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Tortuous dilation of surface veins in the lower extremities are also caused by our lifestyle. Prolonged standing and sitting allow an increase of venous pressure to develop in the lower extremities. Tight-fitting garments— such as girdles, belts and garters—will predispose to this degenerative condition. The increased venous pressure of late pregnancy often aggravates the situation. Elastic stockings are very helpful to prevent throbbing and progressive dilation of these large leg veins. Surgical treatment may be necessary, with the ligation and stripping of the veins, but this should be evaluated by an experienced surgeon competent to assess the indications—one who is inclined to avoid surgery whenever possible. Proper posture, daily exercise, deep breathing, and a diet that maintains good bowel action will all assist to keep the pressure low in the veins and thereby prevent unsightly legs, throbbing calves, or the ulcers that occasionally follow.

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