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The pulsating calf contractions compress deep veins and pump the venous blood against gravity towards the heart. We can highlight 3 principal hemodynamic effects: [1] [5] [6] removal of venous stasis; increase of venous outflow in terms of volume and velocity; inhibition of reflux in superficial and deep veins.
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Varicose veins are unlikely to be caused by crossing the legs or ankles. [17] Less commonly, but not exceptionally, varicose veins can be due to other causes, such as post-phlebitic obstruction or incontinence, venous and arteriovenous malformations. [18] Venous reflux is a significant cause. Research has also shown the importance of pelvic ...
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A Health Technology Assessment found that sclerotherapy provided less benefit than surgery, but is likely to provide a small benefit in varicose veins without reflux from the sapheno-femoral or sapheno-popliteal junctions. It did not study the relative benefits of surgery and sclerotherapy in varicose veins with junctional reflux. [35]
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