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Varicose Veins

Varicose veins are a common condition characterized by bulging and twisted veins in the legs. While they are often a cosmetic concern, they often do cause discomfort and, in severe cases, can lead to complications. Understanding the causes, symptoms, and available treatment options can help individuals make informed decisions about managing varicose veins and improving their venous health. Consult with Gauld Vein & Vascular for an accurate diagnosis and appropriate treatment plan tailored to your individual needs.

GAULD Vein & Vascular | Atlanta GA

Varicose Vein Treatment and Information

Varicose veins are enlarged, twisted or tortuous-appearing veins that commonly occur in the legs. Varicose veins occur as a result of weakened or damaged valves within the veins of the leg, which normally help bring blood back up to the heart. When these valves malfunction, blood can pool in the veins, causing them to become swollen and bulging, often visible under the skin’s surface.

Information

Causes

  • Age: The risk of developing varicose veins increases with age as the veins lose elasticity (or their ability to stretch) and the valves become weakened
  • Gender: Women are more likely to develop varicose veins due to hormonal changes during pregnancy and menopause which affect the elasticity of the veins.
  • Family history: There is a strong genetic predisposition to varicose veins, so if a family member has them, you may be at a higher risk of developing varicose veins.
  • Prolonged standing or sitting: Jobs that require long periods of standing or sitting can increase the pressure within the veins, contributing to the development of varicose veins.
  • Obesity: Excess weight puts additional pressure on the veins, making the venous valves more susceptible to weakening.

Symptoms

  • Bulging, twisted veins on the legs usually near the surface of the skin.
  • These can sometimes have a dark purple or blue color
  • Aching or heaviness in the legs, particularly after long periods of standing or sitting.
  • Swelling, especially in the lower legs and ankles.
  • Itching, irritated skin, or discoloration over the affected areas of the leg.
  • Leg cramps or a feeling of restless legs.
  • While varicose veins are often visible under the skin, they can sometimes occur deeper under the skin and be less visible or not visible at all.

Varicose Vein Treatment

  • Treatment options for varicose veins depend on the severity of symptoms and the presence of complications.
  • Conservative measures include lifestyle changes like compression therapy, regular exercise, elevation of legs, and weight management to alleviate symptoms and improve blood flow.
  • Minimally invasive endovenous ablation techniques, such as laser or radiofrequency ablation, use heat to close off problematic veins that can feed varicose veins.
  • Varithena or foam sclerotherapy can be used to treat segments of larger veins that feed varicose veins.
  • Ambulatory phlebectomy is an outpatient procedure in which the varicose veins are removed through small incisions.
  • The treatment of varicose veins often starts with treating the problematic underlying vein or veins and can involve treatment of the varicose veins themselves either at the same time or at a later date depending on your presentation and symptoms. 
  • Treatment of varicose veins can also involve the use of sclerotherapy to achieve the desired cosmetic results.

Prevention

  • Maintaining a healthy weight, engaging in regular physical activity, and avoiding prolonged periods of sitting or standing can help prevent or reduce the risk of varicose veins.
  • Elevating the legs and wearing compression stockings can improve blood flow and relieve symptoms.
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