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causes, symptoms, and best treatment options for varicose veins in lower legs

Varicose Veins in Lower Legs

Do you often notice twisted, bulging veins on your calves or ankles? Do your legs feel heavy, achy, or swollen after standing for long hours? These are classic signs of varicose veins in lower legs, a common vascular condition that affects both men and women.

While some people see them as only a cosmetic concern, untreated varicose veins can cause discomfort, skin changes, and even complications like ulcers. The good news is that modern treatments are safe, effective, and minimally invasive—helping you regain both your comfort and confidence.

In this article, we’ll go through the causes, symptoms, and best treatment options for varicose veins in lower legs, and explain why consulting Dr. Santosh Patil, one of the best vascular surgeons in Pune, can help you achieve lasting relief.

What Are Varicose Veins in Lower Legs?

Varicose veins are enlarged, twisted, and bulging veins that most commonly appear in the lower legs and ankles. They occur when tiny valves inside your veins—responsible for pushing blood back to the heart—become weak or damaged.

As a result, blood pools in the veins, increasing pressure and causing them to enlarge. This is why varicose veins are often described as rope-like, raised structures visible beneath the skin.

Causes of Varicose Veins in Lower Legs

Several factors contribute to the development of lower leg varicose veins:

1. Prolonged Standing or Sitting

Jobs that involve standing for hours (like teaching, nursing, or retail) or sitting for long periods increase venous pressure in the legs.

2. Genetics

If your parents or grandparents had varicose veins, you’re more likely to develop them.

3. Age

Vein valves weaken with age, making older adults more prone to varicose veins.

4. Pregnancy & Hormonal Changes

Increased blood volume and hormonal fluctuations during pregnancy can cause temporary or permanent varicose veins.

5. Obesity

Excess body weight increases pressure on lower leg veins.

6. Sedentary Lifestyle

Lack of regular movement reduces circulation, contributing to venous insufficiency.

Symptoms of Varicose Veins in Lower Legs

The signs of varicose veins in lower legs are often visible and easy to identify:

  • Bulging, twisted veins (blue, green, or purple) on calves or ankles
  • Leg heaviness or aching, especially after standing
  • Swelling in lower legs and feet
  • Burning, throbbing, or cramping sensations
  • Skin discoloration or itching around veins
  • In advanced cases: ulcers or hardening of the skin

Are They Dangerous?

Varicose veins are not always dangerous, but leaving them untreated can lead to:

  • Chronic venous insufficiency (poor blood flow in the legs)
  • Leg ulcers that take time to heal
  • Blood clots (superficial thrombophlebitis)
  • Skin infections due to poor circulation

That’s why early treatment is recommended—not only for cosmetic reasons but also to prevent complications.

Best Treatment Options for Varicose Veins in Lower Legs

1. Endovenous Laser Treatment (EVLT)
  • A catheter is inserted into the vein, and laser energy is used to close it.
  • Minimally invasive, done under local anesthesia.
  • High success rate (>95%) with minimal downtime.
2. Radiofrequency Ablation (RFA)
  • Similar to EVLT, but uses radiofrequency energy to seal faulty veins.
  • Equally effective with fast recovery.
3. VenaSeal Treatment 
  • One of the latest advancements in varicose vein care.
  • Uses a medical-grade adhesive (glue) to seal the diseased vein permanently.
  • No heat, no tumescent anesthesia, and minimal discomfort.
  • Patients can return to normal activities immediately after the procedure.
  • Particularly suitable for patients who wish to avoid multiple needle pricks or compression stocking use post-procedure.
4. Sclerotherapy
  • A chemical solution is injected into the vein, causing it to collapse.
  • Best for smaller varicose or spider veins.
5. Compression Therapy 
  • Medical-grade stockings improve blood circulation.
  • Often used alongside or after treatments for maintenance.

Dr. Santosh Patil – Best Vascular Surgeon in Pune

Choosing the right specialist is as important as the treatment itself. Dr. Santosh Patil, one of the leading vascular and endovascular surgeons in Pune, has years of experience treating varicose veins with precision and care.

At Expert IR Clinic, Dr. Sanotsh offers:

  • Accurate diagnosis with advanced ultrasound imaging.
  • Minimally invasive treatments like EVLT and RFA for lower leg veins.
  • A personalized treatment plan for every patient.
  • High success rates with minimal pain and downtime.
  • Compassionate care that prioritizes patient comfort and confidence.

Patients trust Dr. Santosh not only for his expertise but also for his holistic approach—helping them achieve healthier legs and a better quality of life.

Frequently Asked Questions (FAQs)

Yes, they are one of the most common vascular issues, especially in people who stand or sit for long periods.

Exercise improves circulation but cannot cure varicose veins. Medical treatment is needed for lasting results.

Most people return to normal activities within 1–2 days after treatment.

No. It’s performed under local anesthesia, and patients usually experience only mild discomfort.

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Conclusion

Varicose veins in lower legs are more than just a cosmetic concern—they can affect daily comfort and long-term vascular health. Thanks to modern treatments like EVLT, RFA, and sclerotherapy, patients can now enjoy effective relief without surgery or long recovery times.

If you are experiencing leg heaviness, swelling, or visible bulging veins, it’s time to seek professional help. Book a consultation with Dr. Santosh Patil at Expert IR Clinic, Pune, and take the first step toward healthier, pain-free legs.

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