Varicose Veins: Symptoms, Treatment, and Self-Care Tips

Varicose veins

Hello Dr.
Lee,
In mid-December last year, I noticed varicose veins in my calves (swelling behind both knees).
For the past three months, I have mostly been wearing compression stockings (but not medical-grade, and not gradient compression), gently massaging my calves before bed, and elevating my legs.
Currently, the condition of both legs shows some faint bluish discoloration, but the veins are not prominent.
I have autonomic nervous system dysregulation and am taking "Rivotril" (Clonazepam).
My height is 154 cm and my weight is 41 kg.

On April 10th, in the afternoon, I accidentally took a hot shower, and afterward, I noticed that the veins in my arms and fingers became more prominent (the veins in my arms appeared bluish, and there was a purplish discoloration near the second joint of my fingers).
The right hand was more noticeable than the left, and there was slight pain, redness, and swelling on the right side of the second joint of my right index finger.
I also experienced chest tightness (unsure if it was due to anxiety or related to this), and my heart rate was slightly faster than usual.
Additionally, there was a new prominent bluish vein in my right thigh.

On April 11th, I did not wear compression stockings.
The redness and swelling in my right finger joint gradually subsided.
On April 12th, I wore compression stockings all day, but after washing dishes at 3 PM, I started to feel soreness and warmth in my right arm, which gradually made it difficult to exert force.
After that, I was hesitant to use my right hand to lift things.
In the evening, after removing the stockings, I felt some improvement (it felt like the blood flow returning after a heavy weight was suddenly lifted off my arm), but I am unsure if this is related to the stockings.

On April 13th, I was hesitant to wear the stockings again.
While doing tasks (like typing on my phone), I felt more easily fatigued than before (sometimes with a warm sensation).
I can exert force, but I have not fully recovered to my previous level.

1.
Could you help determine what kind of condition this might be? Is it related to upper limb varicose veins?
2.
Should I rest my right hand for a few days (avoid exertion)?
3.
Should I continue wearing the original stockings, or should I switch to medical-grade compression stockings immediately? Or should I avoid wearing them altogether for now?
4.
Are there any other ways to improve the situation (given the severe pandemic, I am unsure if I can go to the hospital immediately)?
Thank you very much for your patience and assistance!

lee, 30~39 year old female. Ask Date: 2022/04/15

Dr. Li Han reply Cardiology

Hello, regarding your inquiry about "varicose veins," "calf varicose veins (swelling behind both knees)?" and "both hands and fingers?" I apologize for not being an expert in this area, but from a theoretical standpoint, varicose veins primarily affect the lower extremities.
The exact mechanisms are still debated and involve factors such as genetic predisposition, valve insufficiency, weakened vessel walls, and increased venous pressure.
Risk factors include a family history of venous disease, being female, older age, prolonged increases in intra-abdominal pressure (which may stem from obesity, pregnancy, chronic constipation, or tumors), and prolonged standing.
Symptoms can include feelings of heaviness, aching, itching, or burning sensations, often exacerbated by prolonged standing or sitting.
Potential complications include thrombophlebitis, stasis dermatitis, and infections.
However, your symptoms do not seem to align with the severity typically associated with varicose veins, so you may be overthinking it.
I recommend consulting with specialists in dermatology, plastic surgery, or vascular surgery who are knowledgeable about this condition.
Take care from the Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2022/04/15

More Info

Hello! Thank you for reaching out with your concerns regarding your varicose veins and related symptoms. It sounds like you are experiencing a complex situation that involves both your lower and upper extremities. Let's break down your questions and provide some clarity on your condition.

1. Diagnosis and Symptoms: Based on your description, it appears that you are dealing with varicose veins in your lower legs, which is characterized by swollen, twisted veins that can be seen just under the surface of the skin. The symptoms you mentioned, such as the bluish discoloration of the veins and the heaviness or discomfort in your legs, are common in individuals with varicose veins. The sudden visibility of veins in your arms and the pain in your right hand could suggest a few possibilities, including superficial thrombophlebitis (inflammation of a vein due to a blood clot) or even a vascular response to the heat exposure you experienced. However, it's essential to consult a healthcare professional for an accurate diagnosis.

2. Resting Your Right Hand: Given that you are experiencing pain, swelling, and discomfort in your right hand, it would be wise to rest it for a few days. Avoiding heavy lifting or repetitive motions can help reduce inflammation and allow your body to recover. If the symptoms persist or worsen, it would be advisable to seek medical attention.

3. Compression Stockings: Wearing compression stockings can be beneficial for managing varicose veins. However, since you mentioned that your current stockings are not medical-grade or gradient compression, it might be worth considering switching to medical-grade compression stockings. These are specifically designed to apply varying levels of pressure to the legs, which can help improve blood circulation and reduce swelling. If you are unsure about the type of stockings to use, consulting with a healthcare provider or a specialist in vascular health would be beneficial.

4. Improving Your Condition: In addition to wearing appropriate compression stockings, there are several self-care strategies you can implement to improve your symptoms:
- Elevate Your Legs: Whenever possible, elevate your legs above heart level to help reduce swelling and improve circulation.

- Regular Movement: Engage in light physical activity, such as walking or gentle stretching, to promote blood flow. Avoid prolonged periods of sitting or standing.

- Hydration and Diet: Stay well-hydrated and maintain a balanced diet rich in fiber to prevent constipation, which can exacerbate venous issues.

- Avoid Heat Exposure: Since you noticed changes after exposure to hot water, it may be wise to avoid hot baths or showers, as heat can cause veins to dilate and worsen symptoms.

Given the current pandemic situation, if you feel that your symptoms are severe or worsening, it is important to reach out to a healthcare provider. Many facilities offer telehealth services, which can be a safe way to discuss your symptoms and receive guidance without needing to visit in person.

In summary, while your symptoms may be related to varicose veins, the changes in your upper extremities warrant further investigation. Resting your hand, considering medical-grade compression stockings, and implementing self-care strategies can help manage your condition. Always consult with a healthcare professional for personalized advice and treatment options. Take care!

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