Is It Varicose Veins? Symptoms and Risks - Cardiology

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Is it varicose veins?


My mother's left foot feels numb, and at the same time, there are blood clots in the sole of her foot, causing her to walk unsteadily.

A Jie, 30~39 year old female. Ask Date: 2022/12/23

Dr. Wu Xueming reply Cardiology


Varicose veins are characterized by swollen, twisted veins visible on the surface of the skin, and symptoms such as numbness are less common.
It is recommended that you visit a hospital for further examination.

Reply Date: 2022/12/23

More Info


Varicose veins are a common condition characterized by enlarged, twisted veins that often appear blue or dark purple. They typically occur in the legs and can lead to various symptoms, including aching, heaviness, swelling, and discomfort. In your mother's case, the symptoms of numbness in her left leg, along with the presence of blood clots and instability while walking, warrant careful consideration.

Firstly, it's important to understand that varicose veins can lead to complications, one of which is the formation of blood clots. When blood pools in the veins due to improper functioning of the valves, it can increase the risk of clot formation. This condition is known as superficial thrombophlebitis when it occurs in the superficial veins, or deep vein thrombosis (DVT) when it occurs in the deeper veins. DVT is particularly concerning because it can lead to serious complications, such as a pulmonary embolism if a clot dislodges and travels to the lungs.

The numbness your mother is experiencing could be related to several factors. It may be due to nerve compression from swelling in the leg or from the varicose veins themselves. Additionally, if there is a blood clot present, it could impede blood flow and lead to symptoms such as numbness or weakness in the affected leg. The instability while walking could also be a result of pain, weakness, or a combination of these factors.

In terms of risk factors, varicose veins are more common in individuals who are older, overweight, or have a family history of the condition. Prolonged standing or sitting, hormonal changes (such as those occurring during pregnancy), and certain medical conditions can also increase the risk.

Diagnosis typically involves a physical examination and may include imaging tests such as an ultrasound to assess blood flow and identify any clots. Treatment options vary depending on the severity of the condition and may include lifestyle changes, compression stockings, medications, or procedures such as sclerotherapy or laser therapy to close off the affected veins.

Given your mother's symptoms, it is crucial for her to seek medical attention promptly. A healthcare provider can perform a thorough evaluation, including imaging studies, to determine the presence of varicose veins, blood clots, or other underlying conditions. Early intervention can help prevent complications and improve her quality of life.

In summary, while varicose veins can cause discomfort and lead to complications such as blood clots, the symptoms your mother is experiencing—numbness, blood clots, and instability—should be evaluated by a healthcare professional. It is essential to address these symptoms promptly to ensure appropriate management and care.

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