Varicose veins are alterations in the circulatory system produced by the effects of standing, that is to say, by the fact that a man walks and remains standing erect during the day and throughout his life.. This posture forces the circulatory system to make an extra effort to get blood to return to the heart by beating the force of gravity and the return circulation or venous is especially complicated in the legs.
An ulcer is a loss of cutaneous substance of slow development and many times recurring.
These types of ulcers usually develop especially in the lower third of the leg, both in the external as well as internal facets frequently near the malleolus, even at the height of this, in which case the scarring will be even more difficult.
The size of the ulcers varies, they can become very large. Their aspect and coloring enable us to determine their age and to make a prognosis.
If they are gray, healthy and with deep borders, they have a poor prognosis of scarring, if the bottom is purulent, of greenish yellow color, the ulcer can become infected with very diverse germs. If on the contrary, they have a clean bottom, with red granulation, fine borders, elastic and with epidermal border, their prognosis will be more favorable.
This pertains to a peripheral arterial disease of the legs. Likewise, it is called the "Restless leg syndrome."
When a physician who is unfamiliar with this disorder, encounters a patient that presents with the above syndrome, he is usually confused. Commonly, the person that suffers from this condition, tells the physician that the symptoms are difficult to describe: some sas that their legs feel heavy or light or agitated or constantly moving. This condition can be define as "imprecise profound and unpleasant sensations in the legs that produce an urgent need to move them. But unfortunately, nothing can be contributed, or almost nothing with respect its treatment and it is up to the patient, who through his own experience, finds methods that alleviate it.
Lymphedema occurs when the lymphatic vessels fail to drain well their content rich in plasmatic proteins coming from the interstitial space that the blood capillaries go to.
The following act produces an edema that favor fiboblastic proliferation, which impedes the lymphatic circulation, closing a vicious cycle that may produce a monstruous elephantiasis
Lymphatic edemas are white, hard and elastic, in such a way that the digital mark does not last. The skin appears distended and with hairy implantations forming great relief.
There are two main types. Congenital lymphedema and secondary ones.
Some of the different types include in the first group affect primarily young women, without a history nor causes that might explain it. The first symptoms are swelling in the foot or ankle of an extremity which increases with fatigue, heat and pre-menstrual days, rest diminishes it. With the years, it ceases to progress, but by then cutaneous harshness, yellow nails, heaviness of the limb and sometimes elephantiasis
To the second afore-mentioned group pertain more than 50% of the cases diagnosed.
Elephantiasis, included in this group, is the consequence of a chronic intense lymphedema, and progressive and inflammatory. The other condition that affects mostly women, although much rarer, is lipedema, an accumulation of symmetrical fat in both of the legs. It seems to be of an hereditary character and should be considered as an esthetic defect as well as a true illness.
Thicks legs are the reason for consultation in many occasions. The causes vary and go from an exclusive aesthetic concern to the pathological as they are the case of fatigued legs the origin of which is in poor circulation or painful legs as a result of cellulitic or edematous accumulation
The causes of thick legs can be as follows:
Thick legs of venous-lymphatic origin that result in edema of the extremities
- Thick legs of traumatic origin, associated with bony or joint lesions of white tissues, in which added to the trauma, there has been vascular compromise which has gone undiagnosed and which causes edema of a varying degree.
- Congenital origin, associated with amniotic brida,congenital lymphedema or vascular malformations such as the Klippel-Trénaunay Syndrome.
- Thick legs of neoplasic origin: the vascular ones that generally respond to a compromise of venous and/or lymphatic drainage of the extremity because of neoplasia, by generating blocks of secondary lymphedemas or deep venous obstructions.
- Fatty thick legs: these are among the most common ones and can respond to an anomylous distribution of fat, associated with obesity in the majority of cases.
- Thick legs associated with cellulitis with particular trophic characteristics, associated or not with fatty dysmorphias.
- Thick legs caused by benign tumors of the soft parts of the extremities, like lipomas.
¨Heavy legs¨ are one of the most specific symptoms among human afflictions. Except in rare occasions, they are only induced by exercise and alleviate rapidly with its interruption. Claudication indicates always an insufficient blood supply to the muscles in contraction. It appears exclusively in the cases of chronic occlusive arterial disease or arteriospastic disease, in which the blood is diminished and as a consequence oxygenation is deficient.
Generally, the symptoms with which patients present range from muscle cramps, tightness, fatigue, even feeling pain. It is customary that fatigue preceeds the pain and even though in the beginning it can be mute, it can become acute. This usually begins in the calf, by propagating, itself in the muscle above and below. In the region of the foot, from the ankle and the heel, the pain is of a different type, it can be described as a sensation such as walking barefoot on a rocky terrain.
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