20, 8, 2014

Complications of Untreated Varicose Veins #1: Phlebitis

2021-11-04T15:28:12-07:00

What Possible Complications Can Occur From Untreated Varicose Veins?

Over time, complications can develop from untreated veins. These include:

  • Superficial phlebitis

    stp

    A superficial thrombophlebitis (also known as STP) refers to a blood clot that has formed within the vein causing it to become painful and inflamed. The overlying skin becomes red, hot, and painful to touch. The blood clot forms as a complication of varicose veins, because the blood is not circulating well in varicose veins.

  • Skin discoloration and eczema around the ankle
  • Skin sores or ulcers usually near the ankle
  • Burst or hemorrhaged vein
  • Chronic venous insufficiency
  • Infection of the skin, or cellulitis

This blog post will discuss phlebitis. Phlebitis refers to the painful swelling and inflammation within a vein, usually a varicose vein.  A thrombophlebitis is swelling and inflammation of a vein caused by a blood clot. A phlebitis is common with varicose veins, and thrombophlebitis less common but still a potential complication from untreated varicose veins.  A thrombophlebitis refers to a blood clot that has formed within the vein causing it to become painful and inflamed. The overlying skin becomes red, hot, and painful to touch.

The blood clot forms because the blood is not circulating well in varicose veins. The blood is stagnant in varicose veins and is more likely to form clots. When blood clots are formed within varicose veins, this is called superficial thrombophlebitis (since varicose veins sit near the skin surface).  This is often referred to as an STP.

The following symptoms are often associated with thrombophlebitis:

  • Inflammation (swelling) in the part of the body affected
  • Pain in the part of the body affected
  • skin redness (not always present)
  • Warmth and tenderness over the vein

Thrombophlebitis of varicose veins can be avoided by wearing compression stockings daily (prevents pooling of blood), leg elevation, staying active and treating the varicose veins.  If you think you have phlebitis, you should see a doctor. An ultrasound examination is may be necessary.

Complications of Untreated Varicose Veins #1: Phlebitis2021-11-04T15:28:12-07:00

What is a Superficial Thrombophlebitis?

2022-01-03T12:52:21-08:00

A thrombophlebitis is swelling and inflammation of a vein caused by a blood clot. There are two main types of thrombophlebitits: deep venous thrombosis (affects deeper, larger veins) and superficial thrombophlebitis (affects veins near the skin surface).  This is often referred to as an STP.

The following symptoms are often associated with thrombophlebitis:

  • Inflammation (swelling) in the part of the body affected
  • Pain in the part of the body affected
  • skin redness (not always present)
  • Warmth and tenderness over the vein

The following increase your chances for thrombophlebitis:

  • Being hospitalized for major surgery or with a major illness
  • Disorders that make you more likely to develop blood clots
  • Sitting for a long period of time (such as on a long airplane trip)
  • Varicose veins

An STP is a common complication of varicose veins. But, it can also indicate an underlying problem with blood clotting.  In some cases, there may also be a concurrent blood clot in other veins, such as the deep veins (DVT) which can be serious. For this reason, a duplex ultrasound examination is used to look at the deep veins and other veins not visible to the naked eye for the presence of blood clots.

If it is localized to a small surface vein, it can usually be treated with aspirin or other anti-inflammatory medication to reduce pain and inflammation, compression stockings, and cold/warm packs to also reduce inflammation and discomfort. The discomfort is usually improved within 6 weeks but it can take a few months to resolve.

If the superficial thrombophlebitis is extensive or if it appears to be ‘migrating’ up the leg, a blood thinner may be necessary.  You should see your doctor if you develop an STP.

stp

A thrombophlebitis is swelling and inflammation of a vein caused by a blood clot. This patient has superficial thrombophlebitis, which is a blood clot in the superficial, surface veins. You can see redness in the inner thigh of this patient, which is caused by the inflammation and swelling from the blood clot. It can be very painful. You should see your doctor for superficial thrombophlebitis.

 

What is a Superficial Thrombophlebitis?2022-01-03T12:52:21-08:00
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