Most people associate varicose veins with prominent, swollen, twisted, and ropelike veins wrapping their legs, often dark blue in color – and often quite painful. These are symptomatic varicose veins. They develop over time, with factors such as age, family history, pregnancy, weight gain, and prolonged standing all possible contributing factors. They’re caused by weakened valves in the leg veins that flow blood back to your heart. When the valves weaken, blood pools and builds pressure in the leg veins, causing them to swell, expand and twist as the walls of the veins are weakened – and the weakened valves and veins are prone to clots or hemorrhaging, which is why treatment is so important.
We talked to Dr. Malcom Sydnor about varicose veins, and what the term “reflux” means. “When people have varicose that are large or substantial that is almost always a result of reflux,” said Dr. Sydnor. “What reflux means is that all the blood your body should flow in your lower extremities from your feet, back to your heart and lungs were it picks up oxygen and gets redistributed back through your body.”
“But sometimes the saphenous veins in the legs, which have valves in them to keep the blood flowing north,” he continued, “have valves that become leaky and have problems and then the blood starts falling south instead of moving north.”
“When that happens it’s like an upside down tree – it kind of blows out all the rest of the veins that are supposed to be feeding into it, and that’s actually what you see on the surface with spider veins, reticular veins, and varicose veins.” Dr. Syndor continued, “So, reflux in the legs is when the blood flows south instead of flowing north north the way supposed to be. When that happens, the blood becomes engorged when it sits down in your legs. You can get ankle swelling, you can get pigmentation changes, all because you have a bunch of deoxygenated blood that sitting down there and it’s not getting the chance to get back to your heart and lungs to pick up oxygen the way it should be.”
To treat more serious varicose vein problems, we offer several effective and minimally invasive solutions. After diagnosis, we will discuss your options so you can choose the treatment that best suits your needs. Although effective, no varicose vein treatment, whether surgical or minimally – invasive, can prevent new varicose veins from developing in the future. Most health insurance plans cover treatment of significant symptomatic varicose veins, but some consider treatment of spider veins as cosmetic surgery.
Call us at (804) 828-2600 to discuss your options. You may decide that beautiful legs and pain free legs are worth it.