Varicose Veins | Heart and Vascular

Heart and Vascular Care

Varicose Veins

Our team of vascular specialists will help you understand your options for vein care and treatment. The UC Davis Vascular Center offers minimally invasive procedures with your comfort in mind.

Medically reviewed by Mimmie Kwong, M.D. on June 29, 2023.

Health care provider and female patient examining the patient’s varicose veins on her leg.

Partnering With You for Varicose Vein Treatments

Our team of vein care specialists provides several treatment options for varicose veins. The UC Davis Vascular Center staff provides full support for inpatient and outpatient procedures.

Our specialists work together with the UC Davis Vascular Center Clinical Research Program to stay up to date on the newest procedures. We offer the latest minimally invasive techniques that reduce your risk of complications and give you the best possible results — both functionally and cosmetically. 

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What Are Varicose Veins?

Varicose veins are blue, twisted, swollen veins that bulge under your skin. They can happen anywhere in your body, but they’re most common in your legs.

Spider veins are similar to varicose veins, but spider veins are thinner. They may look like a web of red, blue or purple lines, and they don’t bulge like varicose veins.

Varicose veins usually aren’t life-threatening. But over time, they can become painful and form ulcers (sores).

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Varicose Vein Symptoms

Some people have no symptoms of varicose veins other than being able to see the bulging vein. For other people, varicose veins can be very painful and even turn into open sores.

Common Symptoms

Symptoms may include:

  • Aches and pain in your legs
  • Bulging vein or veins
  • Discolored or dark skin around the vein
  • Heavy feelings in your legs
  • Itching around the bulging vein
  • Swelling in your lower limbs

Emergency Symptoms

Get medical care right away if your vein or the skin around it is:

  • Bleeding
  • Red
  • Swollen
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Causes and Risk Factors of Varicose Veins

When the inner walls of your veins become weakened or the valves in your veins don’t work properly, varicose veins may develop.

Normally, with each pump of your heart the valves open for blood to flow toward your heart and close to keep it from flowing backward. But valves can become weak or damaged, allowing blood to pool in your veins. When this happens, the pressure of the pooled blood causes veins to bulge and twist.

Several factors that may raise your risk of varicose veins, including: 

Age

As you age, your veins and valves naturally become weaker.

Biological Sex

Women are at higher risk than men. Estrogen makes blood vessel walls more flexible, which can make them weaker. Birth control pills can also raise your risk.

Family History

If you have biological family members with varicose veins, you’re more likely to get them.

Height

The taller you are, the more pressure there is on the veins in your lower body.

Occupation and Lifestyle

Standing or sitting for long periods of time causes blood to pool in your lower body.

Pregnancy

The amount of blood in your body increases during pregnancy, which puts more pressure on the inner walls of your veins.

Weight

Excess weight increases pressure inside your veins.

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Diagnosing Varicose Veins

At the UC Davis Vascular Center, we offer the latest noninvasive imaging techniques to diagnose varicose veins. You may need to get an ultrasound or magnetic resonance venography (MRV).

These tests provide an image of the blood flow through your veins. For MRV, you will get a shot of a special dye that makes your veins show up better in the image.

A diagnosis from our specialists is important because sometimes varicose veins can lead to more serious problems. If you have varicose veins, you may be at higher risk for developing blood clots and conditions such as:

  • Deep vein thrombosis (DVT), which happens when a clot forms in a deep vein of your leg.
  • Pulmonary embolism, which develops when a clot travels to your lungs and blocks blood flow.
  • Superficial thrombophlebitis, which happens when a clot blocks a vein that is near the surface of your skin.

Varicose Vein Treatments at UC Davis Health

Treatment depends on how severe your varicose veins are and how much discomfort they cause. Whenever possible, we prioritize minimally invasive therapies. We offer three treatments that are quick, do not require an overnight stay and have short recovery times.

Compression and Elevation

These are treatments you can do on your own. Elastic support socks relieve pain and support your veins by compressing them. Elevating your feet as much as possible also relieves pressure on the veins in your legs.

Cyanoacrylate Ablation

This minimally invasive treatment is an alternative to vein removal surgery. For this procedure, our specialists inject a special glue into your vein that causes it to stick together and close.

Injection Therapy (Sclerotherapy)

Our vascular specialists inject a solution into the vein that blocks blood flow and causes it to shrink. The vein turns into a scar, and your body absorbs it over time.

Ambulatory Phlebectomy

During this minimally invasive procedure, our specialists remove the vein through an incision so small you don’t need stitches.

Endovenous Laser Therapy

Our vascular care experts use a very thin, minimally invasive optical fiber to heat the inside of the damaged vein. The vein closes, and your body absorbs it.

Radiofrequency Closure

This minimally invasive procedure uses radiofrequency energy to heat the vein, blocking it off.

Vein Removal Surgery (Venous Stripping)

Our vascular surgeons make two small incisions in your leg and tie off the varicose vein on each end of the damaged area. Then they remove the vein.

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Preventing Varicose Veins

You may not be able to prevent varicose veins, but there are things you can do to lower your risk:

  • Exercise. Regular exercise keeps your blood moving.
  • Move around. Take breaks from standing or sitting. Walk around to keep blood flowing.
  • Lose weight if you need to. Extra weight puts more pressure on your veins.
  • Put your feet up. When you’re sitting, put your feet up on a stool, or lay down instead of sitting.

Taking these steps also may reduce the chances of your varicose veins getting worse.

The specialists in our Vascular Center Vein Program provide education and support to lower your risk of developing more varicose veins. Your team will create a personalized plan that addresses your needs and concerns.

How common are they?

1 in 3Adults in the U.S. get varicose veins

Source: Society for Vascular Surgery: Varicose Veins

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