Remedies for Varicose Veins

I am 32/F and I noticed dark veins on my thighs and legs. There is no pain. As I am from the hospitality industry, my profession demands long hours of standing and I am conscious of the way it looks.Is there a cosmetic solution?

For many, early varicose veins / Spider veins are usually present without any symptoms. At this stage, they can be corrected cosmetically with foam sclerotherapy. It is a day care procedure and hence one can resume their duties from the next day. One can also use venous stockings and make lifestyle changes like walking daily, avoiding long hours of standing/sitting, elevation of the ankles before sleeping, and avoiding excess intake of salt/sugar to prolong the progress of the disease.

I am 28 yr old female suffering from varicose veins since 3 years. As I am in the 5th month of my pregnancy, I have noticed that the swelling has increased and appearance has changed. What precautions can I take?

Varicose veins can occur due to hormonal changes. They are nothing but veins beneath your skin that get enlarged/swollen especially over the legs /feet mainly due to obstructed blood flow It is always advised to get the venous doppler test done to confirm if the primary veins are functioning well. One can use venous stockings for time being to reduce the swelling over the veins along with a few lifestyle changes listed above.

I have varicose veins since many years. It started bleeding a few months back. I have developed a wound on my right leg. I also notice itching and discoloration over my feet. I am worried as I have recently been diagnosed with diabetes and my age is 46 years. Is there a permanent solution?

Venous ulcers develop due to chronic varicose veins. Based on the venous doppler report, clinical examination & medical history,  Endovenous laser ablation of varicose veins -EVLA (laser surgery for varicose veins)+ foam sclerotherapy along with laser debridement of the ulcer (if any) is the permanent solution. As there are no stitches involved in the surgery, the patient can be back home in 24 hours. The patient can resume his day-to-day activities from the next day itself.

Minimally invasive treatment for varicose veins

I am a high school teacher and have noticed some discoloured patches on the skin, especially behind my thighs. It looks like the veins are more prominent. They developed recently.

Spider veins are commonly seen due to hormonal changes. While they are not harmful, one can get rid of the unusual appearance cosmetically by Foam sclerotherapy. Dr Paresh Gandhi, a renowned vascular surgeon at Healing Hands Clinic, guides every patient with his expertise and treats them with minimal invasion.

I am a tailor, and for the past two years, I have had swelling over my veins on both legs. It doesn’t hamper my work. But for the past two weeks, I have noticed redness over my legs and the skin feels sensitive and warm on touching.

Varicose veins can remain harmless for a long time. Getting a thorough examination done to know the extent of the disease is advised, so that the doctor can rule out DVT or deep vein thrombosis — a condition where there is a blood clot formation in the deep veins, especially in the legs, with the help of venous doppler test. If the test is positive, leg elevation, venous stockings and medications help relieve the swelling and pain. Surgery is contraindicated in this condition.

My 56-year-old mother has been suffering from varicose veins since 7-8 years. The venous stockings helped her reduce the swelling. She has never complained about pain until recently. She has noticed discolouration over the ankles along with itching and mild pain. She is scared of surgery. Is that the only option?

Varicose veins give a tortuous appearance to the veins which is caused due to weakened or damaged valves in the veins. This condition progresses slowly and hence can remain harmless for many years. Venous stockings can help prolong the disease. However, if untreated, the increased pressure causes it to bleed, eventually turning into a venous ulcer. Based on the findings after a physical examination & a Venous Doppler test, laser surgery (EVLA or Endovenous laser ablation of varicose veins) is the safest and least invasive option. The patient can start walking the same day and resume their day-to-day activities within a day or two as the recovery is smooth.