Common Symptoms

What is Vein Disease and What are the Symptoms?

The circulatory system within the body consists of both vein and arteries. Your arteries travel from the heart and carry oxygenated blood to your organs and tissues, sharing nutrients to all parts of the body. Once the blood reaches its target location, it returns back to the heart via veins. These veins carry deoxygenated blood against gravity with the help of valves. These valves are found about one inch apart and allow the blood to flow in the right direction.

When the valves stop working, blood starts to pool in your veins, causing an array of different problems including swollen ankles, blood clots, leg pain, spider veinsvaricose veins, and even ulcers. When the blood is not moving within your deep veins, this is called deep vein thrombosis.  If your valves are not functioning properly in the superficial system of veins, this is called venous insufficiency.

Facial & Foot Veins

Spider veins are common on the face. You see them sometimes referred to as spider angiomas or telangiectasias, but they are all the same thing. They are clusters of veins that are just under the surface of the skin, as they are on the legs and feet. They usually don’t cause any pain.

You can also develop bulging veins on the forehead. Again, unless they are causing pain they are not a concern. Bulging veins are typically seen on the front of the forehead or on the side of your face near the temples.

Spider veins are caused by the same conditions that produce varicose veins: aging, heredity, pregnancy, occupations with prolonged standing, and sun damage. On the face, excessive alcohol consumption can also lead to spider veins.

The veins are the pathways to return deoxygenated blood back to the heart. As we age, the tissues that support the veins and help push blood through them weaken. This allows the blood to pool and for the veins to take a curvier route. The veins also contain valves that prevent backflow and as we get older these can allow leakage, also leading to varicose and spider veins. Plus, in the legs, the veins have an uphill battle the entire way.

As for the feet, since they are the farthest distance away from the heart, they are also prone to some backflow. As the blood pools, it causes the small veins to show themselves through the skin. Venous stasis is an accumulation of fluid in the lower extremities, but it is not usually the cause of your spider veins on the feet.

Common Symptoms
Common Symptoms

Itching & Burning

Itchiness and burning can naturally be caused by many things. When it comes to vein disease, itchiness and burning are caused by venous insufficiency. Venous insufficiency is when the valves in the veins are not closing correctly and allowing backwards venous flow. This backwards flow creates increased venous pressure in the legs and forces fluid from the bloodstream into the surrounding tissues in the legs. This fluid causes symptoms of itching and burning.  An ultrasound done in the office will show which veins are responsible for the symptoms by showing which ones are dilated and have valves not closing appropriately.  

Treatmentscompression stockings, sclerotherapyradiofrequency ablation and VenaSeal as well as a combination of lifestyle changes.

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Common Symptoms
Common Symptoms

Leg Discoloration

Leg discoloration is a change in pigmentation of your skin to a darker color usually around the feet or ankles. This discoloration is a sign of blood depositing in your lower legs causing inflammation of the surrounding skin. This can lead to thinning of the skin with eventual ulceration.  

Treatmentssclerotherapyradiofrequency ablation,VenaSealand microphlebectomy.

Common Symptoms
Common Symptoms

Leg Pain & Swelling

While leg pain can be normal after intense exertions or a long day on your feet, it should not persist or be unbearable. Since one in five people will have at least some degree of leg vein problems, a very common source of leg pain and swelling is venous insufficiency or “leaky veins”. This means that the valves that are in our veins are staying open too long which allows backwards venous pressure to build up. It is this pressure that forces fluid from the bloodstream into the surrounding tissue and thereby causes swelling and pain. Excessive fluid also irritates your muscles causing more pain, itchiness, cramping, burning, heaviness or fatigue. 

Treatmentscompression stockings, sclerotherapyradiofrequency ablation and VenaSeal as well as a combination of lifestyle changes 

Common Symptoms
Common Symptoms

Leg Ulcers

Anytime a wound won’t heal on the legs, usually the lower leg, this is a leg ulcer. The original wound could be a cut to the tissue, or the wound could simply develop in an area where the skin is not getting the nutrients and oxygen it needs from the blood, causing the tissue cells to die, forming a wound.

Ulcers can also occur because of the eventual break though of the skin due to venous reflux. The continued pressure on the skin from the backflowing blood creates an ulcer which is the final stage of venous reflux disease. Ulcers can be quite painful and happen after developing symptoms of spider veins, varicose veins, leg swelling, and dermatitis. 

Venous leg ulcers develop due to high pressure in the veins of the lower leg. The veins have one-way valves whose job is to keep blood flowing in one direction back up to the heart. In some people these valves become weak or begin to malfunction, or the veins can become scarred or blocked. This allows the blood to flow backward and pool in the veins. This raises the pressure in the lower leg veins. This increase in pressure and the buildup of fluid prevents nutrients and oxygen from getting to the tissues. This causes the skin cells to die, creating a wound. These wounds often form over bony areas, such as the ankle.

Treatmentscompression stockings, sclerotherapyradiofrequency ablation and VenaSeal.

Common Symptoms
Common Symptoms

Deep Vein Thrombosis

This is a blood clot in the deeper or larger veins in the legs which is a dangerous condition. These blood clots can move into the lung circulation and cause death. You can notice deep vein thrombosis (DVT) if you have swelling, cramps, unexplained severe pain in the foot/ankle, warmer spots of skin, and skin discoloration. DVT can be diagnosed with a detailed lower extremity ultrasound. 

 Deep vein thrombosis causes can include a genetic predisposition (i.e., hereditary causes), prolonged immobility when traveling long distances without walking (e.g., air travel or long car rides), or underlying disease such as cancer or certain infections.  

Treatmentsdifferent in every case and based on our findings, so a customized treatment plan will be developed and followed through.

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Common Symptoms
Common Symptoms

Lymphedema

This condition is a swelling of the legs as a result of a malfunction to the lymphatic system. There are very small vessels (lymphatics) that normally capture and transfer the small amount of “leaked” fluid between arterioles and venules in the legs back into the venous circulation. A malfunction can be from hereditary reasons (anatomically defective) or acquired by secondary reasons (surgical damage or removal of lymph nodes, or chronic venous edema).  Early treatment of venous insufficiency may prevent or improve secondary lymphedema. 

 Treatments: Wspecialize in the treatment of lymphedema, which can be very difficult to treat and each case will be evaluated on an individual basis.

Common Symptoms
Common Symptoms

Pelvic Varicose Veins

Patients with pelvic varicose veins, or pelvic congestion syndrome, may be asymptomatic. They may also experience troubling symptoms, primarily pain in the region. Women suffer more frequently from pelvic varicose veins, but men are also susceptible to the problem. Pelvic varicose veins may be invisible, particularly when the patient is lying down.

Pelvic varicose veins form when vein walls weaken, known as venous insufficiency, and when valves within the vein deteriorate and allow blood to flow backward, known as venous reflux. 

Women who have been pregnant or are currently pregnant are by far the most at-risk individuals for developing this condition. The veins in the pelvic area expand during pregnancy in order to increase blood flow to the womb. On top of this, the extra weight from the fetus adds additional pressure to the veins in this area. This condition is considered to be very rare for women who have never experienced pregnancy, although not impossible.

Common Symptoms
Common Symptoms

Restless Leg Syndrome

Restless leg syndrome is a condition when you experience uncomfortable sensations and movements in your legs. Sometimes the only way for you to reduce the pain in your legs is by massaging or shifting them. Restless leg syndrome is related to vein disease since vein disease can cause inflammation that irritates your muscles and soft tissues.   

 Common symptoms are crawling/creeping sensations, aching, throbbing, tingling, etc. Typically these symptoms worsen at night when you are relaxing or sleeping.   

Treatmentscompression stockings, sclerotherapyradiofrequency ablation and VenaSeal as well as a combination of lifestyle changes.

Common Symptoms
Common Symptoms
Common Symptoms

Patient Review

I went with my daughter who was having 3 veins repaired. The entire staff were very welcoming. I was allowed to stay with my daughter throughout the procedure. Each step was explained as the[…]

I went with my daughter who was having 3 veins repaired. The entire staff were very welcoming. I was allowed to stay with my daughter throughout the procedure. Each step was explained as the procedure took place. I was very impressed and felt comfortable with the whole process. What a caring group. I will not hesitate to go to them if I ever have issues with my veins. Thanks so much for taking care of my baby!

— Renee K. 05/24/2022

Patient Review

I showed up on the wrong date for my six-week follow up appointment and instead of having me return, they were so gracious and fitted me in. Tasha, the ultrasound technician was so kind to a[…]

I showed up on the wrong date for my six-week follow up appointment and instead of having me return, they were so gracious and fitted me in. Tasha, the ultrasound technician was so kind to agree. My doctor is Dr. Johnson, who us wonderful but I also got to meet Dr. Rahao for the first time. He is one of the kindest doctors I have met. Hands down, I would recommend this facility over and over. The staff must be happy working there because it spills over to the patients.

— Juliet C.

Patient Review

Can not express how thankful I am for finding Dr. Rao. Wish I would have found him 3 years ago. Three years of being in pain why had the many of doctors I went to before him not tell me that[…]

Can not express how thankful I am for finding Dr. Rao. Wish I would have found him 3 years ago. Three years of being in pain why had the many of doctors I went to before him not tell me that it could be a vein problem? So so thankful that I was recommended to him by a friend. His office staff in the Brenham office are all so professional and friendly and seem to really care about me. Thank you, Dr. Rao!!!!

— Tammy E.

Patient Review

I highly recommend anyone suffering with varicose veins to come to Texas Vein & Wellness Institute. The staff is wonderful! 😃 made me feel calm and comfortable while I was being prepp[…]

I highly recommend anyone suffering with varicose veins to come to Texas Vein & Wellness Institute. The staff is wonderful! 😃 made me feel calm and comfortable while I was being prepped. Dr Johnson walked me step by step during the procedures. Everything came out great. Recovering and legs are feeling much better. Thank you

— Jesus J.

Patient Review

Many thanks for your professionalism, kindness and care during my three surgeries in February and follow up visits. Your friendly and relaxed office helped make the vein removal surgery comf[…]

Many thanks for your professionalism, kindness and care during my three surgeries in February and follow up visits. Your friendly and relaxed office helped make the vein removal surgery comfortable. All the best to you and your kind staff in the future.

— K. H.

Common Symptoms
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