What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey

Abstract

Objective To define the relations between age, sex, lower limb symptoms, and the presence of trunk varicose veins on clinical examination. Design Cross sectional population study. Setting 12 general practices with catchment areas geographically and socioeconomically distributed throughout Edinburgh. Participants An age stratified random sample of 1566 people (699 men and 867 women) aged 18-64 selected from the computerised age-sex registers of participating practices. Main outcome measures Self administered questionnaire on the presence of lower limb symptoms and physical examination to determine the presence and severity of varicose veins. Results Women were significantly more likely than men to report lower limb symptoms such as heaviness or tension, swelling, aching, restless legs, cramps, and itching. The prevalence of symptoms tended to increase with age in both sexes. In men, only itching was significantly related to the presence and severity of trunk varices (linear test for trend, P = 0.011). In women there was a significant relation between trunk varices and the symptoms of heaviness or tension (P<0.001), aching (P<0.001), and itching (P<0.005). However, the level of agreement between the presence of symptoms and trunk varices was too low to be of clinical value, especially in men. Conclusions Even in the presence of trunk varices, most lower limb symptoms probably have a non-venous cause. Surgical extirpation of trunk varices is unlikely to ameliorate such symptoms in most patients.

Varicose veins: clinical presentation and surgical management

“…Heaviness, itching & cramping were the common symptoms. This fi nding correlates with Edinburgh's vein study [3], which describes aching/ heaviness as the commonest symptom in women and itching as the commonest symptom in men.…”

Avaliação da bomba muscular da panturrilha em pacientes portadores de varizes primárias dos membros inferiores através da pletismografia a ar

“…A hipertensão venosa manifesta-se através de sinais e sintomas que já foram bem estabelecidos por outros autores 21,22 . O ponto em que parece haver discordância é que, no nosso trabalho, mesmo não havendo sinais externos que possam levantar suspeita de hipertensão venosa, a FVR (que, para alguns autores 16,21 , se relaciona com a pressão venosa ambulatorial) ocorreu em 86,7% dos pacientes que apresentaram níveis acima de Figura 2 -Análise de correspondência para fração de ejeção da perna direita (efdircod), fração de ejeção da perna esquerda (efesqcod), fração do volume residual da perna direita (rvfdircod), fração do volume residual da perna esquerda (rvfesqcod) nos grupos com refluxo e sem refluxo 60%, sendo este dado estatisticamente relevante.…”

“…Na insuficiência venosa em estágio inicial, há casos em que os sinais clínicos não apresentam correspondên-cia direta com a sintomatologia referida pelos pacientes 22 . Para esses casos, a pletismografia a ar 26 tem importante papel na identificação, quantificação e diferenciação dos estágios iniciais da insuficiência venosa.…”

Accuracy of clinical methods and doppler ultrasound in detection of incompetency of sapheno-femoral junction and perforators compared with operative results

“…1 In another study done by Bradbury A et al, the mean age among men was 45.8 years and among women was 44.8 years. 6 The increased incidence of the disease among young aged people can be attributed to prolonged standing and exertion. 6 But Canonico S et al, have done a study on prevalence of varicose veins in an Italian elderly population, concluding that obesity is a common cause for varicose veins in elderly patients.…”