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When to Worry About Varicose Veins: Signs You Shouldn’t Ignore

Varicose veins are a common condition that affects millions of people, causing discomfort, swelling, and sometimes more serious health issues. While they may seem like just a cosmetic concern, untreated varicose veins can lead to complications that impact your overall well-being. If you’re wondering when to seek treatment, this guide will help you recognize the warning signs and explore the best treatment options available at Premier Vein & Body.

What Are Varicose Veins?

Varicose veins are enlarged, twisted veins that often appear blue or purple just beneath the skin. They typically develop in the legs and feet due to increased pressure in the veins from standing or walking for long periods. While some people experience mild symptoms, others may suffer from pain, swelling, and discomfort.

Varicose veins occur when the valves in your veins weaken or become damaged, preventing proper blood flow. This causes blood to pool in the veins, leading to their enlarged and bulging appearance. Although they are often harmless, they can sometimes indicate an underlying vein disease that requires medical attention.

What Causes Varicose Veins?

Several factors contribute to the development of varicose veins, including:

  • Genetics – If your parents or close family members have varicose veins, you are more likely to develop them.
  • Age – As you get older, your veins lose elasticity, and their valves become weaker.
  • Pregnancy – The increased blood volume and hormonal changes during pregnancy put extra pressure on the veins.
  • Prolonged Sitting or Standing – Jobs that require long periods of sitting or standing can lead to poor circulation.
  • Obesity – Excess weight increases pressure on the veins, making it harder for blood to flow properly.
  • Hormonal Changes – Birth control pills, hormone replacement therapy, and menopause can contribute to vein issues.

Although varicose veins are often considered a normal part of aging, they should not be ignored—especially if they start causing discomfort or other symptoms.

When to Worry About Varicose Veins: Signs You Shouldn’t Ignore

While varicose veins may seem like just a cosmetic issue, certain symptoms indicate a more serious condition that requires medical attention. If you experience any of the following, it’s time to seek treatment:

  1. Persistent Pain or Discomfort

If your varicose veins cause aching, throbbing, or cramping—especially after standing for long periods—you may have underlying venous insufficiency. This condition can worsen over time if left untreated.

  1. Swelling in the Legs or Ankles

Swollen legs or ankles could indicate that your veins are struggling to circulate blood efficiently. Chronic swelling can lead to skin changes and more severe complications, such as ulcers.

  1. Skin Changes or Discoloration

When varicose veins go untreated, the skin around them may become dry, discolored, or irritated. In severe cases, the skin may harden (a condition known as lipodermatosclerosis), increasing the risk of ulcers.

  1. Open Sores or Ulcers

Venous ulcers often develop near the ankles and can be difficult to heal without medical intervention. These sores result from the long-term pooling of blood, which damages the surrounding tissue.

  1. Bleeding from a Varicose Vein

If a varicose vein bursts, it can cause significant bleeding. While the bleeding may stop on its own, recurrent episodes require medical evaluation to prevent further complications.

  1. Blood Clots or Deep Vein Thrombosis (DVT)

In some cases, varicose veins can lead to superficial blood clots (superficial thrombophlebitis) or, more dangerously, deep vein thrombosis (DVT). DVT is a serious condition where a blood clot forms in a deep vein, potentially leading to life-threatening complications like a pulmonary embolism. Symptoms of DVT include leg pain, redness, and swelling.

If you notice any of these warning signs, don’t wait—seek an evaluation at Premier Vein & Body, where advanced diagnostic tools like venous duplex ultrasound can accurately assess your vein health.

What Are the Best Varicose Vein Treatments?

At Premier Vein & Body, we offer minimally invasive treatments to effectively eliminate varicose veins and improve circulation. Our top treatments include:

  1. Endovenous Laser Ablation (EVLA)

This procedure uses laser energy to close off faulty veins, allowing blood to reroute to healthier veins. It’s a quick and highly effective treatment for varicose veins.

  1. Ultrasound-Guided Sclerotherapy

A specialized solution is injected into the vein to collapse it, gradually fading the varicose vein over time. This is ideal for smaller or residual veins after other treatments.

  1. Ambulatory Phlebectomy

For larger varicose veins, ambulatory phlebectomy involves removing the veins through tiny incisions. It’s performed under local anesthesia with minimal downtime.

Each treatment is customized to your specific needs, ensuring the best possible results.

Is There Any Downtime After Varicose Vein Treatments?

Most varicose vein treatments at Premier Vein & Body require little to no downtime. Patients can usually resume normal activities within a day or two. However, some aftercare steps are recommended:

  • Wear compression stockings to promote healing and reduce swelling.
  • Avoid strenuous activities and heavy lifting for a few days.
  • Stay active with light walking to encourage circulation.
  • Since these procedures are minimally invasive, they provide a quicker recovery compared to traditional vein surgery.

How Long Does It Take Varicose Veins to Fade After Treatment?

The timeline for visible results varies depending on the treatment method and the severity of the veins. Here’s what to expect:

  • EVLA – The treated vein will gradually shrink over several weeks to months.
  • Sclerotherapy – Smaller veins may fade within a few weeks, while larger veins take a few months.
  • Phlebectomy – Since the vein is removed, results are immediate, though mild bruising may take a few weeks to resolve.

With patients, most people will see complete or almost complete disappearance of their treated veins over time. While treated varicose veins will not come back, new ones could form if the underlying causes are left untreated.

Take the Next Step

To speak with the top varicose vein clinic in Kansas City, please call us at (913) 451-8346 or complete our online contact form, and one of our trusted staff members will reach out to you. Premier Vein & Body is located in Kansas City, MO, just past the State Line, and proudly serves Leawood, Overland Park, Johnson County, and the entire Kansas City metro area.

** This blog provides general information and discussion about medicine, health, and related subjects. The words and other content in this blog and any linked materials are not intended and should not be construed as medical advice. If anyone has a medical concern, they should consult with an appropriately licensed physician.

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Last Updated on April 16, 2025 by Marie Benz MD FAAD



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