Early Symptoms and Warning Signs of Varicose Veins

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April 7, 2023

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One in three adults in the United States has varicose veins. Knowing how to spot the warning signs that may signal their development can help you take steps to prevent their progression. Learn more here.

Approximately one in three US adults have varicose veins — the distorted, purplish leg veins that bulge, swell, and twist under the surface of your skin. While anyone can get them, certain risk factors and circumstances make their appearance more likely.

You can’t always avoid varicose veins, but you can take steps to minimize their severity — and treat them to prevent their progression. How? Learn your risk factors for varicose veins and how to spot the warning signs that signal their development.

Our skilled team at Colorado Skin and Vein in Englewood, Colorado, offers a full scope of advanced varicose vein treatment options for Denver-area patients. Here, board-certified vascular specialist Dr. David Verebelyi discusses the ins and outs of varicose veins, from risk factors and warning signs to helpful lifestyle changes and interventions.

 

How do leg veins become varicose?

Your veins have one job — to return deoxygenated blood from your body to your heart and lungs, so it can pick up fresh oxygen and head back out to your body through your arteries.

To help them perform this continuous task as efficiently as possible, they contain a series of one-way valves that keep blood flowing in the right direction. However, when those valves are weak or dysfunctional, it causes your circulation to become sluggish — and allows blood to repeatedly pool behind the problematic valves and exert pressure on the surrounding vessel wall.

This perpetual, localized buildup of blood and intravascular pressure eventually causes the affected area of the vein to swell, bulge, twist, distort, or become varicose.

Significant varicose vein risk factors

Most varicose veins are a product of a condition called chronic venous insufficiency (CVI), commonly referred to as poor circulation. Anyone can develop CVI and associated varicose veins, but certain risk factors make their appearance more likely.

Varicose vein risk factors fall into four general categories:

Inherited

You’re more likely to develop varicose veins if you’re tall or have a family history of the problem. Tall height puts your leg veins under pressure, while family history increases the likelihood of inherited vein valve problems.

Acquired

Being overweight elevates your varicose vein risk by increasing blood pressure within your veins; getting older boosts your risk merely because your vein valves are aging, too.

Lifestyle

Smoking (tobacco use) and prolonged sitting or standing can injure your blood vessels or increase pressure, setting the stage for varicose veins.

Hormonal

Being in a “high-estrogen state” can make you more vulnerable to varicose veins because high estrogen levels can decrease vein valve function. Female gender is a high-risk factor for varicose veins, and pregnancy amplifies that risk.

Early warning signs of varicose veins

Often, no early warning signs or symptoms indicate the impending arrival of a varicose vein — the painless process happens quietly and gradually, even if the vein changes appear suddenly just beneath the surface of your skin.

However, In other cases, your body may send subtle signals that you’re in the early stages of poor lower extremity circulation or that precipitates varicose vein formation. You may notice:

  • Persistent achiness or heaviness in your legs
  • Unusual leg pain when you’re physically active
  • Leg discomfort during prolonged inactivity
  • Unexplained leg muscle cramping and swelling
  • Intense skin itchiness in the affected area
  • Flaky or dry skin that begins to scale
  • Visibly raised or inflamed sub-surface veins
  • Noticeable skin changes over the affected area

As CVI advances — even if it hasn’t caused varicose veins — you may start to see orange-brown speckles of discoloration (so-called “cayenne pepper spots”) on your itchiest areas of skin. These spots develop when pressure and swelling burst tiny capillaries beneath the surface of your skin.

What can I do about varicose veins?

For many people, varicose veins are little more than a cosmetic concern. But when CVI or varicose veins cause symptoms, taking the correct steps can improve the problem and stop its progression. Whether you’ve just noticed your first varicose vein or you’re worried you may be developing one, the following actions can help slow the process:

  • Don’t smoke or use tobacco
  • Reach and maintain a healthy weight
  • Get 30-60 minutes of exercise most days
  • Elevate your legs several times a day

If you’re pregnant or your job keeps you on your feet, it can be helpful to use compression stockings. These custom devices assist and improve circulation in your lower legs to help prevent varicose vein formation.

And if you already have problematic varicose veins, we can help. To learn more about the minimally invasive vein removal options at Colorado Skin and Vein in Englewood, Colorado, call or click online and schedule a consultation today.

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Colorado's Vascular & Aesthetic Medicine

Stay Informed, Stay Healthy

Explore expert tips, guides, and the latest updates on vein health and treatments.

Danielle Killingsworth, NCMA, Aesthetics Coordinator at Colorado Skin & Vein in Denver

Danielle Killingsworth

NCMA, Aesthetics Coordinator

Danielle is a Colorado native who brings more than 22 years of experience in the medical field. Throughout her career she has developed a diverse clinical background across infectious disease, general surgery, and pain management — giving her a well-rounded understanding of patient care and of what it takes to create a safe, comfortable, and personalized experience.

As Aesthetics Coordinator at Colorado Skin & Vein, Danielle combines that clinical knowledge with a genuine passion for aesthetics. She is dedicated to helping patients feel confident, informed, and supported throughout their aesthetic journey, from the initial consultation through treatment and follow-up care.

She believes one of the most rewarding parts of her career is building meaningful relationships with patients and helping them look and feel their very best.

Outside of work, Danielle enjoys spending time with her family, including her four boys, getting lost in a good book, and working in her garden. Fun fact: she is a dedicated Dallas Cowboys fan.

Nikki Moyta, Operations Director at Colorado Skin & Vein in Denver

Nikki Moyta

Operations Director

For over 26 years, Nikki has dedicated her career to the dermatology and aesthetics industry, building her experience from the ground up — starting in a patient scheduling call center, moving to the front desk, and rising to executive leadership overseeing multiple providers and locations.

Originally from Pittsburgh, she moved to Orlando before starting 10th grade and later attended Seminole State College of Florida. Her career in dermatology began in 2002, scheduling appointments for a multi-location practice. She grew quickly within the organization, moving into front-desk and checkout roles before being promoted to Office Manager in 2008. In 2012, her leadership and operational expertise led the CEO to seek her out for an expanded role overseeing multiple providers and locations — a position she held through 2022.

Outside of her professional career, Nikki is passionate about giving back to the community:

  • Community outreach
  • Voted “Cheerleader of the Practice”
  • 1st Place Winner — Miles for Melanoma

With a career built on leadership, dedication, and a genuine passion for patients and the aesthetics industry, she is excited to bring her experience and enthusiasm to the Colorado community. When she is not in the office, you can find Nikki with her Siberian husky, Compass, somewhere on top of a mountain.

Betina Lacson, RVT at Colorado Skin & Vein in Denver

Betina Lacson

RVT

Betina graduated from the Cardiovascular Technology Program at Grossmont College in California in 2020, and brings more than six years of experience in the duplex world of venous insufficiency. Much of her career has centered on superficial vein mapping and assisting in surgery while providing attentive patient care.

At Colorado Skin & Vein, she assists with venous ablation procedures as well as ultrasound-guided sclerotherapy. She is committed to quality care at every stage — from the initial consultation, through surgery, to post-operative appointments — making sure each patient feels fully supported.

In her free time, Betina loves Kizomba dancing with her Afro-Latin dance community, and can often be found at electronic dance music shows in different cities. If you are feeling generous, she will happily accept a karaoke room or an iced Thai milk tea.

Brooke Owens, PA-C, MPAS at Colorado Skin & Vein in Denver

Brooke Owens

PA-C, MPAS

Brooke Owens, PA-C, MPAS is a compassionate Physician Assistant who brings a strong clinical foundation, exceptional attention to detail, and a patient-centered approach to Colorado Skin & Vein.

Prior to joining the practice, Brooke spent several years in pediatric primary care, caring for patients with a wide range of acute and chronic conditions. She became known for her thorough evaluations, thoughtful clinical decision-making, and ability to build lasting relationships with patients and their families. That experience strengthened her diagnostic expertise while reinforcing the importance of listening carefully, educating patients, and creating individualized treatment plans.

Drawn to the unique blend of medicine, procedures, and patient transformation, Brooke was excited to move into vascular medicine and aesthetic care. She is passionate about helping patients improve not only their health but also their confidence — whether they are seeking treatment for vein disease, skin concerns, or cosmetic enhancements. By combining broad medical experience with advanced specialty training and a meticulous eye for detail, she delivers safe, effective, and personalized care.

Brooke believes the best outcomes begin with trust. She values taking the time to understand each patient’s goals, answer questions, and ensure they feel informed and comfortable throughout their care.

Angel Croce, Staff Manager at Colorado Skin & Vein in Denver

Angel Croce

Staff Manager

Angel has been in healthcare for more than 20 years. Her journey began in 2004, after her father suddenly passed away from a stroke. Losing him was a life-changing experience, and it inspired her to choose a career where she could help others and give patients and their families the care, compassion, and support they need during difficult times.

Throughout her career she has worked across cardiology, neurology, family practice, and urgent care — each experience helping her grow both personally and professionally. She now works in vascular care and aesthetics, where she enjoys building relationships with her patients, helping them understand their care, and making sure they feel comfortable and supported throughout their journey.

Outside of work, Angel is a proud mom of two. Family is incredibly important to her, and in her spare time she loves being outdoors with her husband and their two dogs — hunting, fishing, and enjoying Colorado.

For Angel, healthcare is more than a career — it is personal. What started as a way to honor her father’s memory has become more than two decades of caring for others, and she is grateful to keep doing something that means so much to her every day.