Varicose veins are a progressive medical condition, not merely a cosmetic concern. Modern minimally invasive treatment can avoid open surgery, and earlier assessment often means simpler treatment.
In healthy veins, valves direct blood upwards towards the heart. When they weaken, some blood flows backwards and pools. The vein stretches, its wall thins and bulging varicose veins appear. Common risk factors include family history, prolonged standing or sitting, pregnancy, excess weight and age.
Symptoms
How to recognize in time
Heaviness and fatigue
Legs may ache or feel heavy by the end of the day, especially after prolonged standing.
Swelling
By the evening, the shins and ankles swell, and marks remain from the socks.
Bulging veins
Twisted varicose veins become visible and can be felt beneath the skin.
Night cramps
Calf cramps may occur at night, with itching over affected veins.
Risks of untreated varicose veins
Without treatment, the condition can progress: skin may darken and harden, and thrombophlebitis or venous leg ulcers may develop. Earlier treatment is usually less extensive.
Treatment
How we treat varicose veins
The treatment is selected after an ultrasound assessment of the vein. Current options are minimally invasive, using local rather than general anaesthesia, and patients usually go home the same day.
Yes. Modern minimally invasive treatments — laser, radiofrequency or medical adhesive — close the affected vein through a needle puncture without open surgery or general anaesthesia.
Do varicose veins go away by themselves?
No. Varicose veins usually progress without treatment. Compression and medication may ease symptoms but do not correct an incompetent vein.
Will varicose veins return after treatment?
A vein closed by treatment does not reopen. Prevention and periodic follow-up with a phlebologist help identify any new varicose veins.
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