Clinical Procedure - Fscaresystems Viridex Rf Bedienungsanleitung

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for the venous system. It results in venous hyperdistensibility with the risk of parietal and
valvular alteration, followed by venous hyperpressure and hypoxia.
Working position
There is unquestionably a link between a standing or sitting working position and the
prevalence of varicose veins. It depends on the number of hours a day of sedentary activity
and the time spent in the job
Others factors (unproven)
Restrictive closing– Constipation.
Hormonal Pathology
Studies give conflicting results and it appears that the oestroprogestative hormones favour
varicosities and reticular venules, but reduce the risk of the appearance of truncular varicose
veins.

3.7.2. Clinical procedure

How to examine a leg?
Observation and palpation are the two main elements of leg examination:

In orthostatism: Anterior and posterior vertical position; greek statue position;
fencing position.

In decubitus : Anterior and posterior and lateral
Observe in the centripetal direction (foot-thigh) and pull on the skin in order to flatten it.
Examination in the centripetal direction, smoothing the skin with both hands, is used to find a
feeder venule. Palpation may reveal a small cutaneous depression indicating the presence of
a hypodermic vein.
Search for the clinical barriers to venous and lymphatic return.
Plantar arches
The negative impact of static plantar ailments on venous insufficiency is real enough and we
therefore need to combat high arches, flat feet and valgus foot deformity.
Condition of the ankle and knee joints
The ankle articulation plays an important role in the calf muscular pump and any alteration in
the mobility of the ankle joint can lead to the appearance of venous hyperpressure of the leg
even in young patients. The same phenomenon exists to a lesser degree at the knee.
Condition of the calf and abdominal muscles
These two muscle groups play a primordial role. Any organic or functional deficit has
significant repercussions on venous return.
Presence of cellulite
Cellulite is a lipodystrophy composed of three elements:

adiposis
Date 27/03/2014
THERMOCOAGULATION – Viridex
Page 28 de 49 N° de révision : 05