Varicose veins aren’t just a cosmetic issue; they’re a real indication that the veins in our legs can no longer efficiently return blood back to the heart. These bulging, twisted veins typically develop when tiny, one-way valves inside the veins weaken or become damaged. Instead of moving blood upward, vein pressure builds and pushes blood backward, leading to a bluish, rope-like appearance under the skin.
They affect an estimated 25 to 33 percent of adults worldwide and tend to occur more frequently in women due to hormonal variations, pregnancy, and sometimes genetics. At their core, varicose veins are a manifestation of an underlying condition called chronic venous insufficiency.
To understand this condition, we first need to look at how healthy veins function. Veins carry blood to the heart and are equipped with one-way valves that keep blood moving against gravity, especially from the legs. When these valves become faulty, blood pools in the veins, causing them to enlarge and twist.
This is known as venous reflux, and over time, it can lead to visible surface veins as well as deeper circulation problems. Veins under the skin that become varicose lose their efficiency and, left unaddressed, this can strain the entire vascular system.
Several factors place individuals at a higher risk. Here are the most common ones we’ve encountered among patients:
Understanding these factors allows us to recommend timely lifestyle changes and medical interventions for prevention and treatment.
While the appearance of twisted blue or purple veins is the most noticeable feature, many people also experience:
These symptoms often intensify after extended standing or sitting. Early intervention can make a significant difference in comfort and long-term outcomes.
Diagnosis starts with a clinical exam, where we assess the physical appearance of veins. However, the most definitive test is a Duplex ultrasound. This non-invasive test allows us to evaluate blood flow and detect any venous reflux or valve dysfunction contributing to the condition.
In certain cases, additional imaging tests like venography or photoplethysmography may help determine the best treatment strategy.
We always recommend starting with conservative treatment, especially in early-stage cases. These include:
But when symptoms persist or worsen, medical procedures may be necessary. The good news? Today’s treatments are more effective and far less invasive than traditional surgical vein stripping.
When patients ask us about their options, we break them down based on the extent of their vein disease:
EVLT uses laser energy to close off a diseased vein from the inside. It’s performed with local anesthesia and patients can usually return to daily activities the same day.
RFA works similarly but uses heat generated by radiofrequency waves. It’s a great option if you want rapid symptom relief with minimal recovery time.
This involves injecting a foaming or liquid solution directly into the affected veins to cause them to collapse and fade. Best used for smaller varicose veins and spider veins.
Each method has its own ideal use case, and our vascular team tailors treatment based on your unique venous anatomy and health goals.
While medical intervention is sometimes necessary, several steps can help manage symptoms before and after treatment:
Incorporating these habits into daily routine not only eases discomfort but also prevents recurrence.
Ignoring varicose veins can lead to more than visual concerns. If left untreated, they may progress to:
Recognizing these risks prompts timely evaluation and care.
Here’s when it’s time to schedule an appointment:
Our team at South Florida Multispecialty Hospital specializes in advanced diagnostics and personalized treatment plans. The earlier we intervene, the better your chances for full symptom relief and improved vascular health.
If you’re noticing visible veins, leg heaviness, or swelling that’s interfering with your mobility or confidence, don’t wait. At South Florida Multispecialty Hospital, we’re equipped with the latest technologies and experienced specialists ready to help. Let’s work together to restore your comfort, mobility, and peace of mind.
Think you might be dealing with varicose veins? Schedule a consultation with South Florida Multispecialty Hospital today. Let’s take the first step toward healthier legs and a healthier you.
Varicose veins are enlarged, twisted veins that often appear on the legs. Spider veins are smaller, red or blue veins that resemble a web and are usually more superficial.
Risk factors include age, genetics, hormonal changes, obesity, pregnancy, and occupations requiring prolonged standing or sitting.
If you experience leg pain, itching, swelling, skin changes, or ulcers, or if symptoms interfere with daily life, a medical evaluation is recommended.
Although they may begin as a cosmetic issue, untreated varicose veins can cause serious complications like skin ulcers and even deep vein thrombosis.
They offer faster recovery, minimal pain, and high success rates without requiring general anesthesia or hospitalization unlike traditional surgical vein stripping.
Absolutely. Regular exercise, wearing compression stockings, leg elevation, and healthy eating can alleviate discomfort and slow progression.
Prevent progression by staying active, managing weight, and avoiding prolonged immobility. Seek treatment when symptoms persist or worsen despite these changes.
A Duplex ultrasound is the most common test to assess vein function and identify reflux problems.
Your well-being is our top priority. Reach out today to discover how our dedicated team can support your health journey.
Have questions or want to learn more? Use the form below to get started!
Connect with South Florida’s trusted multispecialty care team and take control of your health with compassion and convenience.
©2025 South Florida Multispecialty Medical Group. All Rights Reserved.