Varicose Veins
Those bulging, blue veins on your legs might be more than just a cosmetic concern: they could be varicose veins.
What Are Varicose Veins?
Varicose veins are enlarged, twisted veins that appear blue or purple, most commonly around the legs and ankles.
They occur when the valves in the veins weaken, causing blood to pool in the lower limbs instead of returning upward toward the heart. Over time, this increases pressure and makes the veins stretch and bulge.
Varicose Veins Symptoms
The symptoms of varicose veins often develop gradually and may worsen over time. Recognising early signs can help prevent complications.
Varicose Veins Symptoms
The symptoms of varicose veins often develop gradually and may worsen over time. Recognising early signs can help prevent complications.
Leg Heaviness or Aching
Swelling
Skin Changes
- Skin discoloration around veins: reddish-brown or dark purple
- Caused by iron buildup (hemosiderin) from broken-down blood cells
- May progress to dryness, flaking, itching, or hardened skin (lipodermatosclerosis) if untreated
Restless or Cramping Legs
- Night-time cramps or a restless feeling in the legs, commonly due to venous pressure.
- Throbbing, muscle cramps, and dull aching pain that worsens after long periods of sitting or standing.
- Discomfort also worsens during the monsoon season or in humid weather.
Varicose Veins: Treatment
A doppler ultrasound evaluation is performed to assess the severity & determine the best treatment for varicose veins. Some options are:
Lifestyle Modifications
Lifestyle Modifications
- Avoid prolonged sitting or standing to improve circulation.
- Daily walking or ‘raise the heel’ exercise to activate the calf muscle pump.
- Healthy weight management & leg elevation can further help relieve symptoms in mild to moderate cases.
Compression Therapy
Compression Therapy
- Wearing graduated compression stockings helps support the veins and prevent blood pooling.
- Customised stockings are more comfortable and efficient.
Foam Sclerotherapy
Foam Sclerotherapy
A simple procedure where a medical solution is injected to close smaller varicose or spider veins
Endovenous Laser or Radiofrequency Ablation (EVLA/RFA)
Endovenous Laser or Radiofrequency Ablation (EVLA/RFA)
- A minimally invasive technique that seals damaged veins using laser or heat energy.
- The procedure is performed through a single puncture, no incision, no stitches required.
Glue Ablation: VenaSeal
Glue Ablation: VenaSeal
- A special medical adhesive material is injected in the affected vein to seal the affected vein permanently.
- The sealed vein is naturally absorbed by the body over time
Hook Phlebectomy
Hook Phlebectomy
- A precise surgical technique used to remove visible varicose veins through tiny skin punctures.
- Performed under local anaesthesia using a fine, hook-shaped instrument to gently extract the vein.
Varicose Vein Results: Before & After
Discover how minimally invasive treatments help relieve pain and improve the appearance of legs.
Resources
Watch videos to understand how varicose vein treatments work and what to expect during recovery.
Read More
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