Varicose Veins from the Endovascular Specialist: People may often find some protruding vein in their legs. Most of the time, they do not have a clue about it. But discomfort and pain can often be felt. In most cases, the enlarged veins are varicose veins. They can be treated quite easily.
Dr. Bhavesh Popat an Endovascular Specialist, who provides varicose veins treatment in mumbai shares some important information below.
What are Varicose Veins?
Varicose veins are mainly veins that have enlarged in size and have gotten twisted. All veins tend to turn into a varicose vein, but veins of our legs are most prone to it. This is mainly due to the pressure of our body is taken by our legs. For most people the problem is cosmetic, but it may also turn into something painful.
Varicose veins are mainly found in the superficial veins of the leg which are prone to high pressure. The enlargement mainly occurs when the leaflet of the valves present the veins fail to work properly. The valves mainly work to stop backward flow of blood in veins. But when it becomes loose, blood can flow throw them and cause enlargement of the veins.
Most often the veins do not cause pain when they appear. You can identify them by their blue or purple color. They may also appear cord like on one’s leg. But if someone is facing discomfort or pain in their legs due to varicose veins, then the symptoms may be like:
- The legs may feel heavy or they may ache
- The legs may also have a burning or throbbing feeling.
- The pain may be more if someone sits or stands for a long duration.
- The area around the swollen veins may itch.
- In rare cases, one may also bleed from the veins
- In the last stage, the condition of the veins worsens and they get hard. Also, ulcers are formed in the veins of the leg and ankle. Someone facing something similar should go to a doctor.
Who are at risk of getting Varicose Veins? Why may they occur?
Studies have shown that women are more prone to get varicose veins. But that doesn’t mean that men cannot get them. As said above, the valves of the veins may work improperly due to loss of elasticity or other problems. Here are some things that make people prone to varicose veins:
- Age: With age, the proper bodily functions often get slower. The loss in elasticity may cause the problem to the valves and they may give the individuals varicose veins. In elder people, the appearance of varicose veins may be quite painful. This is mainly due to the deoxygenated blood accumulating in the veins.
- Pregnancy: Pregnancy makes one produce a lot of blood, but due to the extra pressure the flow of blood often decreases in the legs. An enlarged vein is a common symptom among many pregnant ladies, so people are facing it should see a doctor.
- People with Standing Jobs: People who stand for a long time may also face this problem. This is mainly due to the extra pressure that their legs have to take on a daily basis.
- Heredity: Women are more prone to varicose veins and they often run in the family. So, people who know about the situation should be careful about them.
How is Varicose Veins Diagnosed?
Doctors will almost always identify varicose veins by closely looking at the patient. But often two other tests may also be recommended. These are the Doppler Test and the Colour Duplex Ultrasound Scan. Both of them lets the doctor know about the blood flow and clots.
What are the other diseases that can cause an ulcer and similar symptoms?
There are many diseases or condition that can cause an ulcer and similar symptoms. A few of them are:
- Stomach Cancer
- Food Poisoning
- Kidney Stones
Is it treatable? What if you don’t treat?
People who have cosmetic varicose veins only do not need to treat them. But people with pain and discomfort have to treat it. It is also fairly simple and the doctor decides the treatment based on the severity of the veins. If not treated, it can lead to risk factors like ulcers, bleeding, thrombophlebitis and prolonged pain.
Do all varicose veins need treatment? What are the options?
No, all types of varicose veins do not require treatments. Varicose veins without any symptoms can be left alone. Mild varicose veins are often helped with compression stockings. Doctors often use the Venous Clinical Severity Score or VCSS test to determine the severity of the Varicose Veins. Based on that, they may suggest some treatments.
How is the procedure done?
There are several forms of procedure that may be done to treat varicose veins. In worst cases, one may need to remove the veins completely. But normally, sclerotherapy can be used where the injected fluid helps in fading and treating the veins. Also, a laser can be used to fade the veins as well. But in severe cases, incisions have to be done. The main procedures, in that case, are ligation and stripping, radiofrequency ablation or Endovenous Laser treatment.
When Can I Walk and Resume Office?
In procedures such as sclerotherapy and laser, the recovery time is quite quick. One can resume office after a few days. But in case of surgeries and other procedures, it may take up to 3 weeks depending on the severity.
Can varicose veins cause DVT or affect the heart?
No, varicose veins cannot do that. But it may possess other risks such as ulcers, blood clots, and thrombophlebitis.
Does Insurance cover it?
Yes, the procedures will be covered by the insurance. Just recheck the type of insurance you use with your doctor.
Can it recur?
Yes, it may recur in 3-4% of the population. But if someone follows a diet and a healthy lifestyle after the treatment, then they may skip it.
How long do I wear stocking?
Depending on the condition of the varicose veins, one may need to wear stocking between 3 to 6 months.
What are spider veins and how are they treated?
Spider veins can be described as groups of miniature blood vessels visible on the external area of the skin. They are noted for their red, blue or purple color. They may often look like a spider web. The most common locations that they are found are legs and face. Sclerotherapy and laser are possible treatments for spider veins.
So, most of the questions have been answered in a simple form. We hope that it quenches any queries that anyone may have about varicose veins. The problem is quite common, so treatment is available quite easily.