Varicose Veins in Pregnancy

By Carolyn Kisner PT, MS and Lynn Allen Colby PT, MS on February 24th 2009

Varicosities are aggravated in pregnancy by the increased uterine weight, venous stasis in the legs, and increased venous distensibility.

Characteristics
Varicosities can present in the first trimester, and are more prevalent with repeated pregnancies. They can occur in the lower extremities, the rectum (hemorrhoids), or vulva. Symptoms usually include heaviness or aching discomfort, especially with dependent leg positions; intensity may become severe as the pregnancy progresses. In addition, pregnant women are more susceptible to deep vein thrombosis

Interventions
• Exercise modification. If there is discomfort, exercises may need to be modified so that minimal dependent positioning of the legs occurs.

• External support. Elastic support stockings should be worn to provide an external pressure gradient against the distended veins, and the woman should be encouraged to perform lower extremity exercises and to elevate the lower extremities as often as possible Vulvar varicosities may benefit from use of a perineal pad or belt that provides counter-pressure and support to the tissues.

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Filed Under: Jeff, Physical Therapy
Tags: Characteristics, Pregnancy, Varicose Veins

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