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Pathophysiology: Varicose veins and spider veins are normal veins that have dilated under the influence of increased venous pressure.
Disease statistics: New varicose veins appear also in the middle-aged population, and the rate is linked with the female gender, especially at the beginning of the 6th decade.
Treatment: If treatment is necessary, you may first recommend up to six months of self-care at home, including: • using compression stockings • taking regular exercise • avoiding standing up for long periods • elevating the affected area when resting.
Research: The study was conducted in the city of Tampere, Finland. A validated questionnaire (with 93% sensitivity and 92% specificity) was used in a general population of 6874 individuals (aged 40, 50 or 60). Initially, 3065 of them had no varicose veins and 78% were followed-up for 5 years.