The Hidden Problem of Varicose Veins: What You Need to Know

Many patients walk into my clinic with leg pain, heaviness, or swelling, not knowing that the underlying cause may be varicose veins. These twisted, enlarged veins are more than just a cosmetic concern. They signal deeper vascular problems in the legs and, if ignored, can lead to long-term complications.

While most people associate varicose veins with visible bulging veins, many suffer from hidden varicose veins that do not show on the surface but cause discomfort, fatigue, and leg cramps. Early understanding helps prevent complications. Read The Ultimate Guide to Preventing Varicose Veins for simple preventive tips.

Let us explore what varicose veins are, what causes them, the symptoms, the risks of ignoring them, and the latest treatment options available in India.

What Are Varicose Veins

Varicose veins are enlarged, twisted veins that usually appear in the legs. They occur when the valves inside the veins stop functioning properly, causing blood to flow backward and pool in the veins. This leads to increased pressure, vein enlargement, and eventually visible or symptomatic vein problems.

These abnormal veins can be superficial and easily visible, or they may be deep and hidden, causing symptoms without visible signs. The condition falls under the broader category of vein problems in the leg and requires evaluation by a vein problem doctor or vascular specialist.

Causes and Risk Factors

Several factors increase your risk of developing varicose veins:

• Family history of varicose veins
  
• Standing or sitting for prolonged periods
  
• Obesity or being overweight
  
• Hormonal changes during pregnancy or menopause
  
• Aging, which weakens the vein walls and valves
  
• Previous leg injuries or blood clots
  
• Lack of physical activity
  

Both men and women can develop varicose veins, although it is more commonly seen in women due to hormonal influences and pregnancy.

Symptoms of Varicose Veins

The most common symptoms include:

• Aching pain in the legs (remember, severe pain is unlikely to be due to varicose veins)
  
• Heaviness or fatigue in the legs, especially at the end of the day
  
• Swelling in the ankles or feet
  
• Itching or burning sensation over the veins
  
• Skin discoloration or dark patches on the legs
  
• Visible, bulging veins
  

In some cases, hidden varicose veins can cause symptoms without any visible veins on the skin. These may be picked up using a vascular ultrasound.

Ignoring these symptoms can worsen the condition and result in skin ulcers, bleeding, or vein-related leg infections.

Can Varicose Veins Cause Other Health Issues

Yes, untreated varicose veins can lead to several complications:

• Chronic Venous Insufficiency, where the veins cannot pump blood back to the heart effectively
  
• Leg ulcers, especially near the ankles
  
• Bleeding from thin, damaged veins
  
• Deep vein thrombosis (DVT) is rare but can develop more frequently in people with varicose veins.
  
• Hyperpigmentation and skin thickening
  

One common question I receive is whether varicose veins cause high blood pressure. While varicose veins do not directly cause high blood pressure, they are both signs of circulatory system stress and may coexist in patients with poor cardiovascular health.

Treatment Options for Varicose Veins

Today, we have a wide range of minimally invasive and highly effective varicose veins treatment options.

Lifestyle changes

These include maintaining a healthy weight, elevating your legs, exercising regularly, wearing compression stockings, and avoiding prolonged periods of standing or sitting.

Sclerotherapy

This involves injecting a solution into the vein to close it off. It is ideal for smaller varicose veins and spider veins.

Radiofrequency or Endovenous Laser Ablation (EVLA)

These are modern procedures where a catheter is inserted into the vein and energy is used to close it. It is one of the most common and successful methods for large varicose veins.

Glue therapy: 

This is a non-thermal method to seal the main vein in the thigh by using a special medical-grade adhesive glue.

Surgical options

In rare cases where the veins are very large, surgical removal or vein ligation may be advised. A similar minor surgical method is hook phlebectomy in which large vein bunches can be removed via small stab incisions using specialised hooks.

Each treatment is tailored to the patient’s condition, age, health status, and severity of the vein problem.

Varicose Veins Treatment Cost in India

The cost of varicose veins surgery or treatment depends on the method used, the severity of the condition, and the city or hospital.

• Sclerotherapy may cost between ₹8,000 to ₹15,000 per session
  
• Laser or radiofrequency ablation ranges from ₹60,000 to ₹100,000
  
• Glue Therapy may cost anywhere between ₹150,000 to ₹220,000, depending on multiple factors including hospitalisation, room category and mediclaim.
  

Insurance coverage varies, and some treatments may be partially reimbursable if deemed medically necessary. Overall, the varicose veins treatment cost in India is significantly more affordable compared to many Western countries, without compromising on quality.

Why Consult a Vein Problem Doctor Early

Consulting a vascular specialist early can make a big difference in your recovery. Early-stage varicose veins are easier to treat and do not usually require surgery. Delaying treatment can lead to complications like ulcers, infection, or even the risk of limb-threatening conditions.

If you experience symptoms like aching, swelling, or visible veins, do not dismiss them as fatigue or aging. A simple Doppler ultrasound can reveal hidden varicose veins and help plan your treatment before the problem escalates.

Why Choose Dr. Sumit Kapadia for Varicose Veins Treatment

As a dedicated vascular surgeon in India, I have helped thousands of patients find relief from both visible and hidden varicose veins. My approach focuses on:

• Accurate diagnosis using advanced imaging
  
• Patient education and individualized care plans
  
• Minimally invasive procedures with rapid recovery
  
• Long-term management to prevent recurrence
  

Our center is equipped with cutting-edge technology for endovenous ablation, laser therapy, and sclerotherapy. More importantly, we offer honest guidance and compassionate care to help you feel confident about your vein health.

Conclusion

Varicose veins are more than just a cosmetic issue. They are a sign of a deeper vein circulation problem that can impact your mobility and overall health if left untreated.

Fortunately, with modern diagnostics and treatment options, you do not have to live with discomfort or complications. Whether you are dealing with visible veins or hidden symptoms, timely care from a qualified vein problem doctor can help restore both function and confidence.

Take the first step toward healthier legs and better vascular health. Do not ignore the signs. Your veins are trying to tell you something.

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