Varicose veins are not always only a cosmetic concern. Enlarged veins can be associated with heaviness, aching, swelling, itching, cramps and skin changes.
They develop when vein valves do not work properly and pressure increases in the leg veins. In some cases, they can progress and contribute to circulation problems or skin damage.
Spider veins vs varicose veins
Spider veins are smaller and closer to the skin surface. Varicose veins are usually larger, raised and twisted.
Both can affect the appearance of the legs, but a bulging or symptomatic vein requires a different evaluation from a small superficial vessel.
When should you request an evaluation?
Consider medical assessment if you experience:
- Aching or heaviness.
- Ankle swelling.
- Burning or itching.
- Night cramps.
- Skin color changes.
- Sores that do not heal.
- Veins that continue enlarging.
A vascular specialist may use duplex ultrasound to evaluate blood flow and identify venous reflux.
Treatment options
Depending on the diagnosis, treatment may include:
- Compression stockings.
- Walking and weight management.
- Leg elevation.
- Radiofrequency or laser ablation.
- Sclerotherapy.
- Microphlebectomy.
Microphlebectomy is used for superficial varicose veins that are too large for sclerotherapy and involves removal through very small incisions.
Why every visible vein should not be treated as cosmetic
Treating appearance without evaluating the cause may leave an underlying circulation problem unaddressed. The first step is determining whether the concern is superficial or related to venous insufficiency.
Seeing visible veins, heaviness or swelling? Get an evaluation to understand the right next step.
Learn more
FAQs
Do all varicose veins require treatment?
No. Treatment depends on symptoms, progression, size and diagnostic findings.
Can Lumecca treat large leg varicose veins?
It should not be considered a replacement for vascular treatment. Lumecca is intended for selected superficial vascular and pigmented concerns.
Do compression stockings remove varicose veins?
They may help control symptoms but do not necessarily eliminate the affected veins.
