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    • Our Providers
      • Daniel J. Hayes, MD
      • Sean V Ryan, MD
      • Gerald M. Patton, MD
      • Scott R. Golarz, MD
      • Daniel Lee, MD
      • Katie Ashburn, NP
      • John Flanagan MD
      • Deborah Rosa. MD.
    • Services
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      • PVD
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      • Venous Stasis Wounds
      • Thoracic Aortic Aneurysm
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      • West Chester
      • Bryn Mawr
      • Coatesville
      • Phoenixville
    • Patient Resources
      • Patient Portal
      • Patient Paperwork
    • Blog
  • Home
  • Our Providers
    • Daniel J. Hayes, MD
    • Sean V Ryan, MD
    • Gerald M. Patton, MD
    • Scott R. Golarz, MD
    • Daniel Lee, MD
    • Katie Ashburn, NP
    • John Flanagan MD
    • Deborah Rosa. MD.
  • Services
    • Aneurysmal Disease
    • Carotid Artery Disease
    • Dialysis Access
    • PVD
    • Varicose Vein Treatments
    • Venous Stasis Wounds
    • Thoracic Aortic Aneurysm
  • Locations
    • West Chester
    • Bryn Mawr
    • Coatesville
    • Phoenixville
  • Patient Resources
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Varicose Veins

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What are Varicose Veins?

Varicose veins are veins that are twisted and swollen. Varicose veins can develop in any vein that is near the skin's surface (superficial). Varicose veins are most typically found in the legs due to the fact that standing and walking raise the pressure in the veins of the lower body. They are often painful and appear a blue, purplish or red color. 


Varicose veins and spider veins – a frequent, moderate form of varicose veins are only aesthetic concerns for many people. Varicose veins can cause agonizing pain and discomfort in others. Varicose veins can sometimes lead to more serious complications.

Painless Varicose Veins

  1. Veins that are dark or purple 
  2. Veins that appear twisted and bulging, appearing like cords on the legs 

Painful Varicose Veins

  1. Achy or heavy feeling in the legs 
  2. Burning, throbbing, muscle cramping and swelling in the lower legs 
  3. Worsened pain after sitting or standing for a long period of time 
  4. Itching around one or more veins 
  5. Changes in skin color around a varicose vein 

Spider Veins

Spider Veins are smaller versions of varicose veins, found closer to the skins surface and often appear red or blue. They typically occur in the legs, but can also be found on the face. They can vary in size and usually look like a spider’s web. 

Causes of Varicose Veins

Varicose veins can be caused by faulty or damaged valves. Arteries are vessels that transport blood from the heart to the rest of the body. Veins transport blood from other parts of the body to the heart. The veins in the legs must battle against gravity to return blood to the heart.


Lower leg muscle contractions operate as pumps, and elastic vein walls aid in blood return to the heart. As blood rushes toward the heart, tiny valves in the veins open and reopen to prevent blood from going backward. If these valves are weak or broken, blood can flow backward and pool in the veins, stretching or twisting them.


Common Causes of Varicose Veins 

  1. Pregnancy 
  2. Obesity 
  3. Age over 50 
  4. Menopause 
  5. Standing for long periods of time 
  6. Family history of varicose veins

Risk Factors

  1. Age The valves in the veins that assist regulate blood flow wear down with age. Because of this wear, the valves eventually allow some blood to flow back into the veins, where it gathers.
  2. Gender Women tend to be more likely to develop varicose veins. Because female hormones tend to relax vein walls, hormonal changes before a menstrual cycle, during pregnancy, or during menopause might be a role. Birth control drugs, for example, may increase the risk of varicose veins.
  3. Pregnancy The blood volume in the body rises during pregnancy. This change assists the growing fetus but can also cause vein enlargement in the legs.
  4. Family History If you have family members who have developed varicose veins, there is a higher chance you will develop them as well. 
  5. Obesity Being overweight adds more pressure onto your veins 
  6. Standing or Sitting for long periods of time a lack of movement decreases the blood flow. Movement will help with increasing your blood flow, decreasing your chances of varicose veins. 

Complications

  1. Ulcers On the skin around varicose veins, particularly near the ankles, painful ulcers can occur. A darkened area on the skin frequently appears before the formation of an ulcer. If you suspect you have a leg ulcer, consult your doctor right away.
  2. Blood clots Veins deep within the legs can occasionally become enlarged, causing leg discomfort and swelling. Seek medical assistance if you have prolonged leg discomfort or swelling, since this might be a symptom of a blood clot.
  3. Bleeding Sometimes, veins near the surface of the skin can burst. This typically only causes minor bleeding but still requires medical attention. Vascular Solutions describes some tips and tricks for preventing your varicose veins from bursting. 

Lifestyle changes you can make

  1. Avoid standing for long periods of time 
  2. Lose weight or maintain a healthy weight 
  3. Exercise to improve circulation 
  4. Use compression socks or stockings 
  5. Avoid wearing high heels or tight hosiery 
  6. Eat a high fiber, low salt diet 
  7. When sitting or lying down, raise your legs 

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