Trauma, a Neglected Culprit in Varicose Veins

While genetic predisposition is a known factor in the development of varicose veins, direct trauma, particularly to the front and outer calf, emerges as a significant yet often overlooked cause.

Following an injury, the body's initial response involves bruising as damaged veins leak blood into surrounding tissues. Subsequently, the healing process triggers neovascularization- creation of new veins to restore the vasculature of the damaged region.

In individuals with genetic susceptibility, these newly formed veins can develop faulty valves, leading to refluxing phenomenon which cause tortuosity and enlargement over time due to escalating pressure.

Consequently, even after successful vein treatment, recurrence remains a possibility in the event of new trauma.

This is particularly relevant for athletes engaged in competitive sports such as soccer and kickboxing. However, in clinical practice, the majority of recurrences observed often stem from incomplete prior treatment compounded by inadequate follow-up care.