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Varicose veins may be associated with aching, fatigue, or heat that is relieved by elevating the leg or by wearing compression hosiery. Symptoms do not necessarily relate to the size or degree of varicosities; severe leg involvement may be asymptomatic, whereas small varicosities may be painful. Symptoms tend to worsen during menstruation. Initially, varicosed superficial veins may be tense and palpable but not necessarily visible. They may later enlarge and protrude and become visibly obvious to the patient. (THE MERCK MANUAL, Sec. 16, Ch. 212, Peripheral Vascular Disorders) "Veins are fairly frail structures. Defects in the wall of a vein lead to dilation of the vein and damage to the valves. When the valves become damaged, the increased static pressure results in the bulging veins known as Varicose veins." (Encyclopedia of Natural Medicine, by Michael Murray, N.D. and Joseph Pizzorno, N.D., 1991).
 
  

 
   

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