What Are Varicose Veins?
Varicose veins are enlarged, twisted veins visible just beneath the skin surface, most commonly appearing in the legs and feet. They develop when the tiny one-way valves inside your veins weaken or fail, allowing blood to pool instead of flowing efficiently back to the heart.
While many people view varicose veins as primarily a cosmetic concern, they can signal underlying venous insufficiency — a condition where the venous system isn't effectively returning blood from the legs. Left untreated, this can lead to increasingly serious complications including chronic pain, swelling, skin discoloration, and even venous ulcers.
Symptoms of Varicose Veins
- Visible enlarged, bulging veins — Dark purple or blue veins that appear twisted and rope-like under the skin
- Aching, heavy legs — A persistent feeling of heaviness, especially after standing or sitting for long periods
- Swelling in the lower legs and ankles
- Throbbing or cramping — Particularly at night
- Itching or burning around the affected veins
- Skin changes — Darkening, hardening, or inflammation of the skin near the ankles
- Restless legs — An uncomfortable urge to move the legs
- Leg fatigue — Tiredness in the legs even with minimal activity
Diagnosing Varicose Veins
Diagnosis typically begins with a physical examination followed by ultrasound vein mapping — a non-invasive imaging test that evaluates blood flow and identifies which veins are functioning properly and which have faulty valves. This mapping is a critical first step because it reveals the root cause of the problem, not just the visible symptoms.
Treatment: Varicose Vein Ablation
Modern varicose vein treatment has advanced far beyond the surgical "vein stripping" of the past. Today, minimally invasive ablation procedures can close damaged veins through tiny incisions with little to no downtime.
Radiofrequency Ablation (RFA)
A thin catheter delivers radiofrequency energy to heat and seal the damaged vein. Blood flow automatically redirects to healthy veins. The procedure is performed under local anesthesia in our office and takes approximately 30-45 minutes.
Endovenous Laser Ablation (EVLA)
Similar to RFA, laser energy is used to close the damaged vein. Both procedures are highly effective with success rates exceeding 95%.
After treatment, patients typically resume normal activities within a day or two. Compression stockings are worn for a short period to support healing. Follow-up ultrasound confirms the treated vein has successfully closed.
When to Seek Treatment
Don't assume varicose veins are "just cosmetic." If you experience aching, swelling, or skin changes along with visible veins, an evaluation can determine whether treatment is needed. Early treatment can prevent progression to more serious complications like venous ulcers and blood clots.
Frequently Asked Questions About Varicose Veins
Are varicose veins dangerous?▼
While many are initially a cosmetic concern, varicose veins can signal underlying venous insufficiency. Untreated, they can lead to chronic pain, skin changes, ulcers, and in rare cases, blood clots. An ultrasound evaluation can determine the severity.
How long does recovery take?▼
Most patients resume normal activities within 1-2 days after ablation. You'll wear compression stockings for a period recommended by your doctor. A follow-up ultrasound is typically scheduled to confirm the treated vein has closed.
Will the veins come back?▼
Ablation has a success rate exceeding 95% for the treated veins. However, new varicose veins can develop over time in other locations. Maintaining a healthy weight, staying active, and wearing compression stockings when recommended can help prevent new varicose veins.
Is treatment covered by insurance?▼
When varicose veins cause symptoms like pain, swelling, or skin changes, ablation treatment is typically covered by insurance as a medically necessary procedure. Our team will verify your specific coverage before treatment.