Do You Have Vein Problems?

Your doctor can assess you and advise options. (He or she may not yet be aware of the new treatment options.)

A referral for expert examination and imaging with blood vessel (Doppler) ultrasound will help define your problem.

What are the different types of vein problems ?

• Spider and thread veins are small ( 0.5 – 1mm ) thread-like superficial veins, which mainly cause cosmetic discomfort, but can occasionally cause symptomatic aching and itching.
• Larger reticular or feeder veins ( 1– 3mm ) are prominent blue unsightly and more often troublesome. They may signify a deeper venous pressure problem, which can be revealed with Doppler ultrasound.
• Varicose veins are common and affect 25% of women and 15% of men significantly They are often familial and can become quite large. They are commonest below the knee but frequently affect the whole leg or legs. They grow in size over time and if not treated can cause skin changes and ulcers.
• Thrombophlebitis: Some people with longstanding varicose veins may develop a hot, tender superficial vein. This is not a DVT ( deep vein thrombosis )but is thrombophlebitis, an inflammatory condition, that is usually not serious and resolves leaving a hard lumpy vein. This is treated by your GP. Subsequent treatment of the incompetent vein higher up may prevent further episodes, but the hard vein is left in place to resolve.
• Deep vein thrombosis ( DVT ) known as “economy class syndrome “ is a serious medical condition requiring early diagnosis and prompt treatment to thin the blood and prevent further clotting and spread of clot to the lungs. If you suspect you have a DVT, seek immediate medical advice. Having varicose veins DOES NOT increase your risk of spontaneously getting a DVT. Again, if in doubt, seek medical advice.