|
KMID : 0980120210190030035
|
|
Annals of Phlebology
2021 Volume.19 No. 3 p.35 ~ p.38
|
|
|
Comprehensive Review of Venous Pain
|
|
Yun Sang-Chul
|
|
|
Abstract
|
|
|
|
The most common symptoms of chronic venous disease (CVD) are pain, heaviness, and discomfort. The less common symptoms include throbbing, pressure, fatigue, swelling, cramps, itching, restless legs, tingling, and burning. However, these symptoms are not specific for chronic venous disease, since they are common in the general population, especially the elderly, and they can be observed in many other conditions. Notably, their absence does not rule out the possibility of CVD. By definition, pain is subjective. A particular pain stimulus may not cause the same pain in the same individual. Subjects have the ability to determine a pain threshold, either by raising or lowering it. However, clinicians must pay attention to the pain objectively. Pain is a short-term consequence of venous hypoxia, while varicose dilatation appears in the later stages of chronic venous disease. The fact that pain does not correlate closely with varicose dilatation suggests that the site of primary activation of venous pain receptors may be absent in relatively large veins. If hypoxia is an important cause of pain, you may experience lower extremity pain or difficulty in walking under several hypoxia-related situations, such as when standing or sitting for long periods of time, at the end of the day, at certain times during the menstrual cycle, osteoarthritis, etc. In C0 and C1 patients who complain of pain, we should consider whether conservative treatments, such as medication, compression, and exercise, should be prioritized for pain control rather than surgical treatment.
|
|
|
KEYWORD
|
|
|
Chronic venous insufficiency, Chronic venous disease, Pain, Hypoxia, Venous hypertension
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|