What Are Varicose Veins?
Varicose veins are enlarged, twisted veins that typically appear blue or dark purple and are often visible just beneath the surface of the skin. While they can occur anywhere in the body, they most commonly develop in the legs and feet due to the increased pressure from standing and walking.
Did You Know?
Approximately 23% of American adults have varicose veins. When spider veins and reticular veins are included, this number rises to 80% of men and 85% of women.
How Varicose Veins Develop
Healthy veins contain one-way valves that help blood flow upward toward the heart against gravity. When these valves weaken or become damaged, blood can flow backward and pool in the veins—a condition called venous reflux or venous insufficiency.
This pooling causes the veins to stretch, enlarge, and become visible under the skin. Over time, the increased pressure can lead to symptoms and, in some cases, serious complications.
Signs and Symptoms
Varicose veins aren't just a cosmetic concern. Many patients experience uncomfortable symptoms that affect their daily quality of life:
Common Symptoms
- Visible veins — Bulging, rope-like veins visible under the skin
- Pain or achiness — Dull, throbbing discomfort in the legs
- Heaviness or fatigue — Legs feel tired, especially after standing
- Swelling — Ankle or lower leg swelling, worse at end of day
- Skin changes — Discoloration, darkening, or hardening of skin
- Itching or burning — Around affected veins
- Restless legs — Uncomfortable urge to move legs, especially at night
- Night cramps — Muscle cramping during sleep
When to Seek Immediate Care
Contact us immediately or seek emergency care if you experience sudden severe leg pain, significant swelling, skin ulcers, or signs of bleeding from a varicose vein.
Symptom Progression
Without treatment, varicose vein symptoms typically worsen over time. What starts as minor discomfort can progress to:
- Early Stage — Visible veins with mild achiness
- Moderate Stage — Persistent pain, swelling, skin changes
- Advanced Stage — Skin ulcers, bleeding, blood clots
Risk Factors
Understanding your risk factors can help with prevention and early intervention:
| Risk Factor | Details |
|---|---|
| Age | Risk increases significantly after age 50 |
| Gender | Women are more likely to develop varicose veins |
| Family History | Strong genetic component—if parents had them, you're at higher risk |
| Pregnancy | Increased blood volume and hormonal changes affect veins |
| Occupation | Jobs requiring prolonged standing or sitting |
| Obesity | Extra weight puts additional pressure on leg veins |
| Previous DVT | History of blood clots increases risk |
| Lifestyle | Sedentary lifestyle, lack of exercise |
Diagnosis Process
At Vascular.MD, Dr. Echevarria uses advanced diagnostic technology to accurately assess your vein health:
Comprehensive Vein Evaluation
- Medical History Review — We discuss your symptoms, family history, and lifestyle
- Physical Examination — Visual inspection and palpation of affected areas
- Duplex Ultrasound — Non-invasive imaging to visualize blood flow and valve function
- Venous Mapping — Detailed mapping of your vein anatomy for treatment planning
What to Expect
Your initial consultation takes about 45-60 minutes. Wear loose, comfortable clothing that allows easy access to your legs. No special preparation is needed.
Treatment Options
Modern varicose vein treatments are minimally invasive, performed in-office, and require little to no downtime. Dr. Echevarria will recommend the best approach based on your specific condition.
Minimally Invasive Treatments
Radiofrequency Ablation (RFA)
- Uses heat energy to close damaged veins
- 98% success rate
- 30-45 minute procedure
- Walk out the same day
Endovenous Laser Ablation (EVLA)
- Laser energy seals problem veins
- Excellent for larger veins
- Minimal discomfort with local anesthesia
Sclerotherapy
- Injection treatment for smaller veins
- No anesthesia needed
- Quick, 15-30 minute sessions
- Often combined with other treatments
Ambulatory Phlebectomy
- Removal of surface veins through tiny incisions
- Immediate cosmetic improvement
- No stitches required
Conservative Management
For mild cases or as a complement to treatment:
- Compression stockings — Graduated compression to improve blood flow
- Exercise — Walking and calf exercises strengthen vein function
- Elevation — Raising legs above heart level reduces swelling
- Weight management — Reduces pressure on leg veins
Find Out If Treatment Is Right for You
Schedule a free vein screening with Dr. Echevarria. Most insurance plans are accepted.
Why Choose Vascular.MD?
Harvard-Trained Expertise
Dr. Carlos Echevarria brings elite training from Harvard Medical School and specialized fellowship experience to every patient interaction. His credentials include:
- Board certification in Phlebology
- Registered Vascular Technologist (RVT)
- Registered Phlebology Sonographer (RPhS)
- Member of the American Vein & Lymphatic Society
Patient-Centered Approach
At Vascular.MD, you're not just another patient. We take time to:
- Listen to your concerns and goals
- Explain all treatment options clearly
- Develop personalized treatment plans
- Provide comprehensive follow-up care
Insurance & Affordability
- Most major insurance plans accepted
- Medicare and Medicaid coverage available
- Free insurance verification
- Flexible payment options for cosmetic treatments
Frequently Asked Questions
Take the Next Step
Don't let varicose veins hold you back from living your best life. With modern, minimally invasive treatments, relief is closer than you think.
Schedule Your Free Consultation
Dr. Echevarria and the Vascular.MD team are ready to help you find relief. Book your appointment today.