Venous Disease

Understanding Vein Disease

The veins in our bodies are blood vessels that move the blood from your body back to your heart. These veins contain valves that keep blood flowing in one direction.

When the veins or valves become damaged, it can cause blood to pool or flow backward in the legs—causing discoloration, bulging, pain, and various health conditions.

The most common venous diseases are generally not harmful but can cause slight discomfort or cause abnormal veins to be visible under the skin. More serious venous diseases can cause pain and swelling, which can disrupt other bodily functions and, in severe cases, can be dangerous if not treated.

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Comprehensive Care for Venous Diseases

With CHRISTUS Health, you can access a wide network of world-class specialists, bringing you 250 years of combined experience with heart and vascular care.

Our team includes cardiologists, surgeons, specialists, and dedicated medical staff, committed to providing personalized care for your venous disorder. With collaborative expertise and the latest advancements in medical technology, our team ensures you receive the highest standard of treatment.

You’ll receive innovative therapies and effective treatments for various venous conditions, including varicose veins, spider veins, deep-vein thrombosis, chronic venous insufficiency, and more using an integrated approach.

 

Heart and Vascular Institute

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Heart and Vascular Institute

Experience faster, easier access to exceptional heart and vascular care. The Heart and Vascular Institute in Tyler provides you with access to more than 60 cardiovascular specialists throughout Northeast Texas with 13 practice locations, an outpatient cath lab, and 14 highly-trained clinician specialists.

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Types of Vein Disease

Get treatment for a wide range of venous disorders at CHRISTUS Health including:

  • Varicose vein
  • Spider vein
  • Acute and chronic venous insufficiency
  • Superficial thrombophlebitis
  • Deep-vein thrombophlebitis
  • Chronic vein disease
  • Chronic, non-healing leg wounds

Diagnoses of Vein Diseases

Most vein disorders can be diagnosed with a simple conversation and physical evaluation with your doctor.

Your doctor will ask you questions about your symptoms and medical history, followed by a physical exam to look for swelling or visible veins. If needed, they might also recommend a quick ultrasound to look at blood flow in your legs.

This helps you identify the type and severity of your vein disorder.

Varicose & Spider Veins

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Varicose & Spider Veins

Varicose and spider veins are two types of venous diseases. These two type of diseases can appear on small and large areas on the skin.

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Treatment Options for Venous Diseases

Compression Therapy 

This is a good option for treating a venous disease that is causing mild pain or swelling. Compression socks, bandages, or pumps work by gently squeezing the affected area in your legs. This helps blood flow back up to your heart more easily, reducing swelling, fatigue, and pain.

Compression therapy is a simple way to treat mild symptoms of venous diseases, including chronic venous insufficiency, varicose veins, or spider veins.

Sclerotherapy 

This treatment is a minimally invasive option for small varicose veins and spider veins. A thin needle injects a chemical solution that causes the vein to seal close and shrink. Over time, the treated vein fades away. This procedure can improve the appearance of your legs and may also reduce discomfort.

In some cases, multiple sessions might be needed, and it’s not suitable for larger varicose veins.

Medications 

Certain medications can be used to improve symptoms and prevent complications of venous disorders. There are two main types: diuretics, and venotonics.

Medications for venous disorders are usually used with other treatments like compression therapy. Your doctor will help you consider the risks and benefits of starting medication for venous disorders.

Surgical Stripping 

Surgical stripping is a treatment option for severe varicose veins that cause significant pain, discomfort, or skin problems. During this procedure, damaged veins are removed through small incisions.

Most doctors opt for less invasive options, as this procedure requires the patient to be under anesthesia with a longer recovery process. 

Ambulatory Phlebectomy 

Ambulatory phlebectomy is a minimally invasive procedure for varicose veins, offering a good middle ground between compression therapy and surgical stripping. Like stripping, it removes varicose veins, but through much smaller incisions, for less scarring and quicker recovery.

It can often be done as an outpatient procedure. This may be a good option if you suffer from varicose veins that can’t be treated through sclerotherapy but aren't severe enough for stripping.

Ablation 

There are two main types of ablation: radiofrequency and laser ablation. Both types of ablation are minimally invasive treatments for venous disorders that use heat to close affected veins. A thin catheter is inserted into the vein and delivers radio waves or laser energy to heat the vein walls, causing them to seal shut.

Both types of ablation treatments offer faster recovery time and less scarring than surgery. 

Frequent Questions About Vein Disease

What is vein disease of the legs?  

Veins are the blood vessels that return blood from the body to the heart. The body uses one-way valves inside the veins to help blood move towards the heart and prevent it from flowing backward towards the feet, overcoming the force of gravity.

When these valves cannot function correctly or if the vein is damaged, causing the valves not to close completely, blood can accumulate in the vein. The accumulation causes congestion and increased pressure and can lead to more health issues.

What are the types of vein diseases?  

Spider veins are small, thread-like colored veins you can see on the skin's surface. Spider veins are usually a sign of hidden disease in the underlying veins in the legs.

Varicose veins are enlarged, "rope-like" surface veins that can reach a diameter of one-fourth of an inch or larger. Varicose veins often grow in size and length over time and can result in pain and complications if not treated. They are also usually caused by underlying vein disease.

Read more about spider and varicose veins.

Who Should Be Treated? 

Patients experiencing symptoms of vein disease such as pain, swelling, heaviness, cramping, aching, burning, itching, or restlessness in the legs should consider seeking treatment.

Those with visible varicose veins, spider veins, or other signs of venous insufficiency are also good candidates for treatment. Early treatment can prevent the progression of vein disease and improve quality of life.

Patients who benefit from treatment include:

  • Individuals with visible varicose veins or spider veins.
  • Those experiencing leg pain, swelling, heaviness, cramping, or restlessness.
  • Patients with a family history of vein disease.
  • Individuals whose daily activities are affected by symptoms of vein disease.
  • Those with previous vein treatments but are experiencing recurrent symptoms.
Who Should Not Be Treated? 

It is recommended that patients wait for three months after pregnancy or major surgery before seeking treatment for vein disease.

If you have recently developed a vein thrombosis, or a blood clot located deep in the vein, and you cannot walk or move around due to other conditions, you may not be a suitable candidate for certain vein treatments. Conservative management options are available.

Where does the blood go if the vein is closed by the treatment?  

The blood that would have flowed through the closed vein redirects and flows through other healthy veins after the procedure. Losing the diseased vein is not a problem for the circulatory system.

What if I don't get treatment for varicose veins?  

Varicose veins generally worsen over time. Initially, you will feel slight pain and restlessness in the diseased leg.

If untreated, your pain can increase, you might get cramps during sleep, and it can be more challenging to walk. Varicose veins may lead to sores, non-healing wounds, and tissue loss on the lower legs.

What are the complications of vein treatment? 

Sclerotherapy and endovenous ablation therapies are seldom linked to significant complications when carried out correctly. Furthermore, any discomfort following the procedure is typically minor.

Common minor complications of these procedures include bruising, mild redness, numbness, tenderness, and tightness in the treated leg for a few days to up to two weeks after the treatment.

How Do I Know If I Have Vein Disease? 

Most vein diseases can be seen on the surface of your skin. However, some diseased veins are deeper and not visible.

Monitoring other symptoms for diagnosing vein disease is essential. Common symptoms include heaviness, cramping, aching, burning, itching, swelling, soreness, restlessness, or feeling of "tired" legs, especially in the lower legs.

If you experience these symptoms, a physician can give you an easy and fast test to diagnose vein disease.

How common is vein disease?  

Vein disease of the legs is one of the most common medical conditions. Approximately 80-100 million people have some form of vein disease. Varicose veins are common, affecting 15-25% of adults and nearly 50% of people over 50. Women are diagnosed with vein disease more often.

Is vein disease hereditary?  

Yes, vein disease is heredity. Approximately 70-80% of all patients with varicose veins have a parent with vein disease.

Vein disease can also result from pregnancy.

Age, obesity, and jobs requiring extended periods of standing can also lead to vein disease.

How can I prevent vein disease?  

If you have a family history of vein disease, you cannot change your genetic predisposition.

However, maintaining a healthy weight can help slow the progression of vein disease, as excess weight can put additional pressure on your veins. Prolonged periods of standing can also exacerbate vein problems.

While diet and footwear are not typically direct causes of vein disease, they can influence its progression and overall vein health.

Venous Insufficiency