Patient was instructed regarding risk factors for development of varicose veins as follows:
- Obesity
- Morbid obesity with truncal fat exerts significant pressure on the veins of the lower limbs, reduces blood return from the veins to the heart and contributes to increased retention of blood in the veins of lower limbs.
- Also, increased fat deposition in lower limbs, can contribute poorly to the force driving blood up along the veins, against gravity.
- This may lead to increased distention of the veins with blood and contribute to development of varicosities.
- Sedentary lifestyle
- Contraction of muscles in the lower limbs during ambulation and activity is a significant factor helping with pumping of blood up along the veins of lower limbs, towards the heart.
- Individuals with sedentary lifestyle and poor muscle tone have too less of this force, to drive the blood up against gravity.
- This results in increased retention of blood in the veins and contribute to development of varicosities.
- Miscellaneous
- Other factors such as blood clots in the veins, any tumors of the abdomen, and recurrent episodes of inflammation in the veins, can contribute to obstruction of blood flow up along the veins.
- This can result in increased retention of blood in the veins and contribute to development of varicosities.
