What causes varicose veins?
Varicose veins happen when the valves in the veins become weak or damaged, allowing blood to move backward and pool in the veins. Factors like genetics, age, pregnancy, hormone changes, standing for long periods, obesity and previous blood clots can increase the risk.
Are varicose veins dangerous?
Most varicose veins are not life-threatening, but they can be uncomfortable and affect your quality of life. If left untreated for many years, complications can include painful inflammation, bleeding from a vein, skin changes and venous ulcers.
How are varicose veins diagnosed?
Our team at TidalHealth will check your symptoms and examine your legs. We often use a duplex ultrasound to assess how well the valves work, measure reflux and map out which veins are involved. This helps us choose the best treatment for you.
What treatment options are available?
Treatment can be as simple as wearing compression stockings, elevating your legs, staying active, managing weight and avoiding long periods of standing. TidalHealth also offers minimally invasive treatments such as sclerotherapy, foam sclerotherapy and endovenous thermal ablation. Some people may benefit from procedures to remove or close problematic veins. We will help you determine what fits best based on your symptoms and ultrasound results.
Will varicose veins come back after treatment?
It is possible for varicose veins to come back, either from a treated vein reopening or new veins developing over time. Modern treatments have lower recurrence rates than older surgeries. Following medical recommendations, such as wearing compression stockings and maintaining a healthy lifestyle, can help reduce recurrence.
Can pregnancy cause or worsen varicose veins?
Pregnancy can cause or make varicose veins worse due to increased blood volume, hormonal changes and pressure from the growing uterus. Many people see improvement after delivery, but some veins may persist and can be checked and treated after pregnancy if necessary.
Do compression stockings help?
Yes, compression stockings can help relieve symptoms like aching, swelling and heaviness. They support blood flow and may slow the progression of varicose veins. They are often the first treatment our specialists recommend, especially if procedures are not an option or are not preferred.
When should I see a doctor?
You should see a doctor if you have pain that affects your activity, ongoing swelling, skin changes like darkening or thickening, repeated bleeding from a vein or an open sore on your leg. You can also seek care if varicose veins bother you by how they look or affect your quality of life.
Are treatments covered by insurance?
Insurance coverage varies. Often, insurers may cover treatment if you have symptoms such as pain, swelling, skin changes or ulcers and ultrasound shows blood flow problems. Procedures done for cosmetic reasons are usually not covered. Our team can help you understand your options and any insurance requirements.
How can I reduce my risk or help prevent varicose veins?
There are some steps you can take to lower your risk or help prevent varicose veins from getting worse:
- Maintain a healthy weight
- Stay active, especially with walking and calf exercises
- Avoid standing or sitting without breaks for long periods
- Elevate your legs when resting
- Wear compression stockings if you have mild symptoms or are at higher risk
