Do I Need Medical Treatment for Varicose Veins from Standing? - Surgery

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Varicose veins


Hello, Doctor: Due to long periods of standing at work, I have developed purple streaks on my calves.
After wearing compression stockings for two days, I noticed indentations.
Should I see a doctor for treatment?

Xiao Zhi, 20~29 year old female. Ask Date: 2022/06/21

Dr. Ke Fangxu reply Surgery


This is a phenomenon of varicose veins.
It is generally recommended to wear compression stockings; the appearance of marks is a normal occurrence.
It is advisable to rest and elevate the legs, and the duration of wearing the stockings should not be excessive.
Currently, there is no urgent need for medical attention.
If the blood vessels persist, you may consult a plastic surgeon or a dermatologist for sclerotherapy treatment.

Reply Date: 2022/06/21

More Info


Varicose veins, often characterized by swollen, twisted veins that can be seen just under the surface of the skin, are a common condition, particularly among individuals whose jobs require prolonged standing. The appearance of purple blood vessels in your calves, especially after standing for long periods, is a sign that you may be experiencing venous insufficiency. This occurs when the veins struggle to send blood back to the heart, leading to pooling and the formation of varicose veins.

Given your symptoms and the fact that you have already tried wearing compression stockings, it is advisable to consult with a healthcare professional. Compression stockings are often the first line of treatment for varicose veins, as they help improve circulation and reduce swelling. However, if you are experiencing discomfort or if the stockings are causing marks on your skin, it may indicate that they are either too tight or not the right fit for you. It is essential to ensure that you are using the correct size and compression level, as improper use can lead to more issues.

In addition to compression therapy, there are several other treatment options available for varicose veins. These include:
1. Lifestyle Changes: Simple modifications such as elevating your legs when resting, avoiding prolonged periods of standing or sitting, and maintaining a healthy weight can significantly alleviate symptoms.

2. Sclerotherapy: This is a minimally invasive procedure where a solution is injected into the affected veins, causing them to collapse and fade from view. It is typically used for smaller varicose veins and spider veins.

3. Laser Treatments: Endovenous laser therapy (EVLT) uses laser energy to close off varicose veins. This method is effective and has a shorter recovery time compared to traditional surgery.

4. Radiofrequency Ablation: Similar to laser treatment, this technique uses radiofrequency energy to heat and close off varicose veins.

5. Surgical Options: In more severe cases, surgical procedures such as vein stripping or ligation may be necessary to remove the affected veins.

6. Medication: While there are no specific medications to treat varicose veins, some may help alleviate symptoms such as pain or swelling.

It is important to note that while varicose veins are often considered a cosmetic issue, they can lead to more serious complications if left untreated. These complications can include chronic venous insufficiency, skin changes, or even venous ulcers. Therefore, seeking medical advice is crucial, especially if you are experiencing discomfort or if the condition is worsening.

In conclusion, it is advisable to consult with a healthcare provider, preferably a vascular specialist, who can assess your condition and recommend the most appropriate treatment options based on the severity of your varicose veins and your overall health. Early intervention can help prevent the progression of the condition and improve your quality of life.

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