Medical articles
Varicose veins causes, symptoms and treatment methods
Medical articles
Reviewed by: Dr. Muhammad Abdel-Razzaq Al-Dahileb

Varicose veins are one of the common problems that affect the veins, especially in the legs, as they appear in the form of swollen and twisted veins under the skin. They occur as a result of weak vein walls or a defect in the valves, which leads to blood pooling inside them instead of flowing towards the heart. Although some see them as just a cosmetic problem, they may cause pain and swelling and in some cases serious complications such as ulcers or blood clots. Therefore, doctors at Al Mousa Health Hospital stress the need to know their causes and symptoms, ways to prevent them, and available treatments to maintain the health of the veins.

What are varicose veins?

Varicose veins are enlarged and twisted veins that usually appear in the legs due to weak vein walls or damage to the valves that help blood flow properly. They are often blue or purple in color and appear clearly under the skin. They occur as a result of poor blood circulation, which leads to blood pooling inside the veins instead of moving to the heart.

Symptoms of varicose veins

Symptoms of varicose veins that some may not notice, and now we will explain to you some of their symptoms that you can discover before the problem gets worse, including the following:

  • The appearance of swollen and prominent veins under the skin, where the veins are twisted and enlarged in a blue or purple color, and they often appear in the legs.
  • Feeling heaviness and pain in the legs, especially after standing for long periods, as the person feels as if his legs are tired or stressed.
  • Itching or irritation of the skin, especially around the affected veins, and may be accompanied by a burning sensation.
  • Swelling in the ankles and feet due to blood accumulation and poor blood circulation in the veins.
  • Skin color changes in the affected area, where the skin becomes dark, brown, or blue, which indicates the progression of the condition.
  • Cramps in the legs, especially during the night, where the person feels painful muscle contractions or sudden muscle tension.
  • Feeling heat or pulsation inside the affected veins, as if there is heat inside the leg or a pulsating sensation in the affected areas.

Causes and risk factors of varicose veins

Some people need to know the causes and risk factors for developing varicose veins, and how they can be avoided before the problem occurs, which are as follows:

The main causes of the appearance of varicose veins

  • Weak venous valves: When the valves that control blood flow inside the veins weaken, blood collects and accumulates, leading to the expansion of the veins and the appearance of varicose veins.
  • Weakness of the vein walls over time. The walls of the veins may weaken as a result of genetic factors or external influences, leading to their expansion.
  • Poor circulation: Poor blood flow in the veins makes it difficult for it to return to the heart, which increases pressure on the veins and causes them to expand.

Risk factors that increase the possibility of developing varicose veins

  • Genetic factors: If you have a family history of varicose veins, there is a high probability that you will develop them.
  • Aging With age, the veins weaken and become less efficient in pumping blood, which increases the risk of varicose veins.
  • Gender Women are more susceptible to infection due to the effect of hormones on the walls of the veins, especially during pregnancy or taking birth control pills.
  • Pregnancy Pregnancy causes an increase in blood volume, which puts pressure on the veins in the legs, and hormonal changes contribute to the weakening of the vein walls.
  • Standing or sitting for long periods Remaining in a fixed position for long periods of time impedes blood flow, which increases pressure on the veins.
  • Obesity Excess weight puts additional pressure on the veins, making them more susceptible to stretching and damage.
  • A sedentary lifestyle, lack of movement and lack of exercise lead to poor blood circulation, which increases the risk of varicose veins.
  • Wearing tight clothing, especially around the waist and thighs, may hinder normal blood flow, increasing pressure on the veins.
  • Constant exposure to high heat, such as hot water baths or saunas, as heat can lead to dilation of the veins and increase the risk of varicose veins.

How to diagnose varicose veins

If you suffer from pain or swelling in the legs, here is how to properly diagnose varicose veins to ensure your condition before it gets worse:

 الفحص السريري 

The doctor begins by carefully examining the legs while standing to see how swollen the veins are. The doctor asks you to raise your feet or stand on your toes to observe any changes in the shape of the veins. He may ask you about the symptoms you feel, such as pain, heaviness, or swelling in the legs.

Doppler ultrasound examination 

This examination is performed using an “ultrasound” device to detect blood flow within the veins, and helps determine whether the venous valves are working properly or not. It also reveals the presence of any blood clots that may be the cause of poor blood flow.

“Color duplex screening” test 

A more accurate examination uses advanced technology to clearly see the veins and determine the degree of damage in them, and identifies areas of blood accumulation and excess pressure in the veins.

CT scan or MRI

If serious complications such as deep vein thrombosis are suspected, the doctor may order advanced X-rays to carefully examine the deep veins.

If you suffer from varicose veins and feel heaviness or pain in your legs, you can contact Al-Moussa Hospital, which includes: Varicose veins treatment program It offers you the latest technologies and non-surgical treatment to improve the shape of your legs

Methods of treating varicose veins

There are several ways to treat varicose veins, some of which are simple and you can apply them yourself, and others require medical intervention, so here are the best solutions for treating and preventing varicose veins:

 Home and preventive treatments 

These methods are suitable for simple cases or for those who want to reduce symptoms without medical intervention, and they are as follows:

  • Wearing compression stockings helps improve blood flow and reduce bloating.
  • Elevate the legs when sitting or sleeping to help blood return to the heart easily.
  • Doing exercise, such as walking, to stimulate blood circulation and prevent blood accumulation in the veins.
  • Avoid sitting or standing for long periods and constantly moving your legs.
  • Maintain a healthy weight to reduce pressure on the veins.
  • Gently massage the legs to stimulate blood circulation and reduce the feeling of heaviness.

Modern medical treatments 

These treatments are used in moderate or advanced cases of varicose veins, including the following:

  • Laser treatment of varicose veins Laser beams are directed at the affected veins to gradually close them without the need for surgery.
  • Injection therapy (sclerotherapy): A special substance is injected into the affected vein, which causes it to shrink and disappear over time.
  • Endovascular radiofrequency or laser therapy: A thin tube is inserted into the vein to heat it and seal it permanently.
  • Foam therapy: Medical foam is injected into the affected vein to gradually destroy it.

 Surgery  

If the varicose veins are very large or cause severe pain, the solution may be surgical intervention, such as:

  • Removing the entire affected vein through a minor surgery known as “venous stripping.”
  • Partial phlebitis in which only the damaged part of the vein is removed.

How can varicose veins be prevented?

Here are the best effective ways to help you prevent varicose veins and avoid their pain, as follows:

ممارسة الرياضة بانتظام 

  • Exercise helps stimulate blood circulation and strengthen veins. 
  • Walking daily for 30 minutes stimulates blood flow in the legs.
  • Riding a bike or swimming helps improve blood vessel health.
  • Stretching exercises and leg elevation to relieve pressure on the veins.

Avoid sitting or standing for long periods 

  • Staying in the same position for a long time makes blood pool in the veins, increasing the risk of varicose veins
  • If you sit for a long time, try standing up and moving around every 30 minutes.
  • If you have been standing for a long time, try changing your body position and moving your legs from time to time.
  • Elevating the legs from time to time helps blood drain and reduces pressure on the veins.

الحفاظ على وزن صحي 

  • Excess weight increases pressure on the veins, making them more susceptible to stretching and weakness. 
  • Eat healthy food rich in fiber and vegetables.
  • Avoid fatty and salty foods that lead to fluid retention.
  • Drink plenty of water to maintain blood fluidity and prevent clotting.

 Wear compression stockings 

  • If you're prone to varicose veins, compression stockings can help improve blood flow and reduce swelling, especially if you stand or sit for long periods.

Avoid tight clothes and high heels 

  • Tight clothing and high heels can hinder normal blood flow. 
  • It is preferable to wear comfortable clothes and orthopedic shoes that help support the legs.

Sleep in a comfortable position 

  • If you suffer from the beginning of varicose veins or feel heaviness in your legs, try raising your legs while sleeping by placing a pillow under your feet to facilitate blood flow.
  • Sleeping on your left side if you are pregnant, reduces pressure on the major veins.

You can see Varicose veins What is the treatment?

Complications of varicose veins  

If you have been suffering from varicose veins for a long time and do not care about treating them, they may develop into more serious problems that greatly affect your health. Here are the most important complications that may occur if varicose veins are not treated properly:

Chronic swelling in the legs 

When the veins are weak and unable to return blood to the heart efficiently, fluid begins to accumulate within the tissues, leading to persistent swelling in the legs and ankles. The swelling may become painful and affect movement.

Chronic leg ulcers 

Due to poor blood flow, adequate oxygen and nutrients may not reach the skin, leading to the formation of difficult-to-heal skin ulcers, especially near the ankles. These ulcers may become very painful and require long-term medical treatment.

Skin discolouration and inflammation 

If varicose veins are left untreated for a long time, it can lead to skin discolouration to brown or dark blue, with spots and swelling in the affected areas, in addition to venous dermatitis that causes severe itching and peeling.

 Sudden bleeding 

Infected veins may become very close to the surface of the skin, making them vulnerable to rupture easily, even with a minor injury, and this may lead to severe bleeding that is difficult to stop without medical intervention.

Superficial vein thrombosis 

When a blood clot forms within the superficial veins affected by varicose veins, inflammation of the vein occurs, causing severe pain, swelling and redness in the affected area, and you may need urgent medical treatment to prevent the problem from getting worse.

Deep vein thrombosis

If blood clots travel to deep veins, they may completely block the vein, causing swelling and severe pain.  In some cases, the clot may break off and travel to the lungs, causing a serious, life-threatening pulmonary embolism.

Frequently asked questions 

Are varicose veins dangerous?

Varicose veins are not usually dangerous, but they may become so if they are ignored for long periods because they may cause complications such as skin ulcers, severe swelling, skin color change, sudden bleeding or deep blood clots. The condition must be monitored well and treated early to avoid any serious health problems.

What does varicose veins disease do?

Varicose veins cause the veins to swell and expand as a result of weak blood valves, which leads to blood pooling in the legs. The affected person feels heaviness and pain in the legs, along with swelling and night cramps, which, if not treated, may lead to skin ulcers, bleeding, or blood clots, which poses a health risk.

Can varicose veins disappear?

Varicose veins do not disappear on their own, but their symptoms can be reduced and their appearance can be improved by changing lifestyle, such as exercising, raising the legs, and wearing compression stockings in simple cases. However, in advanced cases, you may need medical treatments such as laser, injections, or surgery to remove them permanently.

Do varicose veins cause a stroke?

Yes, varicose veins may increase the risk of stroke, especially if the veins are severely damaged, as poor blood flow leads to the formation of clots in the superficial veins, and sometimes they may extend to the deep veins, which may cause deep vein thrombosis, which is a serious condition that requires immediate treatment.

Varicose veins are not just an aesthetic problem, but may develop into serious complications if they are not treated properly. Therefore, it is important to monitor the symptoms and follow prevention methods such as exercising, raising the legs, and avoiding standing for long periods. If the symptoms persist or worsen, it is best to consult a doctor to determine the appropriate treatment, whether through compression stockings or modern medical treatments such as laser or injections. Doctors at Al Mousa Health Hospital stress the necessity of early treatment that ensures you avoid pain and complications and maintains your daily comfort and movement.

Medical references 

Varicose Veins

What is Varicose veins

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