Dr. Rajiv Parakh
Dr. S. Agarwal
Dr. Tarun Grover 

VENOUS DISEASES

The diseases that affect the veins of the circulatory system of the body and hampers the flow of blood from the legs to the heart are known as venous diseases.

If only one leg is swollen or there is pain in the legs it is most likely to be a venous disorder which could be:

1. DVT (Deep Vein Thrombosis)

2. Varicose veins

3. Following injury or fracture of leg bones

4. Long hours of sitting & standing

What is Deep Vein Thrombosis? (DVT)

• Deep vein thrombosis is a blood clot in a deep vein.

• Sometimes parts of the clot may break off and travel in the bloodstream to the lungs and cause serious problems, including heart failure

• DVT commonly affects only a single leg.

• Depending on the location, swelling and pain may be the chief symptom.

• The pain may be worse with increased activity, or if standing still for a long time.

What causes Thrombosis?

• The clotting process may be encouraged by the buildup of cholesterol in the blood vessel.

• Smoking, obesity and high blood pressure may also increase the tendency to form clots.

• Damage to the vein wall can be due to injury or infection.

• A clotting tendency may also result from an increase in the level of coagulation (Clotting) factors in the blood. This can occur in pregnancy or when using oral contraceptives.

• It can also result from liver disease or whenever the flow of blood is slowed down.

• A common form of thrombosis is deep vein thrombosis, which is found in the leg.

What can be done?

• Thrombosis can be prevented with blood thinning injections.

• Blood thinners injections/ tablets may be given for treatment of clots.

Varicose Veins

• A Varicose Vein is a large and tortuous blood vessel ( a twisted, swollen and bulging vein).

• Common sites of varicose veins include the skin of the inside of the legs and the back of the calf.

• The leg veins become blue, big, swollen, and twisted.

• Most feel a severe pain in the affected area, swelling, and a persistent itch.

It leads to:

If the blood pooling in the veins is very severe and the tissues dont get enough blood and nutrients, the skin becomes thin, hard, dry and discolored and Ulcers can form.Contact with the vein should be limited because even a light touch can cause severe bleeding.

Who does it effect:

• Nearly 15% of all adults are affected.

• More likely to happen in women than in men

Why does it occur more in the legs?

• When the blood is pumped upwards, the valves, the one-way gates of the veins prevent the blood from flowing back down the leg.

• Sometimes these valves become defective causing the pooling of blood and the backflow of blood down the leg causing the formation of superficial veins, which become swollen and distorted.

• Deep Vein thrombosis has also been known to be associated with varicose veins.

Risk factors you can control (Prevention!!)

• Posture: standing erect can increase the pressure in the veins several fold versus lying down.

• Occupation: The incidence of varicose veins in people whose job  requires them to stand is increased.

• Obesity: being overweight can increase intra-abdominal pressure impeding blood flow in the veins, or decrease the support for the veins themselves.

What can you do?

• Elevate your legs while you are sitting

• Exercise or walk daily

• Elastic Stockings help support the dilated veins.

Days & Timings 
Daily in the Vascular Lab room No. 150 (first floor)
By prior appointment on ext. 1100, between 10:30 AM - 6:30 PM