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Are Bulging Veins in Legs Treatable?

For some people, varicose veins are embarrassing because they cause bulging, twisted cord-like veins to appear on the surface of the skin. In these cases, it’s not uncommon for people to avoid wearing shorts or skirts that will show their legs, but bulging varicose veins aren’t just a cosmetic concern.

The bulging veins are created over time as the network of one-way valves in the superficial veins of the legs weaken. The valves are meant to push blood upward against gravity toward the heart, but when they weaken blood pools in the veins and creates inflammation. This backflow of blood and increasing venous pressure in the superficial veins of the legs causes the vein to bulge and twist.  

In most cases, the bulging veins don’t just affect the cosmetic appearance of the legs. Varicose veins often cause uncomfortable physical symptoms in the legs, such as:

  • Heaviness
  • Swelling
  • Itching
  • Throbbing
  • Cramping
  • Aching

Because varicose veins are both a chronic and a progressive condition, these symptoms tend to increase over time. However, the good news is that bulging varicose veins are certainly treatable.

Treatment of Bulging Veins

Procedures to eliminate varicose veins have advanced tremendously since the days of painful vein stripping surgeries. Treatments can now be performed in a vein doctor’s office in about an hour, with little to no downtime. Patients are able to drive themselves to and from appointments and are able to return to work and most activities on the same day. Let’s take a look at the most common varicose vein treatments:

Endovenous Laser Therapy (EVLT) is a safe and effective procedure that seals varicose veins shut. A tiny optic fiber laser catheter that’s inserted into the diseased vein closes the vein, which allows blood to naturally recirculate to healthy veins within the leg.

When bulging veins are too twisted for an endovenous catheter to pass through, an ambulatory phlebectomy procedure is recommended. During this procedure, a small phlebectomy hook is inserted into the vein, allowing for the removal of the vein in sections.

Finally, ultrasound-guided foam sclerotherapy, including Varithena, can effectively treat large areas of veins in the least amount of time to eliminate any remaining vein disease in the legs. The foam sclerotherapy is able to reach hidden sources of vein disease, effectively cleaning up any remaining diseased veins. This is a critical part of treatment for most patients with varicose veins to both relieve symptoms from unseen varicose veins and to reduce the recurrence of visible varicose veins. A combination of treatments is often most effective for thoroughly treating varicose vein disease, including what isn’t visible on the surface of the skin.

At East Tennessee Vein Clinic, our outpatient procedures are safe, quick, and effective. Dr. Douglass, founder of the East Tennessee Vein Clinic, was the first physician dedicated solely to the treatment of vein disease in Tennessee.

Dr. Douglass and his staff are dedicated solely to the treatment of varicose veins, and lead the region in experience and expertise of vein treatments. We treat veins differently than other clinics precisely because of our comprehensive attention to treating the root cause and full extent of each patient’s vein disease.

Visit us online at East Tennessee Vein Clinic, or call 866-281-VEIN, or request an appointment online today.

Love Dr. Douglass and entire staff. My favorite part is that K-Love 88.3 is always playing. I have referred several friends!

- S. W., Knoxville, TN

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