Symptoms & Diagnosis

Varicose veins can range from small, purple lines on the skin’s surface (known as “spider veins”) to thick, bulging veins that are often painful. In all instances, they are an indication of venous reflux or insufficiency, which can lead to various medical issues and potential risks if left untreated. The worst of them can include pain, pain in rest, restless leg syndrome (RLS), edema, heavy or swollen legs, or discoloration. Eczema, ulcerations and blood clots may appear during later stages of the disease.

Diagnosing varicose veins typically involves a physical exam to check for any swelling in the legs. An ultrasound imaging is used to identify a malfunctioning valve in the legs as well as potential blood clots. Further medical examinations can include venography, Pletismography or CT imaging using contrast material.  A physician will also refer to the CEAP medical classification system where 1 is rated as minor,light disorder up to 6 that is rated sever Varicose Veins disorder, to rank symptoms using a combination of sub-classifications that consider:

  • Clinical severity
  • Etiology
  • Anatomy
  • Pathophysiology

The most common symptoms of varicose veins include:

  • Leg pain and fatigue & Heaviness
  • Swollen ankles and calves
  • Restless leg syndrome
  • Skin discoloration, Matting, induration.
  • Visible tortuous varicosities
  • Pigmentation, eczema, lipodermatosclerosis
  • Skin ulcers  – incurable wounds
  • Burning and itching skin
  • Skin sensitivity, susceptibility to outside impact, haemorage, thrombophlebitis.
  • Blood clots
  • Increased risk for DVT and tissue necrosis