Answers

Replied on 11/23/2009

By: VeinSolutions - Austin  |  Emery W. Dilling, M.D.
Jeffrey M. Apple, M.D., F.A.C.S.
Austin, TX

There are many options to treat a focused set of varicose veins. There are many options, both noninvasive and nonsurgical, that can relieve the discomfort. We usually recommend a good set of compression hose prescribed by a physician who has examined the legs, then a detailed exam to understand the symptoms and possible cause of the varicose veins. If the veins are truly uncomfortable I would recommend being evaluated by a venous specialist who can guide you on specific treatment alternatives.

Replied on 10/29/2009

By: Vein Specialists at Royal Palm Square  |  Joseph G. Magnant, M.D., F.A.C.S.
Fort Myers, FL

You need to have a comprehensive venous evaluation of the effected leg by a vein specialist to determine whether there is something under the veins or feeding the veins that are bothering you. If you have a leaking vein which is feeding the area of pain, you may need to have this sealed off to cure the problem. Conversely, you may just need the cluster of veins injected to remedy the problem. Do your research before you select a vein specialist. Check their certification and see what percentage of their practice is dedicated to treating vein problems.

Replied on 10/22/2009

By: Vein Centers for Excellence of Kansas City  |  Craig I. Schwartz, D.O., FACOS, FICS
Leawood, KS

You need to undergo an evaluation and treatment as soon as possible. Your symptoms and your varicose veins can be gone in a very short period of time, using a minimally invasive, in-office procedure, done under local anesthesia, with minimal downtime, minimal pain or discomfort and very rapid return to normal activities. But to get the ball rolling, you need to undergo a consultation, and have a venous ultrasound performed in the office.

Replied on 10/22/2009

By: Heart and Vein Center  |  Rodolfo D. Farhy, MD
Royal Oak, MI

You need a full evaluation of your leg veins to determine the anatomy and function of your veins. Based on that evaluation one or a combination of different treatments can be recommended to solve your problem.

Replied on 10/22/2009

By: Novi Vein  |  Jeffrey H. Miller, M.D.
Novi, MI

The most definitive step would be to have them treated. The procedures today are minimally invasive, safe and very effective. If you choose not to have them treated, compression stockings can sometimes help alleviate the pain.

Replied on 10/21/2009

By: The Vein Treatment Center of NJ  |  Dean H. Wasserman, MD, FACS, RVT, FACPh
Paramus, NJ

Leg pain caused by varicose veins usually becomes less painful when
the person is walking because the calf is pumping out excess high
pressured blood from the vein. However, stair climbing is not the
reliable type of walking to achieve this pumping relief as is outdoor
"heel-to-toe" walking.
It is also not uncommon to have varicose veins in a leg where the
pain is not coming from veins, but rather other causes such as
muscular. A professional examination may clarify this.
Proceeding with the use of Properly Fitted and Professionally
supervised Compression Hose may help make the diagnosis as well as
relieve the pain. If the hose are, again, Professionally fitted and
supervised, pain from varicosities should be expected to improve,
clarifying the cause of the pain and also improve symptoms especially
combined with increased walking. To be beneficial, the hose precision
cannot be over emphasized. Hose compression strength, length, guides
application and care of hose are frequently NOT given the critical
importance which is required. Fitting with a leg which is actively
swollen, eg. not rapidly following getting out of bed are almost
certain to be compromised.
Finally, if the varicosities are inflamed or clotted, hose
compression may add some pain relief, however further medical
evaluation is indicated.

Replied on 10/21/2009

By: Innovative Vein  |  Paul Cheatum, M.D.
Wichita, KS

If the pain is due to the veins, then the pain can be remedied by treating these vessels. Whether they are big or small they can be effectively treated by various methods with the end result being legs that look better and feel better.

Replied on 10/21/2009

By: Idalis Cosmetic Laser and Vein Center  |  Samuel Coor, D.O.
Lacey, WA

There are many options available however the first step is to obtain a correct diagnosis and then there are many options. If you have a primary care physician see him/her first.

Replied on 10/21/2009

By: Laser Lipo and Vein Center  |  Thomas Wright M.D. F.A.C.P.
St. Peters, MO

There are several things that could be done for tender veins on the side of
your leg. First you should be evaluated by a doctor, usually with an
ultrasound exam, to determine the best treatment for your veins. The first
treatment to try will be medical grade compression stockings. These are
stockings which are prescribed to a specific level of compression. Often
compression stockings can provide some relief for discomfort from varicose
veins. Often a more definitive treatment such as treating the underlying
cause of the vein problems such as an endovenous laser ablation and or
sclerotherapy will be required to get relief from the symptoms.

Replied on 10/21/2009

By: The Boca Vein Center in Boca Raton, FL  |  Dr. Richard Kimmel
Boca Raton, FL

You need to see a vascular surgeon who specializes in venous disorders. You may be a candidate for phlebectomy or laser/chemical ablation.

Replied on 10/21/2009

By: Vein Center Houston  |  Mario O. Kapusta, M.D., RVS, RPVI, ABPh
Houston, TX

You should be evaluated by a vein care specialist. Often, pain is related to high pressure in the veins. Venous reflux may be treated with modern Laser or Radio-frequency methods plus removal of veins. The combination of tratments is highly successful.

Replied on 10/21/2009

By: Vein Specialists Institute  |  Kenneth H. Jesser, M.D.
Palm Desert, CA

Varicose veins frequently cause leg pain - I suggest seeing a vein specialist for an evaluation which will likely include an ultrasound examination to assess your veins. Once properly diagnosed, appropriate treatment will be recommended. Frequently, injections can reduce or
eliminate the pains from varicose veins.

Replied on 10/21/2009

By: Bella MD Laser Vein and Aesthetic Center  |  David A. Engleman MD, FACC
Dallas, TX

A good pair of Graded Compression Stockings of at least 20-30mmhg pressure may help some of the symptoms. If this does not help you could try going to a higher grade compression.
A full venous ultrasound and superficial venous mapping study with attention to finding any sources of insufficiency (valve leaking) would be the long term solution to the condition. Once located any back leaking veins could then be treated with a number of treatment options.

Replied on 10/21/2009

By: Vein and Laser Specialist  |  Edward G. Mackay, M.D.
St. Petersburg, FL

You would need to be evaluated to determine the cause and best course of treatment.

Replied on 10/21/2009

By: Mountain View Dermatology Cosmetic Surgery and Vein Center in Boulder, CO  |  Richard Levine, M.D.
Boulder, CO

You probably need an ultrasound assessment in order to get the best advice.

Replied on 10/21/2009

By: VeinSolutions - Minneapolis  |  Christopher F. Roland, M.D., F.A.C.S.
William R. Omlie, M.D., F.A.C.S.
Timothy Jon Gavin, M.D., F.A.C.S.
C. Phifer Nicholson, M.D., F.A.C.S.
Howard L. Saylor III, M.D., F.A.C.S.
Edina, MN

Conservative treatment options include wearing compression hose, taking over the counter medication such as ibuprofen and Tylenol, and elevation of the leg. For more permanent relief, you may want to consult a vascular surgeon for procedure options.

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