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Varicose Veins

What you need to know about diagnosis and treatment options.

Varicose Veins

What are Varicose Veins?

These are large, broken veins that protrude under the skin of the leg. They can be painful, throb, feel heavy  or achy, itch, or cause ankle or calf swelling. Varicose  

veins can occasionally bleed or develop blood clots  called phlebitis. Symptoms get worse during the day.  Varicose veins can also be asymptomatic. They cannot  be reversed naturally. 

Varicose veins develop because the valves inside the  veins that help push the blood from our legs back to  our heart, weaken and fail. This increases the pressure  in the veins, which then stretch like balloons. Varicose  veins are common and can be large clusters, or small  spider veins. 

What causes Varicose Veins?

Veins are the pipes that return the blood in our legs  back to the heart. Since we stand or sit with our legs  below our heart during the day, gravity works against  the blood going up the leg. Vein valves help push  blood up the leg against gravity. Working the leg  muscles, as while walking, also helps to pump blood  out of the leg to the heart. 

The tiny vein valves open like doors to allow blood  flow toward the heart and close to prevent it from  going backwards. Aging, hormonal changes associated  with pregnancy and menstrual cycles, standing and  sitting for long periods (i.e. nurses, hair dressers,  teachers, drivers), phlebitis (e.g. blood clot) and vein  trauma can cause the valves to malfunction. This  condition is known as venous insufficiency and causes  varicose veins.

Symptoms and Findings

Who can suffer from VaricoseVeins?

Women or men of any age can suffer from varicose  veins; however, they are much more common in  women, occurring 2x as often as they appear in men. 

The presence of varicose veins increases with age.

What are some common symptoms? 

  • Pain, burning or throbbing veins 
  • Itching over veins 
  • Throb or ache over the inner thigh 
  • Leg heaviness or fatigue, later in the day Leg heaviness after prolonged sitting Leg heaviness after prolonged standing Swelling in the calf or ankle 
  • Dry skin over the ankle and lower calf Dark purple or blue colored veins 
  • Twisted or bulging veins like ropes 
  • Muscle cramping in the legs at end of day Restless Leg Syndrome 
  • Skin discoloration around varicose vein 

How are they Diagnosed?

A vascular provider will take your complete  medical and family history, perform a detailed physical examination. A vascular ultrasound test will be done in our office to diagnose your condition and guide out treatment plan. 

When should I seek treatment? 

Most patients with varicose veins have  symptoms and should be evaluated. If you are  experiencing pain or swelling, it is time to  consider your therapeutic options. 

If your varicose veins are asymptomatic, without  discomfort in the leg, skin color change, or swelling, then treatment is for cosmetic reasons  and is effective. Our team is ready to assist you.


What about Treatment options at The Vascular Care Group?

  • Exercise, compression garments and leg elevation can improve the symptoms of varicose veins.
  • Ablation: closing the broken veins and redirecting blood into healthier veins is the  main treatment; There are multiple technologies for this including RFA, Venaseal  glue, and Varithena foam. Your doctors determine what treatment is best for you.
  • Phlebectomy: Removing veins not reachable by ablation; this is minimally invasive and effective in removing residual varicose veins  after ablation.
  • Sclerotherapy of spider veins closes these  small veins making them invisible. 

These minimally invasive, safe, and highly effective  treatments are provided by board certified vascular  surgeons and our support staff in our comfortable  state-of-the-art outpatient center. 

Your recovery requires minimal “downtime.”

Why is the Vein Center at The Vascular Care Group the right place for my evaluation and  treatment?

As an IAC Accredited Vein Center and top research  location for vein treatment, we are able to provide you  with the newest treatments and technologies for vein  disease. Our mission statement is to ensure our  patients receive excellent care in a warm and caring  environment.  

Our staff, with over two decades of focused  commitment to the treatment of vein disease, will  ensure your medical needs are met and provide a  treatment plan that is right for you based on your  unique venous condition and anatomy. 

Some final thoughts

We provide these minimally invasive, safe, and highly effective treatments under the expert supervision of our board-certified vascular surgeons at our comfortable, state-of-the-art offices.