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Do I Need Varicose Vein Treatment

September 5, 2025

A phlebologist does an ultrasound of the veins of a patient with varicose veins.

Varicose veins can be more than just a cosmetic issue. These swollen, twisted veins can cause discomfort, indicate underlying vascular issues, and, if ignored, lead to serious complications.

But how do you know when it is time to seek varicose vein treatment? Understanding the signs, risks, and treatment options is the first step toward improving both your comfort and overall vascular health.

This blog will help you identify when professional intervention might be necessary, explore the potential health risks of untreated varicose veins, and outline the most effective treatment options available today.

What Are Varicose Veins

Before we determine if you need treatment, it is helpful to understand what varicose veins are. These are enlarged, bulging veins that often appear blue or dark purple, usually on the legs or feet. They develop when the valves in your veins become weakened or damaged, causing blood to pool instead of flowing smoothly back to your heart.

While varicose veins are common — affecting millions of people — severe cases can impair your daily life and lead to significant health issues if left unchecked.

Signs You Might Need Varicose Vein Treatment

Not all varicose veins require medical intervention, but certain symptoms signal it is time to act. Below are some key indicators you should not ignore:

1.     Persistent Pain or Discomfort

Mild discomfort is typical with varicose veins, especially after standing or sitting for long periods. However, if you experience ongoing aching, throbbing, or burning sensations in your legs, it may indicate that your veins are under significant strain.

2.     Swelling in the Legs or Ankles

Swelling is another warning sign that the condition is progressing. Pooling blood can cause fluid to accumulate in surrounding tissues, leading to puffiness in your legs or ankles.

This symptom is particularly concerning if it worsens over time.

3.     Changes in Skin Appearance

Varicose veins can cause noticeable skin changes, such as:

  • Skin discoloration around the affected veins.
  • Thickened or hardened skin.
  • Itchy or dry patches that resemble eczema.

These changes can indicate poor circulation and may lead to more severe complications, such as venous ulcers.

4.     Bleeding or Open Ulcers

If a varicose vein ruptures or begins to bleed, seek immediate medical attention. Similarly, non-healing wounds, or ulcers, near your ankles or shins can develop as the condition worsens.

These symptoms are serious and require prompt varicose vein treatment.

5.     Feelings of Restlessness or Heaviness in the Legs

Many people with varicose veins report a sensation of heaviness or fatigue in their legs, particularly at the end of the day. Restless Legs Syndrome (RLS) — the uncontrollable urge to move your legs — is also linked to varicose veins in some cases.

6.     Skin Infection or Redness

Untreated varicose veins can lead to localized infections and inflammation, commonly known as cellulitis. If you notice redness, heat, or tenderness around a vein, treatment is necessary to prevent further complications.

The Risks of Ignoring Varicose Veins

Varicose veins might seem like a minor inconvenience at first, but delaying treatment can lead to serious health risks. Some of the potential complications include:

1.     Blood Clots (Deep Vein Thrombosis or DVT)

Blood pooling in varicose veins increases the risk of clot formation. If a clot develops in a deeper vein (DVT), it can block blood flow and potentially travel to the lungs, causing a life-threatening condition known as a pulmonary embolism.

2.     Venous Ulcers

Chronic inflammation and pooling blood can lead to painful, slow-healing ulcers near varicose veins. These wounds not only reduce quality of life but also carry a high risk of infection.

3.     Chronic Venous Insufficiency (CVI)

CVI occurs when blood flow in the legs becomes severely impaired, leading to ongoing pain, swelling, and skin damage. Left untreated, CVI can result in permanent tissue damage and other long-term issues.

4.     Skin Changes and Long-Term Discomfort

Ignoring varicose veins can worsen skin problems like hyperpigmentation or lipodermatosclerosis (hardening of tissues), leaving you with permanent discoloration and thickened skin.

Treatment Options for Varicose Veins

Fortunately, treatment options for varicose veins have come a long way. Today, you can find effective and minimally invasive solutions that promote faster recovery and better results.

1.     Compression Therapy

Wearing compression stockings is often the first step in managing symptoms. These specialized socks help improve blood circulation by applying gentle pressure to your legs, reducing swelling and relieving discomfort.

While effective for mild cases, they are not a cure and may not resolve severe conditions.

2.     Sclerotherapy

This outpatient procedure involves injecting a solution directly into the affected vein. The solution causes the vein to scar and close, redirecting blood flow to healthier veins. Over time, the vein naturally fades from view.

3.     Laser and Radiofrequency Ablation

These innovative, minimally invasive treatments use heat from lasers or radiofrequency waves to close off varicose veins. Both options are effective for large, visible veins and offer quick recovery times with minimal discomfort.

4.     Microsurgery (Ambulatory Phlebectomy)

For larger, protruding veins, surgical removal may be necessary. During this procedure, a specialist makes tiny incisions to remove the damaged vein. Recovery is relatively quick, and the results can be dramatic.

5.     Lifestyle Changes

Making simple adjustments to your daily routine can improve circulation and reduce symptoms:

  • Regular exercise, like walking or yoga.
  • Elevating your legs to encourage blood flow.
  • Avoiding prolonged sitting or standing.

Varicose Vein Treatment in Boca Raton, FL

If you are experiencing pain, swelling, or other symptoms, do not wait to contact Advanced Heart and Vascular Institute. Our highly trained and skilled vein specialists will provide thorough diagnostics and a personalized treatment plan to address your unique needs.

From compression therapy to advanced varicose treatment options such as radiofrequency ablation and sclerotherapy, our team offers the latest techniques to effectively treat varicose veins.

Call us today at (561) 235-5621 or use our secure appointment request form to schedule a consultation with Dr. Eli S. Levine,  Dr. Michael A. Schechter, or Dr. Eric A. Kupferstein.

Filed Under: Varicose Veins Tagged With: Blood Clots, bulging veins, Radiofrequency Ablation, Sclerotherapy, Varicose Vein Treatment in Boca Raton, vein specialists, vericose vein treatment

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The cardiologists at Advanced Heart and Vascular Institute in Boca Raton, FL, specialize in the treatment of congestive heart failure and peripheral arterial disease. Our physicians also provide heart and vascular non-invasive testing and invasive cardiac procedures.