Varicose Veins

Varicose veins are enlarged, rope-like veins that often show through the skin as bluish or purplish cords, usually seen on the legs.
They develop when the tiny one-way valves inside the veins become weak, allowing blood to flow backward and pool inside the vessel.
Over time, this pressure stretches and twists the veins, making them more visible and uncomfortable.

Common Symptoms

  • Prominent, bulging veins on the legs or thighs
  • Heaviness or dull ache in the legs after long standing or sitting
  • Night-time cramps or restlessness in the legs
  • Swelling around the ankles or feet
  • Itching, dryness, or dark skin near the veins
  • In advanced cases, slow-healing wounds or ulcers near the ankle

Causes & Risk Factors

  • Long hours of standing or sitting (common among healthcare workers, teachers, etc.)
  • Excess weight putting extra pressure on leg veins
  • Pregnancy and hormonal changes in women
  • Chronic constipation or piles, which increase pelvic venous pressure
  • Lack of physical activity and sedentary lifestyle
  • Genetic tendency — family history of vein problems.

Possible Complications (if untreated)

  • Persistent leg swelling
  • Skin thickening or pigmentation
  • Itchy, eczematous patches
  • Non-healing venous ulcers
  • Occasionally, clot formation in deeper veins

Talk to Dr. Trisha Today!

Take the first step toward expert diagnosis and personalised treatment. Dr. Rai’s expertise ensures accurate assessment and the right solution for your condition.

Diagnosis

Diagnosis is mainly clinical, supported by a venous Doppler ultrasound.
This simple, painless scan maps blood flow and identifies which veins or valves are malfunctioning.

Treatment Options

1. Conservative / Non-Surgical Management

  • Regular walking and leg-elevation habits
  • Maintaining healthy weight and hydration
  • Avoiding prolonged standing
  • Wearing graduated compression stockings to relieve swelling and improve circulation
  • Ayurvedic supportive therapies such as Abhyanga (oil massage) or Jalaukavacharan (leech therapy) may enhance local blood flow and symptom relief

2. Minimally Invasive / Surgical Treatments

Endovenous Laser Ablation (EVLT/EVLA): A fine laser fiber closes the faulty vein, redirecting blood to healthier channels.

Radiofrequency Ablation (RFA): Uses controlled heat to seal the affected vein.

Sclerotherapy: A safe injection therapy for small to medium-sized varicose veins.

Surgical ligation or vein removal may be considered only in advanced, recurrent cases

Ayurvedic & Integrative View

In Ayurveda, varicose veins are described under the condition Siragranthi, arising from the vitiation of Vata (with Pitta involvement). This leads to obstruction, bulging, and pain in the veins. Management includes:

Local therapies: Abhyanga, Lepan, Jalaukavacharan

Internal medicines: To strengthen vein tone and balance doshas

Lifestyle correction: Avoiding long standing, constipation, and excess heat exposure

When to Consult a Doctor?

Seek timely care if you notice:

  • Painful, hardened, or discolored veins
  • Persistent leg swelling
  • Skin changes or non-healing ulcers
  • Bleeding from surface veins

Dr. Trisha Rai’s Approach

At Dr. Trisha Rai’s Proctology & Laser Clinic, we combine modern laser technology with Ayurvedic and lifestyle-based management for comprehensive varicose vein care.

Each patient undergoes a detailed assessment to determine the exact cause and stage of vein disease.
Treatment plans are customized to reduce pain, swelling, and recurrence.

Dr. Rai’s approach focuses on:

  • Early diagnosis and correction of venous reflux
  • Gentle, minimally invasive laser or injection-based procedures
  • Integrative support using Ayurvedic herbs and therapies to enhance vein tone
  • Guidance on posture, exercise, and diet to improve circulation
  • Regular follow-up to ensure long-term recovery and prevent recurrence

This balanced, patient-centric method ensures faster healing, fewer complications, and improved confidence in appearance and mobility.

Talk to Dr. Trisha Today!

Take the first step toward expert diagnosis and personalised treatment. Dr. Rai’s expertise ensures accurate assessment and the right solution for your condition.

Frequently Asked Questions

Everything you need to know before starting your treatment journey.