Varicose veins: common symptoms, causes, and what you need to know
If you’re worried about the possibility of having varicose veins symptoms, this article will explain very clearly what varicose veins are, what the real causes are (as well as popular myths), and what symptoms should make you think about the condition.
Table of contents
- What are varicose veins?
- What causes varicose veins?
- What are the symptoms you should be looking for?
- How can varicose veins affect your life?
- Why should you treat varicose veins early?
- FAQ about varicose veins
- Conclusions
What are varicose veins?
You’ve probably heard the term varicose veins at least once. Maybe you have a friend or relative who complains about those swollen veins, or perhaps you’ve noticed some strange little veins yourself that make you wonder.
Varicose veins are, in simple terms, dilated and deformed veins that occur most commonly in the legs. They’re easy to recognize: they’re prominent, visible under the skin, purple or blue, and often have a twisted appearance. They occur most often on the shins and thighs, but they can also be seen in other areas, for example, around the ankles or even in the genital area.
What causes varicose veins?
Many people think they know what causes varicose veins. Phrases like “it’s the heels” or “it’s because of the pregnancy” are common myths, but the real causes are quite different.
So, what actually causes varicose veins?
In short, it’s a mechanical issue related to the valves inside the veins. These valves are designed to keep blood flowing in one direction — upward, toward the heart. When they stop functioning properly, blood begins to pool in the veins, causing them to stretch and swell. The result? Varicose veins.
Here are some common misconceptions about what causes varicose veins:
- Pregnancy – If you already have varicose veins, pregnancy can make them worse due to abdominal pressure and hormonal changes. But pregnancy itself doesn’t cause varicose veins.
- Obesity – Excess weight puts added pressure on the veins, but it’s not the main cause. It simply worsens an existing problem.
- Wearing high heels – While heels aren’t ideal for circulation, they are not a direct cause of varicose veins.
What are the symptoms you should be looking for?
Here’s a list of signs to look out for:
- Visible, bulging, purple, or bluish veins
- A feeling of heaviness in the legs, especially in the evening
- Pain or discomfort after prolonged standing
- Swelling in the ankles
- Night cramps
- Itching around the affected veins
When varicose veins are left untreated, the accumulated blood can cause the skin to change color, especially around the ankles. In severe cases, high pressure in the veins can lead to the formation of venous ulcers — painful sores that can become infected and are difficult to treat. These problems can be prevented with early treatment.
How can varicose veins affect your life?
Although at first they may seem just a cosmetic problem, varicose veins can significantly affect your quality of life. Physically, they can cause daily pain, swelling, and discomfort. Standing becomes difficult, and walking can become tiring. Emotionally and socially, people with varicose veins may feel embarrassed to wear shorts or go to the beach. Sometimes this embarrassment leads to low self-esteem and even avoidance of certain social activities.
Fortunately, there is a range of minimally invasive and even non-invasive treatments available that can effectively address this issue, allowing life to return to normal and people to regain their confidence.
Why should you treat varicose veins early?
As with any condition, the earlier you intervene, the better your chances of preventing complications. As mentioned above, untreated varicose veins can lead to serious problems such as ulcers. In addition, pain and discomfort can become increasingly unbearable over time. Early treatment helps prevent the disease from progressing. Modern methods are minimally invasive and effective, so there is no need for “classic surgery” in all cases.
FAQ about varicose veins
- Is there always pain in varicose veins?
No, not all varicose veins are painful. Sometimes, varicose veins can be very visible without causing any physical discomfort. However, the absence of pain does not mean there’s no need for a medical evaluation. - If the varicose veins don’t hurt, should I still see a doctor?
Yes. Even if they don’t hurt, varicose veins can be a sign of deeper circulation issues. A check-up will help determine if you need preventive treatment. - Can varicose veins go away on their own?
No, varicose veins will not go away on their own and won’t heal without proper medical treatment. - What are the dangers of ignoring varicose veins?
Ignoring varicose veins might have a severe impact on the quality of life for the patients and their families. In some situations, when the condition is complicated with venous ulcers, pain can be severe, with reduced ability to walk and work, and an unpleasant odour. This can impact both the sufferer and their families’ lives. Also, if clots form in the veins (Thrombophlebitis), the risk of strokes and Pulmonary Embolisms (clots in the lungs) is very high and can be fatal.
Conclusions
Varicose veins are a real medical condition that can significantly affect your quality of life.
It’s important to understand what they are, why they occur, and how they manifest so that you can act early. Not all varicose veins are painful, but that doesn’t mean they should be ignored. If you notice any of the signs described above or have a family history of varicose veins, it’s best to consult a phlebologist.
Where can you find a phlebologist?
Dr. Omar Abu-Bakr is a leading consultant venous surgeon and phlebologist based in London, Guildford, and Bristol, with a special interest in treating varicose veins. His expertise covers a wide range of vein conditions, including varicose veins surgery, thrombophlebitis, leg ulcers, perforating veins, and thread veins. With an accurate diagnosis and modern treatments available, you can enjoy healthy legs again. Book a consultation today and discover the most effective, minimally invasive treatment options tailored to your needs.
