Pain is one of the chief complaints that leads to the diagnosis of venous disease and it can have a significant impact on patients’ quality of life. For the primary care physician or internist pain in venous disease is difficult to assess. This is due to pains multifaceted nature and due to the lack of association between pain as a symptom and the severity of venous disease. Many physicians view venous disease or varicose veins as a cosmetic issue. This is not the case, however the education of vein disease for a number of years was not present in medicine. Making assessment more difficult is that there is a variability of pain in venous disease. It remains difficult to explain, both clinically and symptomology. For some patients venous disease is so gradual that they just come to grips with the way their body feels. Often these patient will tell you after treatment that their leg feels so much better. These are often the patients with CEAP4 disease.
The visual appearance of varicose veins is often the first symptom that gets a referral to a vein specialist such as Dr. Paul Larson. The proper diagnosis of vein disease can be performed with a simple vein screening questionnaire and can have a significant impact on patients’ quality of life. Vein disease manifest itself in other unpleasant sensations such as a sensation of heaviness, cramps at night or at the end of the day, and tightness in the legs, or swelling of the ankles. Pain intensity in venous disease can vary considerably among patients. From one patient to another or even in the same patient over the course of time. The effects of venous disease continues to progress and may be suddenly noticeable to the individual. The causal relationship between varicose and spider vein disease and pain of venous origin remains difficult to explain, both clinically and in experiments. This may be complicated by the association of pain with other ailments or to the lack of sensitivity in patient with diabetes and neuropathy and associated arterial and venous disease.