Understanding Varicose Veins

Varicose veins are visible, bulging unsightly veins in legs. They are not just a cosmetic problem. They can often cause pain, leg heaviness, night cramps, itching or swelling. If ignored, varicose veins can compromise the nutrition of skin and lead to pigmentation, skin thickening or ulceration and bleeding. Patients with varicose veins are also at a higher risk of deep vein thrombosis (DVT).
Small varicose veins
Varicose veins with ulcer
Large varicose veins of leg


The primary reason for development of varicose veins is reversal of blood flow due to vein wall weakness and impaired valve function. This reverse flow of impure blood is responsible for majority of complications of this disease.
Varicose vein valve reflux
Varicose veins pathophysiology
Varicose veins
Doppler test

Causes of varicose veins:

  • Heredity
  • Hormonal – more common after pregnancy.
  • Dysfunctional vein valves
  • Obesity and aging also play a role

Complications of varicose veins:

  • Eczema
  • Skin ulcers
  • Bleeding
  • Thrombosis

Treatment of varicose veins:

Over the recent years, lot many advances are made in the treatment of varicose veins. The type of treatment offered depends on many factors and no single method is the best!

  • Medicines & Stockings: Good symptomatic relief, but they cannot cure large varicose veins.
  • Surgery: Surgical ligation of the problem vein and removal of associated varicose veins is a gold standard treatment method in use for many years. The removal of these damaged veins does not harm the normal blood circulation of the leg.
  • Endovenous LASER treatment: A minimally invasive option in which the damaged veins are treated by needle puncture and passage of thin laser fiber which heats and seals the vein from inside. The advantages are cosmetic result and rapid recovery with minimal side effects.
  • Doppler guided foam sclerotherapy: This involves injection of a special chemical in the veins to block them. This can be used for recurrent varicose veins also. This procedure can leave behind a mild pigmentation mark.

If you are suffering from varicose veins, seek advice from a vascular specialist who is an expert in treating varicose veins by all methods. Remember, not all patients with varicose veins are identical. Vascular specialists may vary in their preferred methods for investigations, treatment and aftercare.


Dr Sumit performing laser varicose treatment
Endovenous Laser in long saphenous vein
Endovenous laser in short saphenous vein
Laser of Duplicated veins

Vascular specialists provide care to patients with diseases or disorders of their blood vessels except the heart or brain. There are very few surgeons in India, trained in this specialty. -Dr. Sumit Kapadia

Before & After

  • Largevaricose veins:
  • Image
  • Image
  • Before laser & After laser
  • Varicoseveins with ulcer:
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  • Image
  • Before laser & After laser
  • Varicoseveins with ulcer:
  • Image
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  •    Before laser   &   After laser
  • Varicose veins
  • Deep vein problems
  • Peripheral arterial disease
  • Carotid artery disease
  • Aortic aneurysm
  • Vascular malformations
  • Endovenous LASER varicose veins
  • Deep vein thrombolysis
  • Peripheral angioplasty & stenting
  • Carotid angioplasty & stenting
  • Endograft placement
  • Sclerotherapy & embolisation
  • Vascular trauma
  • Dialysis access procedures
  • Pneumatic Compression Treatment
  • Angio-embolisation of tumors & bleeding vessels