Dr. Russ





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Varicose veins


Spider-burst (Capillaries)

Venous leg ulcers

Venous stasis dermatitis

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Complications of varicose veins

One frequently observes progression – from a mild swelling in the ankle to the most severe form of an open leg ulcer. However, one may find serious stasis dermatitis or venous leg ulcers even in early forms of varicosity in young patients. Strict rules in this regard do not exist.

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All complications can be traced back to the previously mentioned fact that, instead of gradually flowing upward in the direction of the heart or the lung, blood within the varicose vein flows downward along the leg; this movement is diametrically opposed to the original construction plan of the body. This reverse flow of venous blood, the reflux, causes chaos - particularly in the lowest portions of the leg. The condition could be compared to the chaos that would occur if one would direct water from a rain channel to the supper table. The original order is destroyed. In addition to arterial blood supply and the return of venous blood to the heart, there is inflow of venous blood. The lower leg is flooded with venous blood. This condition is the complete opposite of arterial obstructive disease in persons with a smokers’ leg, in which the calcified arteries allow too little blood or no blood to pass through. In extreme cases, disturbances of venous or arterial circulation may cause massive destruction of tissue and, consequently, ulcers. To compare this condition with a situation in agriculture - the harvest is destroyed in periods of prolonged drought; it is also destroyed if the fields are constantly flooded with water.

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