Treatment Options for Varicose Veins


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If you’ve noticed protruding blue or green veins behind your knees, calves or thighs, or had pain or heaviness in your legs or swelling in your feet and ankles, varicose veins may be the culprit. Varicose veins are a common vein problem, and treatment options are simple.

What Are Varicose Veins?

To understand what causes varicose veins, it helps to know how veins function in the body. While arteries carry blood away from the heart to the rest of the body, veins carry blood from the tissues back up to the heart. Within the veins are valves, which open and close to prevent blood from flowing backward in the vein. Since the blood is moving against gravity, toward your heart, having strong vein walls and strong valves keeps the blood flowing properly.

But when the vein walls are stretched or damaged, or if the valves are weak and don’t close properly, blood doesn’t move efficiently through the veins. Instead, it can back up to the previous valve, adding extra pressure. As blood pools in the vein, the result can be varicose veins, swelling in the legs and feet, and even the formation of blood clots.

Common Causes of Varicose Veins

Increased pressure in the vein can be the result of:

● Standing or sitting for long periods, causing blood to pool in the vein
● Inactivity
● Being overweight or obese
● Family history of vein problems
● Smoking
● Pregnancy
● Previous blood clot, injury or recent surgery

To diagnose varicose veins, your doctor will talk with you about your symptoms, examine you and perhaps use a duplex ultrasound to form images of your veins and blood flow to determine the problem.

Treating Varicose Veins

When varicose veins create cosmetic concerns or physical discomfort, you want to take care of the underlying issues. The first step involves lifestyle changes, which include:

● Altering between sitting and standing, particularly when in one place for a long period of time
● Keeping legs uncrossed while sitting
● Raising your legs above the level of your heart when sitting, resting or sleeping
● Being physically active to improve muscle tone and keep blood moving
● Losing weight if you are obese or overweight
● Avoiding tight clothing, which can make varicose veins worse
● Wearing lower heeled shoes and only wearing high heels for short periods of time (This will help blood move through your calf muscles more effectively.)
● Wearing compression socks to keep blood from pooling and to decrease leg swelling

If lifestyle strategies are not effective in treating varicose veins, medical procedures may be used. In years past, the typical medical procedure for varicose veins was to remove the damaged vein through a surgical procedure. Today, those with varicose veins have the option of endovenous ablation. This minimally invasive treatment seals the vein shut so that blood travels through other undamaged veins. The process is simple and offers significant relief of symptoms.

Dr. Gupta is a cardiologist with the Orlando Health Heart Institute Cardiology Group.
To schedule an appointment at the Orlando Health Heart Institute click here.