Varicose Veins and Skin Irritation: Itching
Patients who suffer from varicose veins often talk about itching of the skin which makes them more acutely aware of their condition. This is an interesting article which we have digested from Merck which provides more information. See: http://www.merck.com/mmhe/sec03/ch036/ch036d.html
The precise cause of varicose veins is unknown, but the main problem is probably a weakness in the walls of superficial veins. This weakness may be inherited. Over time, the weakness causes the veins to lose their elasticity. They stretch and become longer and wider. To fit in the same space that they occupied when they were normal, the elongated veins become convoluted. More important than the elongation is the widening of the veins, which causes the valve cusps to separate. When the person stands, the blood is pulled backward by gravity and is not stopped because the valve cusps are separated. Thus, blood flows backward, rapidly filling the veins and causing the thin-walled, convoluted veins to enlarge even more. Some of the connecting veins, which normally allow blood to flow only from the superficial veins into the deep veins, also enlarge. If they enlarge, their valve cusps also separate. Consequently, blood squirts backward into the superficial veins when the muscles squeeze the deep veins, causing the superficial veins to stretch further.
Symptoms and Complications
Besides being unsightly, varicose veins commonly ache. Many people, even some with very large veins, have no pain. The lower part of the leg and ankle may itch, especially if the leg is warm after a person has been wearing socks or stockings. Itching can lead to scratching and can cause redness or a rash, which is often incorrectly attributed to dry skin. The pain is sometimes worse when varicose veins are developing than when they are fully stretched.
Only a small percentage of people with varicose veins have complications, such as dermatitis, inflammation of the veins (phlebitis), or bleeding. Dermatitis produces a red, scaling, itchy rash or a brown area, usually on the inside of the leg above the ankle. Scratching or a minor injury, particularly from shaving, can cause bleeding or development of a painful ulcer that does not heal. Ulcers may also bleed. Phlebitis may occur spontaneously or result from an injury. Although usually painful, phlebitis that occurs with varicose veins is rarely harmful.
