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The clinical course
Vein disorders are decidedly not a disease which starts at point A and ends at some time or other at point Z. Many diverse circumstances such as genetically induced factors, lifestyle and occupation play an important role in the pathogenesis of varicose veins. It is just as common, for instance, for the first leg vein problems to occur as early as after puberty (unfortunately this often goes unrecognised) as in 60 or 70 year-olds. What is important with such a disorder, however, is to consult your doctor at an early stage - i.e. at the first symptoms of tired, heavy legs, sensation of tension, tingling, swollen legs in the evening etc. and not just when more serious symptoms become evident. Your doctor will ask you questions in order to gain some idea of the stage of your disorder and then examine you. If appropriate, he will refer you to a phlebologist (vein specialist) who will perform the necessary, entirely painless tests. If the changes to your leg veins do not yet require treatment, he will recommend that from now on you should do something for your veins, perhaps even that you should rethink your lifestyle. The most important preventative or therapeutic measure for vein disorders is exercise as your doctor will explain to you. After all, chronic leg vein disorders are not inevitable: It will only be a case of chronic venous insufficiency (CVI) when the following are experienced: an sensation of heaviness in the legs in the evening, swollen lower legs, nocturnal calf cramps or skin changes. Once the disorder is chronic ("permanent"), however, it can no longer be healed. All that can be done is attenuate its course.
The blood circulation
CVI
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Clinical course

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