Varicose veins can cause a variety of symptoms beyond their visible appearance. Common symptoms include bulging or twisted veins, leg heaviness, aching, swelling, cramping, itching, and pain that often worsens after prolonged standing or sitting. In advanced cases, skin discoloration, venous ulcers, and chronic venous insufficiency may develop.
Risk factors such as family history, pregnancy, hormonal changes, aging, obesity, and occupations that require prolonged standing can increase the likelihood of developing varicose veins. Diagnosis begins with a physical examination, a review of your medical and family history, and a Doppler ultrasound to evaluate blood flow, identify damaged valves, and determine the severity of vein disease. Early diagnosis allows treatment before symptoms worsen or complications develop.
Accurate diagnosis is essential for identifying the underlying cause of varicose veins. Weakened vein walls and faulty valves are the most common causes, allowing blood to collect in the veins and increasing pressure within the leg veins.
Additional risk factors and complications include:
A Doppler ultrasound helps assess blood flow, vein function, and the severity of the condition so your vein specialist can recommend the most effective treatment. The cost of treatment depends on the severity of the disease, the procedure performed, and your insurance coverage.
Treatment depends on the severity of your symptoms and the underlying cause of your vein disease. Mild cases may improve with conservative measures, while larger or symptomatic varicose veins often require minimally invasive procedures.
Treatment options include:
Modern minimally invasive vein treatments require little to no downtime, allowing most patients to return to normal activities quickly while improving circulation and relieving symptoms.
