Myths, mystique, and misconceptions of venous disease

Abstract

I have addressed a number of myths and misconceptions of venous disease, but there are many left to be discussed. There are not many randomized trials available from which to draw definitive conclusions. Many basic and clinical investigations lack the scientific rigor to allow firm conclusions; yet, the information can be enormously valuable. By objectively evaluating existing data and using available information integrated with known physiologic and pathophysiologic mechanisms, myths and misconceptions will disappear and understanding will be clarified. It is evident that "venous disease" encompasses many specialties, at both the basic science and clinical levels, which may contribute to the mystique of venous disease. Although the disciplines involved may be diverse, the principles underlying the management of venous disease remain simple.