Typically, the early symptoms of superficial venous insufficiency are vague. Furthermore, due to their gradual and prolonged development which sometimes take years, people with this disease become used to the symptoms often interpreting them as a sign of becoming older or writing them off to diabetes or smoking. The initial symptoms of the disease are variable.
The most often complaint, however, is related to difficulties walking and is called “venous claudication”. Subjectively, it is described as heaviness, tiredness, easy fatigue of lower extremities, difficulties walking, standing or even sitting still.
Coincidentally, varicosities or spider veins might or might not be seen depending on multiple factors, including thickness of the skin and its color, amount of fat tissue under the skin and so on. The same applies to the other visible changes, such as pigmentation and others.
As the disease progresses, other varicose veins symptoms join. Some patients suffer from progressive disabling pain with no visible symptoms of the disease for years prior to the correct diagnosis made. While the others after a short period of swelling, develop infections, and trophic lesions with all their consequences. Yet, some other patients with no subjective symptoms or complaints suddenly start bleeding from a large varicose vein not visible to the naked eye.
A less typical presentation of the disease is the so-called “restless leg syndrome”. During this condition, people feel very uncomfortable keeping their legs still. The most discomfort takes place early at night, often immediately after going to bed.
Leg cramping, particularly at night or during other prolonged either horizontal or reclined position, are the most typical vein disease symptomsare similar in their physiology to the above restless leg syndrome.
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