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When Should You Worry About Varicose Veins? And Other FAQs

May 11, 2022

spider and varicose vein treatment center

When should you worry about varicose veins?

If you have large bulging veins on your legs or other parts of the body, you might be a little concerned. Varicose veins and spider veins certainly look hideous, and their appearance can lead to significant self-consciousness. Most patients with spider veins and varicose veins say they avoid going to social events that necessitate wearing skin-revealing outfits, such as beach parties because they’re self-conscious about their vascular health. The long-term presence of spider veins and varicose veins can negatively affect your mental health and confidence.

People often assume spider veins and varicose veins are purely cosmetic problems. But that’s simply not true. You should definitely consider vein treatment if you are self-conscious, but there are also medical reasons to pursue vein treatment. You should be worried about varicose veins and seek treatment if you notice the signs and symptoms of chronic venous insufficiency, the root cause of most vein problems. You may also need to contact a vein doctor if your varicose veins are extremely enlarged and dilated.

Vein Treatment Clinic is a group of state-of-the-art spider vein and varicose vein clinics in New York, New Jersey, California, and Washington DC. Our board-certified vein doctors carefully examine your varicose veins, determine if you have a serious problem, and curate personalized minimally invasive vein treatment plans. But how do you know that you need to consult vein doctors? When should you be worried about varicose veins? Below, we highlight a few situations that indicate it’s time to schedule an appointment with vein doctors.

When should you worry about varicose veins? Are varicose veins dangerous? We answer your questions about varicose veins and help you find reliable vein doctors.

When the varicose veins are extremely enlarged

Varicose veins fall within a spectrum of vein problems. When excess blood accumulates in leg veins, your vein walls dilate and start bulging outwards. Spider veins are the first stage of the problem — they’re dense clusters of blood vessels that remain underneath the skin’s surface. As blood continues accumulating, you may develop reticular veins that are larger than spider veins but smaller than varicose veins. And as more blood accumulates in the leg veins, you eventually develop large and protruding blood vessels, also known as varicose veins.

Varicose veins are dense blood vessels that bulge out of the skin’s surface, looking like a mass of twisted, tangled, and knotted rope-like veins. The presence of varicose veins indicates that you have a lot of blood accumulated in the leg veins, and you should definitely consult a vein doctor. If you don’t consult a vein doctor, blood will continue accumulating in the leg veins, eventually leading to excessively enlarged varicose veins with weak walls. In that state, the varicose veins are prone to bursting, which can cause profuse bleeding.

When you experience leg pain, muscle cramps, restless leg syndrome, and other symptoms of vein disease

As mentioned previously, varicose veins are usually symptomatic of an underlying medical condition known as chronic venous insufficiency. Healthy veins contain valves that act as one-way doors, allowing blood to flow towards the heart but not backward because of gravity. When your vein valves collapse, blood flows backward because of gravity and accumulates in the leg veins, eventually leading to dilated veins, spider veins, and varicose veins. Besides the visible signs of vein disease, you should also be mindful of the symptoms (things you feel).

The earliest symptoms of vein disease are fairly mild and benign, and they’re often misattributed to exhaustion and aging. The earliest symptoms of vein disease include leg heaviness, leg pain, frequent muscle cramps in the legs, leg swelling, and restless leg syndrome. These symptoms usually worsen at the end of the day or after you have been sitting or standing for long periods of time, i.e., after blood has accumulated in the lower legs. If you notice these symptoms with varicose veins, you should definitely contact a vein doctor.

When you notice signs of blood clots, skin ulcers, and deep vein thrombosis

If you continue avoiding vein treatments, blood will continue accumulating in the leg veins. If left untreated, chronic venous insufficiency can eventually lead to numerous long-term problems and complications, such as the formation of blood clots, skin ulcers on the legs, and deep vein thrombosis. These are extremely dangerous conditions that necessitate immediate treatment. You must contact your spider vein and varicose vein treatment center if you notice these problems.

What are my varicose vein treatment options?

Now that you understand when to be concerned about varicose veins, it’s time to consider your varicose vein treatment options. In the past, the only way to treat varicose veins was through complex surgical procedures that involved considerable downtime. But modern minimally invasive vein treatments are in-office procedures that conclude within an hour and allow you to resume your daily activities and work immediately after the treatment.

When you contact a reliable vein doctor, they should perform a thorough assessment of your condition. The vein doctor will examine your leg veins, review your medical history, discuss your symptoms, and administer ultrasound tests to visualize the root cause of your vein problems. If you have chronic venous insufficiency, the vein doctor should curate a personalized vein treatment plan consisting of minimally invasive procedures.

The best varicose vein treatments are radiofrequency ablation, laser ablation, venaseal, clarivein, and ambulatory phlebectomy. The vein doctor will use numerous techniques to collapse or seal the diseased saphenous vein responsible for your vein problems, rerouting the accumulated blood into healthier leg veins. After the primary vein treatment, the vein doctor may use ambulatory phlebectomy to remove the superficial varicose veins from your legs.

Minimally invasive spider vein and varicose vein treatments conclude within an hour, following which you may resume your daily activities and work. Please contact reliable vein doctors near your location if you have spider veins or varicose veins.

When Should You Worry About Varicose Veins? And Other FAQsVTC

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Scheduling a consultation with one of our vein treatment experts is one of the best ways to determine the proper resolution for your varicose veins. The treatments can include sclerotherapy, laser or radiofrequency ablation, a medication called Varithena, or procedures such as Venaseal, or Clarivein.

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Vein Doctor New York - Dr. Michael Nguyen

Contributing Author

Dr. Michael Nguyen

Harvard Trained | Spider & Varicose Veins Specialist

Dr. Michael Nguyen is a world renowned and Harvard trained vein specialist in Manhattan. He leads the team of vein doctors offering the highest level of care at the Spider and Varicose Vein Treatment Center in New York & New Jersey.

Book now
Meet our diplomat-certified team

Dr. Michael Nguyen

VENOUS SPECIALIST | Harvard Medical School

Dr. Michael Nguyen is a world renowned and Harvard trained vein specialist in Manhattan. He leads the team of vein doctors offering the highest level of care at the Spider and Varicose Vein Treatment Center.

As a pioneer in the treatment of varicose veins problems, Dr. Nguyen is considered a top vein expert for developing minimally invasive and customized treatment plans for the many symptoms of venous insufficiency, including leg cramps, skin discoloration on legs, spider vein removal, and restless leg syndrome.

Dr. Michael Nguyen
Meet our diplomat-certified team

Dr. Caroline Novak

Venous Specialist | NORTHWESTERN UNIVERSITY

Dr. Caroline Novak is a double Board Certified vein specialist in Paramus and Clifton, NJ. Dr. Novak is well known for continuously performing the best treatment for spider veins and varicose vein removal in the New Jersey area. She is committed to developing long lasting relationships with her patients, allowing her to personalize a varicose and spider veins treatment plan that successfully meets her patients' goals.

At her Clifton and Paramus vein clinic, Dr. Novak utilizes the latest and most advanced technology to restore patients back to health without unnecessary surgery, and with minimal to no downtime.

There are a variety of minimally-invasive varicose vein treatment options available. Your vein doctor can perform the procedure on-site and have you back on your feet in under an hour.
Meet our diplomat-certified team

Dr. Sareh Rajaee

Venous Specialist | BROWN UNIVERSITY

Dr. Sareh Rajaee is a Board Certified Vascular Surgeon and Vein Disease specialist. She is highly sought after for his expertise and excellent outcomes in spider veins and varicose vein removal. She is proud to serve the New York community at our vein clinic in Manhattan.

Our vein clinics offer FREE insurance verification– most vein treatments are covered by all major medical insurances, including Medicare.

There are a variety of minimally-invasive varicose vein treatment options available. Your vein doctor can perform the procedure on-site and have you back on your feet in under an hour.
Meet our diplomat-certified team

Dr. Todd Kobrinski

Vein Specialist | GEORGE WASHINGTON UNIVERSITY

Dr. Todd’s goal as a vein treatment doctor is to help patients achieve the best quality of life. After learning about you, how vein disease is affecting you and why, he is able to craft a customized treatment plan for your spider and varicose veins.

Our vein clinics offer FREE insurance verification– most vein treatments are covered by all major medical insurances, including Medicare.

There are a variety of minimally-invasive varicose vein treatment options available. Your vein doctor can perform the procedure on-site and have you back on your feet in under an hour.
Meet our diplomat-certified team

Dr. Juan Montoya

VASCULAR SPECIALIST | Yale Medical School

Dr. Montoya is a Vein Specialist and Vascular doctor in New York. He is highly sought after for his expertise and excellent outcomes in cardiac surgery, and is now proud to serve the Vein Clinics in Manhattan, NY.

Dr. Montoya performs the latest minimally-invasive vein treatments to treat Chronic Venous Insufficiency; a condition that leads to spider veins and varicose veins, along with symptoms such as leg cramping, pain, and fatigue.

Dr. Juan Montoya
Meet our diplomat-certified team

Dr. Carly Guthrie

VENOUS SPECIALIST | Harvard Medical School

Dr. Carly Guthrie is the co-director of the Spider and Varicose Vein Treatment Clinic in San Diego. Dr. Guthrie is a double Board-Certified vein specialist, and is regarded as one of the top interventional ultrasonographers in the country. In her years of training and on staff at Harvard, she worked with the top venous specialists in the world, attending some of the most complex cases. Her areas of expertise include radiofrequency ablation using ultrasound guidance, sclerotherapy, phlebectomy, and the newly approved VenaSeal technique for treatment of venous insufficiency and varicose veins.

Dr. Guthrie is focused on bringing the newest and most-advanced treatments to Southern California in order to decrease recovery times and improve patient satisfaction.

Dr. Carly Guthrie - Vein Doctor called phlebologist
Meet our diplomat-certified team

Dr. Billy Schoenfeld

VENOUS SPECIALIST | Harvard Medical School

Dr. Schoenfeld has advanced training in ultrasound and venous access, having treated thousands of patients in his career. He is a specialist in the treatment of venous insufficiency and varicose veins, including ultrasound guided radiofrequency ablation, sclerotherapy, and phlebectomy.

Dr. Schoenfeld is focused on introducing new therapies to San Diego, such as the recently FDA-approved VenaSeal procedure for treatment of varicose veins. During his training at Harvard he worked with the best doctors in venous medicine and is now devoted to bringing those state-of-the-art technologies and treatments to Southern California.

Dr. Billy Schoenfeld
Meet our diplomat-certified team

Dr. Jasmine Koo

VENOUS SPECIALIST | UNIVERSITY OF WASHINGTON

Dr. Jasmine specializes in minimally invasive treatments for spider and varicose vein removal in San Diego, California. Her areas of expertise include Sclerotherapy treatment, radiofrquency ablation, and VenaSeal treatment for chronic venous insufficiency.

Our Vein Clinic San Diego offers FREE insurance verification– most vein treatments are covered by all major medical insurances, including Medicare.

Dr. Jasmine Koo
Meet our diplomat-certified team

Dr. Amanda Steinberger

VENOUS SPECIALIST | Philadelphia College of Osteopathic Medicine

Dr. Steinberger has a great passion for the treatment of chronic venous insufficiency, which is demonstrated by her technical precision, unparalleled bedside manner, and extraordinary results. She is board certified in Interventional Radiology and Diagnostic Radiology by the American Board of Radiology.

Dr. Jasmine Koo
Meet our diplomat-certified team

Dr. Thomas Arnold

Vein Doctor | Pennsylvania University

Dr. Thomas Arnold has significant experience with thousands of procedures performed for spider and varicose vein removal. He is adept at ultrasound guided procedures and cutting-edge vein treatment methods for vein disease.

Dr. Jasmine Koo
Meet our diplomat-certified team

Dr. Kamran Saraf

Vein Doctor | Georgetown University

Dr. Kamran provides treatments to relief the symptoms of chronic venous insufficiency; a condition commonly known for causing spider and varicose veins, leg heaviness, swelling and discomfort amongst other symptoms. Dr. Kamran is known as a top varicose vein specialist for his excellent outcomes and extraordinary patient care.

Dr. Jasmine Koo
Meet our diplomat-certified team

Dr. Walter Lech

Vein Doctor | Harvard Medical School

Dr. Lech’s advanced technical skills are rivaled only by his empathetic, patient-centric approach to care. For the past several years, he has applied the same detail-oriented, compassionate treatment philosophy to patients suffering with chronic venous and lymphatic disorders.

Dr. Jasmine Koo
Meet our diplomat-certified team

Dr. Mitchell Karmel

Venous Specialist | Harvard Medical School

Dr. Karmel is triple board certified with extensive experience in vascular imaging. He completed a radiology residency at Cornell Hospitals, where he served as chief resident. Dr. Karmel completed a two-year fellowship in Cardiovascular/Interventional Radiology at Harvard Medical School rotating though Brigham and Women’s Hospital, The Dana Farber Cancer Institute, and Boston Children’s Hospital. He has vast experience in vascular procedures and is coauthor on several peer reviewed papers and presentations.

Dr. Jasmine Koo
Meet our diplomat-certified team

Dr. Zalekha Shair

Venous Specialist | New York Medical College

Dr. Zalekha Shair is a board-certified surgeon with extensive experience as a varicose vein and spider vein doctor. A long-island native, Dr. Shair completed her undergraduate studies at SUNY Stony Brook before completing a masters program and obtaining her Medical Degree at New York Medical College.

vein doctor in Long Island
Dr. Nguyen
Dr. Caroline Novak
Dr. Caroline Novak
Dr. Caroline Novak
Dr. Juan Montoya
Dr. Carly Guthrie
Dr. Billy Schoenfeld
Dr. Jasmine Koo
Dr. Jasmine Koo
Dr. Jasmine Koo
Dr. Jasmine Koo
Dr. Jasmine Koo
Dr. Jasmine Koo
Dr. Jasmine Koo
Dr. Nguyen
Dr. Caroline Novak
Dr. Caroline Novak
Dr. Caroline Novak
Dr. Juan Montoya
Dr. Carly Guthrie
Dr. Billy Schoenfeld
Dr.-Jung-_-vein-specialist-houston
Dr.-Jung-_-vein-specialist-houston
Dr.-Jung-_-vein-specialist-houston
Dr.-Jung-_-vein-specialist-houston
Dr.-Jung-_-vein-specialist-houston
Dr.-Jung-_-vein-specialist-houston
Dr.-Jung-_-vein-specialist-houston

Michael Nguyen MD

Triple Certified
Harvard Medical School

Dr. Michael Nguyen is a world renowned and Harvard trained vein specialist, leading the Spider and Varicose Vein Treatment Center in New York. Dr. Nguyen has been a pioneer in the treatment of varicose veins problems, as well as the many signs of venous insufficiency, including: leg cramps, painful varicose veins, leg swelling, restless leg, and skin discoloration on legs.
Read more >>

Caroline Novak MD

GEORGE WASHINGTON UNIVERSITY

Dr. Todd’s goal as a vein treatment doctor is to help patients achieve the best quality of life. After learning about you, how vein disease is affecting you and why, he is able to craft a customized treatment plan for your spider and varicose veins.
Our vein clinics offer FREE insurance verification– most vein treatments are covered by all major medical insurances, including Medicare.
Read more >>

Sareh Rajaee MD

BROWN UNIVERSITY

Dr. Sareh Rajaee is a Board Certified Vascular Surgeon and Vein Disease specialist. She is highly sought after for his expertise and excellent outcomes in spider veins and varicose vein removal. She is proud to serve the New York community at our vein clinic in Manhattan. Our vein clinics offer FREE insurance verification– most vein treatments are covered by all major medical insurances, including Medicare.
Read more >>

Todd Kobrinski MD

BROWN UNIVERSITY

Dr. Todd’s goal as a vein treatment doctor is to help patients achieve the best quality of life. After learning about you, how vein disease is affecting you and why, he is able to craft a customized treatment plan for your spider and varicose veins.
Our vein clinics offer FREE insurance verification– most vein treatments are covered by all major medical insurances, including Medicare.
Read more >>

Juan Montoya MD

NYC VEIN SPECIALIST
YALE MEDICAL SCHOOL

Dr. Montoya is a Vein Specialist and Vascular doctor in Manhattan. He is considered one of the best spider vein doctors in Manhattan, having successfully restored thousands of patients back to health, by implementing cutting edge treatments such as radiofrequency ablation, VenaSeal, and sclerotherapy for spider veins.
Read more >>

Carly Guthrie MD

Double Certified
Harvard Medical School

Dr. Guthrie is the co-director of the Spider and Varicose Vein Treatment Clinic in San Diego. She is recognized as one of the best varicose vein doctors in SD, and has developed a career specializing in minimally invasive varicose vein treatment options.

Read more >>

Billy Schoenfeld MD

Double Certified
Harvard Medical School

Dr. Schoenfeld is a specialist in the treatment of venous insufficiency and varicose veins, including ultrasound-guided radiofrequency ablation, sclerotherapy, and phlebectomy for spider vein removal. He also has advanced training in ultrasound and venous access, having treated thousands of patients at the Vein Treatment Center in San Diego, CA.

Read more >>

Jasmine Koo MD

UNIVERSITY OF WASHINGTON

Dr. Jasmine specializes in minimally invasive treatments for spider and varicose vein removal in San Diego, California. Her areas of expertise include Sclerotherapy treatment, radiofrquency ablation, and VenaSeal treatment for chronic venous insufficiency.

Our Vein Clinic San Diego offers FREE insurance verification– most vein treatments are covered by all major medical insurances, including Medicare.

Read more >>

Amanda Steinberger DM

Philadelphia College of Osteopathic Medicine

Dr. Steinberger has a great passion for the treatment of chronic venous insufficiency, which is demonstrated by her technical precision, unparalleled bedside manner, and extraordinary results. She is board certified in Interventional Radiology and Diagnostic Radiology by the American Board of Radiology.

Read more >>

Thomas Arnold MD

Pennsylvania University

Dr. Thomas Arnold has significant experience with thousands of procedures performed for spider and varicose vein removal. He is adept at ultrasound guided procedures and cutting-edge vein treatment methods for vein disease.

Read more >>

Kamran Saraf MD

Georgetown University

Dr. Kamran provides treatments to relief the symptoms of chronic venous insufficiency; a condition commonly known for causing spider and varicose veins, leg heaviness, swelling and discomfort amongst other symptoms. Dr. Kamran is known as a top varicose vein specialist for his excellent outcomes and extraordinary patient care.

Read more >>

Walter Lech MD

Harvard Medical School

Dr. Lech’s advanced technical skills are rivaled only by his empathetic, patient-centric approach to care. For the past several years, he has applied the same detail-oriented, compassionate treatment philosophy to patients suffering with chronic venous and lymphatic disorders.

Read more >>

Mitchell Karmel MD

Harvard Medical School
Dr. Karmel is triple board certified with extensive experience in vascular imaging. He completed a radiology residency at Cornell Hospitals, where he served as chief resident. Dr. Karmel completed a two-year fellowship in Cardiovascular/Interventional Radiology at Harvard Medical School rotating though Brigham and Women’s Hospital, The Dana Farber Cancer Institute, and Boston Children’s Hospital. He has vast experience in vascular procedures and is coauthor on several peer reviewed papers and presentations.
Read more >>

Zalekha Shair MD

New York Medical College
Dr. Zalekha Shair is a board-certified surgeon with extensive experience as a varicose vein and spider vein doctor. A long-island native, Dr. Shair completed her undergraduate studies at SUNY Stony Brook before completing a masters program and obtaining her Medical Degree at New York Medical College.
Read more >>
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