Overview
Varicose veins are swollen, twisted veins, usually in the legs. They happen when valves inside the veins weaken and blood pools. They can be a cosmetic concern, but they can also cause pain, swelling and skin damage.
Symptoms
- Bulging, twisted veins
- Aching or heavy legs
- Swelling of the ankles
- Itching around the veins
- Darkening of the skin near the ankle
- Ulcers in advanced cases
When to see a doctor
Seek care promptly if you have:
- A suddenly painful, swollen leg — this can be a blood clot (DVT)
- A vein that bleeds
- An open sore that does not heal
Causes
- Weak or damaged valves in the leg veins
Risk factors
- Jobs that involve long hours of standing
- Age
- Being female
- Pregnancy
- Obesity
- Family history
Diagnosis
- Clinical examination
- Venous Doppler ultrasound to map the faulty veins
Treatment
- Compression stockings, leg elevation and regular walking.
- Endovenous laser ablation — the faulty vein is closed from inside.
- Sclerotherapy for smaller veins.
- Surgery in selected cases.
At MJ Shah Hospital: Varicose veins are more than a cosmetic problem when they ache, swell or damage the skin. Laser treatment is done under local anaesthesia and most people walk the same day. Vein Clinic →
Prevention
- Keep active and avoid standing still for long periods
- Maintain a healthy weight
- Elevate your legs when resting
FAQs
Is laser treatment painful?
It is done under local anaesthesia. Most people feel little discomfort and walk the same day.
Will the veins come back?
Treated veins usually stay closed, but new varicose veins can develop over time. Compression and activity help.
Are varicose veins only cosmetic?
No. They can progress to swelling, skin changes and ulcers, so symptoms are worth treating.
Medical review: pending — Dr. Mukesh J. Shah · Content prepared October 2026. This guide is general information and does not replace a consultation.