Varicose veins Leg affected by varicose veins Pronunciation Specialty , Vascular surgery dermatology  Symptoms None, fullness, pain in the area  Complications Bleeding , superficial thrombophlebitis   Risk factors , not enough exercise, leg trauma, Obesity , family history pregnancy  Diagnostic method Based on examination  Differential diagnosis , Arterial insufficiency peripheral neuritis  Treatment , exercise, Compression stockings , surgery sclerotherapy   Prognosis Commonly reoccur  Frequency Very common  Varicose veins are that have become enlarged and twisted. superficial veins  Typically they occur just under the skin in the legs.  Usually they result in few symptoms but some may experience fullness or pain in the area.  Complications may include bleeding or  . superficial thrombophlebitis  When  occur in the varices it is known as a scrotum while those around the varicocele are known as anus . hemorrhoids 
Often there is no specific cause.
Risk factors include  , not enough exercise, leg trauma, and a obesity of the condition. family history They also occur more commonly in  . pregnancy Occasionally they result from  . chronic venous insufficiency The underlying mechanism involves weak or damaged valves in the veins.  Diagnosis is typically by examination and may be supported by  . ultrasound In contrast  involve the spider veins and are smaller. capillaries  
Treatment may involve life-style changes or medical procedures with the goal of improving symptoms and appearance.
Life-style changes may include  , exercise, elevating the legs, and weight loss. compression stockings Medical procedures include  , sclerotherapy , and laser surgery . vein stripping  Following treatment there is often reoccurrence.  
Varicose veins are very common, affected about 30% of people at some point in time.
 They become more common with age.  Women are affected about twice as often as men.  Varicose veins has been described throughout history and have been treated with surgery since at least A.D. 400.  
Signs and symptoms
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( January 2016)
. heavy legs  Appearance of spider veins (
) in the affected leg. telangiectasia Ankle swelling, especially in the evening.
 A brownish-yellow shiny skin discoloration near the affected veins.
Redness, dryness, and itchiness of areas of skin, termed
or venous stasis dermatitis , because of waste products building up in the leg. eczema Cramps
may develop especially when making a sudden move as standing up.  Minor injuries to the area may bleed more than normal or take a long time to heal.
In some people the skin above the ankle may shrink (
) because the fat underneath the skin becomes hard. lipodermatosclerosis
appears to be a common overlapping clinical syndrome in people with varicose veins and other Restless legs syndrome . chronic venous insufficiency Whitened, irregular scar-like patches can appear at the ankles. This is known as . atrophie blanche
Most varicose veins are reasonably benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb.
Pain, tenderness, heaviness, inability to walk or stand for long hours, thus hindering work
Skin conditions /
which could predispose skin loss dermatitis Skin ulcers especially near the ankle, usually referred to as
. venous ulcers Development of
or carcinoma in longstanding venous ulcers. Over 100 reported cases of malignant transformation have been reported at a rate reported as 0.4% to 1%. sarcoma  Severe bleeding from minor trauma, of particular concern in the elderly.
within affected veins, termed Blood clotting . These are frequently isolated to the superficial veins, but can extend into deep veins, becoming a more serious problem. superficial thrombophlebitis Acute fat necrosis can occur, especially at the ankle of overweight people with varicose veins. Females have a higher tendency of being affected than males.