*Varicose veins are  enlarged veins. The word "varicose" comes from the
Latin root "varix," which means "twisted." *
**
*Any vein may become varicose, but the veins most commonly affected are
those in your legs and feet. That's because standing and walking upright
increases the pressure in the veins in your lower body.*
**
*For many people, varicose veins and spider veins — a common, mild and
medically insignificant variation of varicose veins — are simply a cosmetic
concern. For other people, varicose veins can cause aching pain and
discomfort. Sometimes the condition leads to more serious problems. Varicose
veins may also signal a higher risk of other disorders of the circulatory
system.*
**
*Varicose veins are a common condition in the United States, affecting up to
15 percent of men and up to 25 percent of women. Treatment may involve
self-help measures or procedures by your doctor to close or remove veins.*

*Signs and symptoms*

*Some people with varicose veins don't experience any discomfort from the
condition. When painful signs and symptoms do occur, they may include:*

   - *An achy or heavy feeling in your legs, and burning, throbbing,
   muscle cramping and swelling in your lower legs. Prolonged sitting or
   standing tends to make your legs feel worse. *
   - *Itching around one or more of your veins. *
   - *Skin ulcers near your ankle, which represent a severe form of
   vascular disease and require immediate attention. *




*Varicose veins are dark purple or blue in color and may appear twisted and
bulging — like cords. They commonly appear on the backs of the calves or on
the inside of the leg. However, they can form anywhere on your legs, from
your groin to your ankle.*
**
*Spider veins are similar to varicose veins, but they're smaller. Spider
veins are found closer to the skin's surface and are often red or blue. They
occur on the legs, but can also be found on the face. Spider veins vary in
size and often look like a spider's web or a tree branch.*



* * <http://www.mayoclinic.com/health/varicose-veins/DS00256/DSECTION=1>
 *Arteries carry blood from your heart to the rest of your tissues. Veins
return blood from the rest of your body to your heart, so the blood can be
recirculated. To return blood to your heart, the veins in your legs must
work against gravity. Muscle contractions in your lower legs act as pumps,
while toned, elastic vein walls help blood return to your heart. Tiny
one-way valves in your veins open as blood flows toward your heart then
close to stop blood from flowing backward.*
**
**
*As you get older your veins can lose elasticity, causing them to stretch.
The valves in your veins may become weak, allowing blood that should be
moving toward your heart to flow backward. Blood pools in your veins, and
your veins enlarge and become varicose. The veins appear blue because they
contain deoxygenated blood, which is in the process of being recirculated.*
**
**
*Some pregnant women develop varicose veins. Pregnancy increases the volume
of blood in your body, but decreases the flow of blood from your legs to
your pelvis. This circulatory change is designed to support the growing
fetus, but it can produce an unfortunate side effect — enlarged veins in
your legs. Varicose veins may surface for the first time or may worsen
during late pregnancy, when your uterus exerts greater pressure on the veins
in your legs. Hemorrhoids are varicose veins located in and around the anus.
*

Treatment *Fortunately, treatment usually doesn't mean a hospital stay or a
long, uncomfortable recovery. Less invasive techniques generally allow
varicose veins to be dealt with on an outpatient basis. Self-help measures —
such as exercising, losing weight, not wearing tight clothes, elevating your
legs and avoiding long periods of standing or sitting — can ease pain and
prevent varicose veins from getting worse. Varicose veins that develop
during pregnancy generally improve without medical treatment within three
months after delivery.*
*If you don't respond to self-help or if your condition is more severe, your
doctor may advise one of these varicose vein treatments:*

   - *Sclerotherapy. In this procedure, your doctor injects small- and
   medium-sized varicose veins with a solution that scars and closes those
   veins. In a few weeks, treated varicose veins should fade. Although the same
   vein may need to be injected more than once, sclerotherapy is effective if
   done correctly. Sclerotherapy doesn't require anesthesia and can be done in
   your doctor's office. *
   - *Laser surgeries. Doctors are using new technology in laser
   treatments to close off smaller varicose veins and spider veins. Laser
   surgery works by sending strong bursts of light onto the vein, which makes
   the vein slowly fade and disappear. No incisions or needles are used.
   *
   - *Catheter-assisted procedures. In one of these treatments, your
   doctor inserts a thin tube (catheter) into an enlarged vein and heats the
   tip of the catheter. As the catheter is pulled out, the heat destroys the
   vein by causing it to collapse and seal shut. This procedure is usually done
   for larger varicose veins. *
   - *Vein stripping. This procedure involves removing a long vein
   through small incisions. This is an outpatient procedure for most people.
   Removing the vein won't affect circulation in your leg because veins deeper
   in the leg take care of the larger volumes of blood. *
   - *Ambulatory phlebectomy (fluh-BEK-to-me). Your doctor removes
   smaller varicose veins through a series of tiny skin punctures. Local
   anesthesia is used in this outpatient procedure. Scarring is generally
   minimal. *
   - *Endoscopic vein surgery. You might need this operation only in an
   advanced case involving leg ulcers. Your surgeon uses a thin video camera
   inserted in your leg to visualize and close varicose veins, and then removes
   the veins through small incisions. *

*Be a cautious consumer*
*
When it comes to treatment options for varicose veins, it pays to be a
cautious health consumer. Advertisements claiming "unique," "permanent" or
"painless" methods to remove varicose veins may be appealing, but they may
not actually measure up to those claims. Before undergoing any procedure,
ask your doctor about any health risks and possible side effects.
*
*You may want to inquire about treatment costs, as well. Most insurance
policies don't cover the expense of elective cosmetic surgery for varicose
veins. However, in many cases, if you have signs or symptoms such as
swelling and bleeding, insurance may cover the treatment.*
*Current treatments for varicose veins and spider veins are highly
successful. However, it's possible that varicose veins can recur.*
**


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