Dr Pinjala Ramakrishna i s a renowned vascular surgeon, currently working at Apollo Hospitals, Hyderabad. He has experience of 37 years in this field. He completed FRCS - General Surgery from Royal College Of Surgeon Of Edinburgh, UK. He was the past president of Vascular Society of India and past president of Venous Association of India. The prevalence of vein diseases is high among the population, targeting women more than men.

The factors responsible for high prevalence include increasing age, female gender, parity and occupation, etc. Pathology includes haemodynamic abnormalities which further reduces vein wall elasticity, dilatation and varicosities. In developing countries, patients seek treatment only when it starts affecting the quality of life, thus awareness among patients is important. Management of such patient also remains an unresolved factor as it has a socio-economic…