Rosalyn Carson-DeWitt, MD
Varicose veins are enlarged and swollen veins. They can occur anywhere in the body, but are particularly common in the surface veins in the
Veins have one way valves to channel blood back to the heart. Varicose veins develop when the valves of the veins become damaged. This causes blood to pool in the veins, enlarging them and often making the veins just beneath the skin visible.
Varicose veins are more common in women who are of childbearing age and older. Other factors that increase your chance of getting varicose veins include:
Varicose veins may cause:
In severe cases, varicose veins may cause skin changes. These changes occur under the area of the varicose veins and include:
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Varicose veins can be easily seen. An ultrasound
exam of your legs may also be done.
Talk with your doctor about the best treatment plan for you. Options may include one or more of the following:
Conservative treatment is tried first to relieve symptoms. Steps may include:
Veins that are causing more severe symptoms may need further treatment such as:
Varicose veins can't be completely prevented, especially if they run in your family. The following recommendations may help:
American College of Phlebology
American Society of Plastic Surgeons
Canadian Society for Aesthetic Plastic Surgery
Canadian Society for Vascular Surgery
Varicose veins. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated July 29, 2013. Accessed August 8, 2013.
Varicose veins. VascularWeb website. Available at:
http://www.vascularweb.org/vascularhealth/pages/varicose-veins.aspx. Updated January 2012. Accessed August 8, 2013.
Varicose veins and spider veins fact sheet. US Office on Women's Health. Available at:
http://www.womenshealth.gov/publications/our-publications/fact-sheet/varicose-spider-veins.cfm. Updated June 2, 2010. Accessed August 8, 2013.
3/16/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed : US Food and Drug Administration. FDA approves closure system to permanently treat varicose veins. Available at: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm435082.htm. Published February 20, 2015. Accessed March 16, 2015.
Last reviewed August 2013 by Michael J. Fucci, DO; Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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