Current Pedorthics September-October 2017 - Vol.49, Issue 5 - Page 29

STANDING ON THE JOB "Standing is worse than walking for varicose patients and hydrodynamics pressure does not help blood discharge in this state." A cross-sectional study carried out among 203 nurses from three hospitals in Amol, Iran. “Varicose veins of the legs among nurses—Occupational and demographic characteristics” found that the prevalence of varicose veins (of varying degrees) was 72.4%, with women having a higher prevalence compared with men (77.9% vs. 56.9%). and other potential related factors were collected from each participant. According to the study, a patient’s occupation can be among the factors that intensify vein disorders: The report, published in 2014, also cites several European studies that support the theory that prolonged standing at work (or home) is associated with the occurrence of varicose veins in the legs. Blood hydrostatic force in standing position along with other intrinsic factors such as heredity can contribute to varicose creation because upwards blood pumping takes place with muscle contraction. Standing is worse than walking for varicose patients and hydrodynamics pressure does not help blood discharge in this state. A study conducted in southern Taiwan aimed to evaluate whether prolonged standing at work can increase the risk of developing varicose veins. “Varicose veins in hairdressers and associated risk factors: a cross-sectional study” recruited 182 hairdressers in southern Taiwan to participate in a survey. Data on demographic characteristics, body weight and height, work history, medical history, The researchers concluded that in hairdressers ≤45 years old, family history of varicose veins is a major risk factor for developing lower limb varicose veins, while in those who are >45 years old, the effects of occupational risk factors are more prominent. FROM ONE PHYSICIAN TO ANOTHER Dr. Michael Enns sees many patients at his vein practice who are nurses and pharmacists. When Dr. Enns first started treating veins, however, he didn’t realize how personal the issue of venous disease was to him. “My whole family has the worst veins, so I got used to seeing varicose veins,” said Dr. Enns. “My mom’s veins were so bad, I thought it was normal to elevate your legs on the back of the couch twice a day.” Dr. Enns himself had experienced leg pain for more than five years (prior to treating veins), so much so that the pain Current Pedorthics September/October 2017 27