numerous valves
 Allows blood to flow from Superficial
to deep compartment.
Etiology:
Primary Secondary
• Genetics • Occupation
• Obesity
• DVT
• Pregnancy
• Old age
• Incompetence valves
• Blood becomes stagnated in
superficial veins
• It becomes distended and
tortuous.
Pathology:

Heart

Muscle pump
Competent valves
Negative intrathoracic pressure

Superficial veins Deep veins

Perforator veins
Symptoms:

• Tired and aching sensation in the calf mainly at


evening
• Sharp pain / Bursting pain
• Cramp in calf shortly after retiring to bed
• No other symptom except dilated and tortuous
veins of the leg
Complications:

• Thrombophlebitis
• Pigmentation
• Eczema
• Ankle flare
• Venous ulcer
• Haemorrhage
• Equinus deformity
Investigations:
• Venography
• Doppler ultrasound
• Duplex Ultrasound Imaging
• Photoplethysmography

Surgical Management:
1. Sclerotherapy
2. Endovenous Laser Ablation
3. Ligation And Stripping
Physiotherapy Assessment:
Demographic Data Occupation
History • Medical
• Surgical
• family
Observation • Extent and site of varicosities
• Presence of edema
• Presence of venous ulcers
• Pigmentation
Palpation • Temperature
• Calf spasm
• Girth
• Deformity
Examination • Muscle strength
• Tightness
• Special test (Tourniquet test)
• Pain Assessment ( NPRS, VAS)
Quality of Life • SF- 36
• AAVQ (Aberdeen Varicose vein
Questionnaire)
Domain: 4
Questions: 13
Score: 100

• Tourniquet test:
Tourniquet is tied around the leg at different levels after the superficial veins have
been made empty by raising the leg in recumbent position. The patient is now asked to
stand up. If the veins above the tourniquet fill up it indicates presence of incompetent
communicating vein above the tourniquet. Similarly if the veins below the tourniquet
fill rapidly the incompetent communicating veins must be below the tourniquet
Physiotherapy Management:

• Goals:
1. Prevent disease Progression
2. Reduce symptoms
3. Improve quality of life
(also consider patient’s goals)

• Treatment:
1. Patient Education
2. Compression Therapy
3. Vascular Exercises
Questions??
Thank You!

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