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Experts in the Diagnosis and Treatment of Varicose Veins

Varicose veins are gnarled, enlarged veins. Any vein may become varicose, but the veins most commonly affected are those in your legs and feet. That's because standing and walking upright increases the pressure in the veins of your lower body. Spider veins are similar to varicose veins, but they're smaller. Spider veins are found closer to the skin's surface and are often red or blue. They occur on the legs, but can also be found on the face. Spider veins vary in size and often look like a spider's web.

Causes and risk factors

Signs you may have varicose veins include:
  • Age
  • Pregnancy
  • Family history
  • Sex
  • Obesity
  • Standing or sitting for long periods of time

  • Ulcers
  • Blood clots

To diagnose varicose veins, your doctor will do a physical exam, including looking at your legs while you're standing to check for swelling.

Doppler Ultrasound

You may also need an ultrasound test to see if the valves in your veins are functioning normally or if there's any evidence of a blood clot. In this noninvasive test, you lie on an examination table or in the same standing position. A small amount of warm gel is applied to your skin. During an ultrasound, the doctor presses a small hand-held device (transducer), about the size of a bar of soap, against your skin over the area of your body being examined, moving from one area to another as necessary. The transducer transmits images of the veins in your legs to a monitor, so your doctor can see them.

Preventive measures: Fortunately, treatment usually doesn't mean a hospital stay or a long, uncomfortable recovery. Thanks to less invasive procedures, varicose veins can generally be treated on an outpatient basis.

Self-care: such as exercising, losing weight, not wearing tight clothes, elevating your legs, and avoiding long periods of standing or sitting.

Wearing compression stockings: is often the first approach to try before moving on to other treatments. Compression stockings are worn all day. They steadily squeeze your legs, helping veins and leg muscles move blood more efficiently. The amount of compression varies by type and brand.


  • Fleboesclerosis
  • Catheter based therapies
  • Surgery