Can Treatment for Varicose Veins or Spider Veins Make Legs Worse?

Varicose veins and spider veins are common vascular conditions that affect millions of people worldwide. According to a study by the National Library of Medicine (NIH), the global prevalence of varicose veins varies from two to 73 percent, with higher rates in Western and developed countries. According to the Society for Vascular Surgery, up to 35 percent of people in the United States have varicose veins.

Varicose veins, characterized by their noticeable, swollen appearance, and spider veins with their tell-tale tiny but visible superficial veins, can lead to physical discomfort and feelings of self-consciousness, prompting many individuals to seek medical solutions. However, a common concern among patients is whether these treatments could potentially worsen their condition. In this blog post, we'll explore this question and shed light on the effectiveness and safety of modern vein treatments.

Understanding Varicose Veins and Spider Veins

Before exploring treatment options, it's essential to understand the nature of varicose veins and spider veins. Varicose veins are enlarged, twisted veins that often appear blue or purple and are most commonly found in the legs. Spider veins, on the other hand, are smaller, red, purple, or blue vessels that twist and turn, resembling spider webs or tree branches.

Both conditions are typically caused by chronic venous insufficiency (CVI), a condition in which the valves in the veins that prevent blood from flowing backward become weak or damaged. Also known as venous reflux, this leads to blood pooling in the veins, causing them to enlarge and become visible through the skin.

Modern Vein Treatments: Safe and Effective

The good news is that today's advanced vein treatments are proven safe and effective when performed by experienced professionals, per Center for Vein Restoration's Dr. Peter Pappas. A renowned vascular surgeon and Director of the Venous and Lymphatic Medicine (VLM) Fellowship Program at Center for Vein Restoration (CVR), Dr. Pappas is also the lead physician at CVR vein clinics in Union, New Jersey, and Morristown, New Jersey.

"Today's modern vein procedures are vastly different from the invasive and painful treatments of the past. Minimally invasive techniques are now performed in-office under local anesthesia, allowing patients to drive themselves home and resume normal activities within a few days. These procedures are safe, effective, and convenient, with most sessions lasting only 20 to 30 minutes. The outcomes are highly successful, providing both cosmetic and symptomatic relief." – Dr. Peter Pappas

Examples of outpatient treatment options for CVI:

1. Sclerotherapy: The vein physician injects a solution directly into the affected veins, causing the problem veins to collapse and fade over time. The Mayo Clinic calls sclerotherapy "generally safe with few complications." Some side effects include bruising, raised red areas, darkened skin, and tiny red blood vessels, which go away within days to weeks.
2. Endovenous laser treatment (EVLT): A thin laser fiber is inserted into the vein, delivering heat that causes the vein to close and collapse. According to Brigham and Women's Hospital, EVLT therapy is clinically proven, safe, and effective, with a more than 95 percent initial success rate and excellent long-term results.
3. Radiofrequency ablation: Like EVLT, it uses radiofrequency energy instead of laser light to close problem veins. Blood is redirected to healthier nearby veins.
4. Ambulatory phlebectomy: Tiny incisions are made to remove surface veins using local anesthesia.

These treatment options for varicose and spider veins have been extensively studied and refined over the years, with high success rates and low complication rates.

Center for Vein Restoration (CVR) is the leading vein care provider, specializing in minimally invasive treatments for conditions like varicose veins and spider veins. Providing personalized vein care in a comfortable outpatient setting since 2007, CVR utilizes only advanced techniques to manage and treat chronic venous insufficiency.

Most insurance plans, including Medicare and Medicaid, cover vein treatment at CVR to alleviate symptoms and improve patient leg comfort and overall well-being.

Can Vein Treatments Make Legs Worse?

The short answer is that when performed correctly by a board-certified vein health professional, vein treatments should not make your legs worse. In fact, they consistently lead to significant improvements in both appearance and symptoms.

However, it's important to note that, like any medical procedure, there can be temporary side effects or, in rare cases, complications. These may include:

1. Bruising or discoloration: This is common but typically resolves within a few weeks.
2. Mild discomfort: Some patients may experience soreness or tightness in the treated area, which usually subsides quickly.
3. Skin changes: In rare cases, changes in skin pigmentation or small areas of numbness may occur.
4. Recurrence: While vein treatments are effective, the fact that chronic venous insufficiency is a progressive disease. New varicose veins or spider veins can develop over time.

Understanding that these potential side effects are usually minor and temporary is important. The long-term benefits of treatment typically far outweigh these short-term inconveniences.

The Importance of Timely Diagnosis and Treatment

According to the National Library of Medicine (NIH), timely diagnosis and treatment of chronic venous insufficiency (CVI) are critical in preventing disease progression and complications. Without early intervention, CVI can lead to severe outcomes like venous ulcers, infections, and deep vein thrombosis, significantly diminishing patients' quality of life and work productivity.

"Disability associated with chronic venous insufficiency contributes to a diminished quality of life and loss of work productivity. In most cases, the underlying cause is incompetent venous valves. Each year, approximately 150,000 new patients are diagnosed with chronic venous insufficiency, and nearly $500 million is used in the care of these patients. If left untreated, CVI is usually progressive and leads to postphlebitic syndrome and venous ulcers." - National Library of Medicine

The Benefits of Vein Treatment

When performed by an experienced, board-certified vein specialist, vein treatments can have numerous benefits:

1. Improved appearance: Visible veins can be significantly reduced or eliminated.
2. Symptom relief: Many patients experience reduced pain, swelling, and fatigue.
3. Enhanced circulation: By addressing venous insufficiency, overall leg circulation can improve.
4. Increased quality of life: Many patients report feeling more comfortable and confident after treatment.

The Role of Aftercare and Lifestyle Changes

Proper aftercare and lifestyle modifications are crucial to maximize the benefits of vein treatment and minimize the risk of recurrence. These may include:

1. Wearing compression stockings as directed by your healthcare provider
2. Engaging in regular exercise, particularly activities that engage the calf muscles
3. Maintaining a healthy weight
4. Avoiding prolonged periods of sitting or standing
5. Elevating the legs when resting

The Long-Term Benefits of Varicose and Spider Vein Treatments

Treatments for varicose veins and spider veins are safe and effective when performed by experienced professionals. Rather than making legs worse, these treatments typically improve the appearance and function of affected veins.

While there may be temporary side effects, the long-term benefits of treatment often far outweigh these short-term inconveniences. By addressing the underlying venous insufficiency, these treatments can relieve discomfort, improve circulation, and enhance overall quality of life.

If you're considering treating varicose or spider veins, consult a qualified vein specialist. They can provide a thorough evaluation, discuss your treatment options, and develop a personalized plan to help you achieve healthier, more comfortable legs.

Center for Vein Restoration (CVR), a nationally recognized leader in vein treatment, offers compassionate, affordable, and comprehensive vein care across the U.S., with IAC-accredited facilities and doctors trained in all modern treatments for a safe and convenient patient experience.

Don't your legs deserve the best vein care possible?

Call 240-965-3915 to speak to a Center for Vein Restoration Patient Services Representative or schedule your consultation online at a CVR near you today.