Venous disease in athletes

Diseases of veins in athletes, until recently, was given very little attention. However, varicose veins are common in athletes often enough. We are talking about the primary varicose veins of lower limbs, mainly superficial veins and spermatic cord.
As is known, the primary varicose veins is an independent disease unlike secondary consequence of any pathological state (thrombosis deep vein thrombophlebitis , and so on).
Literature devoted to the diseases of veins in athletes, small. The first work on this disease appeared in the beginning of 1970 the Percentage of athletes with varicose veins is much less than in the General population. Thus, according to C. S. Savelyev (1976), primary superficial varicose veins of the lower extremities common among 15-17 % of the entire population and is more common in women. Among athletes this percentage ranged from 2.3 [Makarov Century A., Popova 3. I., 1975, 1978] to 4.2 [Pryatkin P. Century, 1971, 1972] and more often in men. According to P. Century Pryatkina, among the students of the Belarusian Institute of physical culture (for 3 years he examined 3560 people) 2/3 lesions veins was localized in the spermatic cord and only 1/3 - in the veins of the lower extremities, and in 83 % of cases, these were sportsmen training quality endurance (running, Cycling, skiing), and men only. Varicose veins was one of the main reasons of refusal in the Belarusian state Institute of physical culture. So, from 147 students,- which was not accepted to the Institute, in 46 this was a consequence of varicose veins.
C. F. Bashkirov and B. I. Simakov (1965), I. B. Khabenskiy, and C. F. Bashkirov (1979) examined 203 athletes with varicose veins of the lower extremities. It turned out that the woman was 26.6 %, and in the first place were basketball players; localization - veins of the legs were amazed at 69%, hips - in 13%, legs and hips - in 18% of cases. All patients was amazed large subcutaneous vein in the thigh, prednimustine the surface of the tibia. All athletes complained of feeling of fullness in the patient limbs, pain during varicose-modified veins, especially during exercise, and that is especially important for athletic performance, in particular in the sports-related Jogging (skiing, track and field running and so on). A. S. Kalugin and E. E. Zabolotnaya (1988) believe that violations of venous hemodynamics take place not only in practicing skiing and athletics running, but when weightlifting and Cycling.
The root cause of this disease are physical activity and increased intra-abdominal pressure, which complicates the outflow of blood from the inferior Vena cava. Known value has the inherent weakness of the venous wall and valvular apparatus large subcutaneous and other perforating veins of the lower extremities. According to C. F. Bashkirova and B. I. Simakova (1975), this disease is more common in athletes in training which is done cyclic relatively monotonous work or is "explosive", the pressures of constant returns to certain provisions of the body (for example, all kinds of wrestling).
Given that the disease is progressing, reduces sports performance and occurs more often in sportsmen of high qualification, questions about the tactics of the doctor when it is detected and about active treatment are important. Apparently, you must first use a conservative treatment methods (elastic bandages, stockings, massage, water therapy). However, the most radical method of treatment is surgery.
The question of admission to the sport is solved individually. Sports doctors should always pay attention to the veins of the lower limbs and veins of the spermatic cord.