What Are Varicose Veins?

Varicose veins develop when the tiny valves inside your veins stop working as they should. These valves are meant to keep blood flowing upward toward the heart. When they weaken or fail, blood can pool in the legs, causing veins to stretch, twist, and bulge.

They often appear on the legs and ankles and can range from mild cosmetic issues to painful, rope-like veins that signal deeper circulation problems.
Common risk factors include:

• Family history of vein disease
• Pregnancy or hormonal changes
• Standing or sitting for long periods
• Aging
• Obesity or inactivity

Common Signs and Symptoms

Early symptoms can be subtle, but they tend to worsen over time. Watch for:

• Aching, throbbing, or cramping in the legs
• Swelling around the ankles
• Skin discoloration or dryness
• A feeling of heaviness or fatigue in the legs
• Bulging, twisted veins that are visible beneath the skin

When left untreated, varicose veins can lead to more serious conditions like chronic venous insufficiency (CVI) or venous ulcers. Early diagnosis is key to preventing complications.

Diagnosing Varicose Veins

A proper diagnosis starts with a thorough vein evaluation. At CVT, we use advanced ultrasound imaging to assess blood flow and pinpoint which veins are affected. This noninvasive test helps us determine the best course of treatment for your specific condition.

Our vascular specialists take a personalized approach, considering your symptoms, lifestyle, and overall vascular health before recommending treatment.

Treatment Options for Varicose Veins

Today’s treatments are faster, safer, and more comfortable than ever before. Most procedures are performed in-office with little to no downtime.

Minimally Invasive Treatments

• Radiofrequency Ablation (RFA): Uses heat to seal damaged veins and reroute blood flow.
• Sclerotherapy: A medical solution is injected into small veins, causing them to collapse and fade.
• Varithena®: A foam-based treatment for larger varicose veins.
• VenaSeal™: Uses medical adhesive to close the vein without heat or incisions.

Each treatment is tailored to your anatomy and condition, allowing for quick recovery and lasting results.

Surgical Options

In rare, severe cases, procedures such as phlebectomy or vein stripping may be recommended. However, these are typically reserved for advanced vein disease when minimally invasive options aren’t suitable.

Recovery and Results

Most patients return to normal activities within a day or two. You may be advised to wear compression stockings temporarily to aid healing and circulation. Treated veins will gradually fade, and symptoms like pain, heaviness, and swelling usually improve within weeks.

Prevention and Lifestyle Tips

While you can’t always prevent varicose veins, healthy habits can reduce your risk or prevent recurrence after treatment:

• Stay active and avoid sitting or standing too long
• Maintain a healthy weight
• Elevate your legs periodically
• Wear compression stockings if recommended
• Stay hydrated and move frequently during travel

Simple changes can make a big difference in maintaining long-term vein health.

When to See a Vein Specialist

You don’t have to live with discomfort or hide your legs. If you’re experiencing pain, swelling, or visible veins, it’s time to schedule a consultation. Early evaluation can prevent more serious complications and help you feel and look better faster.

Common reasons to seek treatment:

• Persistent aching or heaviness in the legs
• Swelling that worsens throughout the day
• Visible or painful bulging veins
• Skin changes or sores around the ankles

At CVT, our board-certified vascular specialists diagnose and treat the full range of vein conditions, including varicose and spider veins. If you’re struggling with leg pain, heaviness, or visible veins, we’re here to help.