Varicose Vеіnѕ

Varicose Veins

What are Varicose vеіnѕ?

Vаrісоѕе vеіnѕ, аlѕо knоwn as “Vаrісоѕіtіеѕ,” are еnlаrgеd and unhealthy veins that usually arise due to high pressure in veins slightly deeper within the leg. Varicose veins may be tortuous or twisted, and may bulge from under the skin. Varicose veins usually appear red or purple and can appear anywhere on the body but are most commonly found on the legs.

Similar to spider veins, many fасtоrѕ іnсrеаѕе уоur risk of vаrісоѕе vеіn disease including fаmіlу hіѕtоrу, obesity, advanced аgе, рrеgnаnсу, immobility, history of blood clots аnd gеndеr.

Vаrісоѕе veins can be trеаtеd with conservative measures such as lifestyle changes and compression stockings.   In some cases, these simple measures will help control bothersome symptoms including leg pain, cramps, and restless legs.  More late stages including venous ulcers require expert consultation. The Princeton Vascular Center offers informative consultations to better understand the cause and prognosis of your symptoms.   And if conservative measures fail and symptoms persist, we can evaluate which additional treatment options are best suited to helping you looking and feeling better.

What are the risk factors for developing varicose veins?

The risk factors for developing varicose veins are the same as those for chronic venous insufficiency:

Family history of varicose veins or venous insufficiency

  • Female gender
  • Pregnancies
  • Age
  • Work that requires prolonged sitting or standing
  • Obesity


How are varicose veins diagnosed?

Varicose veins can be both visible and hidden beneath the surface of the skin.  If you are having typical symptoms such as heaviness, leg cramps, restless legs, skin discoloration, then it is recommended to have a vein consultation.

A diagnosis of varicose veins with underlying venous insufficiency can be confirmed in the office with a diagnostic ultrasound.  The typical exam takes 20-40 minutes depending on the anatomy.


Why treat varicose veins?

The primary purpose of treating varicose veins is for symptomatic relief and improving the visual appearance.  However, because vein disease is progressive,  long term benefits may include:

  • Preventing skin changes
  • Preventing phlebitis or painful inflammation of the veins due to blood clot formation
  • Preventing skin discoloration
  • DVTs are rare, however there has been causal links made with varicose veins

What are the treatment options for varicose veins?

The first step in the treatment of most varicose veins is treating underlying venous reflux. At the Princeton Vascular Center, our board certified vein doctors perform minimally invasive procedures in the office under local anesthesia. Depending upon your case, your vein doctor may recommend any of the following procedures:

  • Radio frequency ablation
  • Venaseal closure
  • Varithena foam sclerotherapy
  • Clarivein
  • Micro-phlebectomy

Does treatment of varicose veins get insurance coverage?

Yes, medically necessary procedures are well covered.  This can be determined from your initial visit which will include a complete history, physical, and possibly ultrasound.  The results of these tests will help your vein doctor make appropriate treatment plans that are submitted to your insurance carrier for pre-authorization.  

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