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Pregnancy is a rollercoaster of emotions and physical changes. While you’re busy picking out cute onesies and debating baby names, your body is working overtime to support your growing little one. But sometimes, this incredible journey comes with unexpected passengers – like varicose veins. These twisted, bulging veins can be more than just a cosmetic concern. So, when should you trade your pregnancy pillow for a doctor’s appointment? Let’s dive in and find out! The Prevalence of Varicose Veins in Pregnancy Varicose veins are a common occurrence during pregnancy, affecting approximately 40% of pregnant women. This high prevalence underscores the importance of understanding this condition and its implications for maternal health. Physiological Factors Contributing to Varicose Veins in Pregnancy Several pregnancy-related physiological changes contribute to the development of varicose veins: Increased Blood Volume: During pregnancy, a woman’s blood volume increases by 20-40%. This substantial increase is necessary to support fetal growth and development but puts additional pressure on the venous system, particularly in the lower extremities. Hormonal Changes: Pregnancy hormones, especially progesterone, play a significant role in the development of varicose veins. Medical literature indicates that progesterone causes relaxation of vein walls, which can lead to venous dilation and reduced valve efficiency. Uterine Enlargement: As pregnancy progresses, the growing uterus exerts pressure on the inferior vena cava, the large vein responsible for returning blood from the lower body to the heart. Research has shown that this pressure can inhibit venous return.  This increases the pressure in the leg veins and can cause the stretching and bulging associated with varicose veins. Weight Gain: The natural weight gain associated with pregnancy adds additional pressure on the veins returning the blood back to the heart. Indications for Medical Consultation While varicose veins during pregnancy are often benign, certain symptoms warrant medical evaluation: Persistent swelling: There are several ways to deal with swelling during pregnancy that can improve the resolution of varicosities which your provider can suggest. Pain: Persistent or significant pain in the legs should be assessed by a healthcare provider. Skin Changes: Any redness, discoloration, or hardening of the skin around varicose veins may suggest advanced venous insufficiency. Warmth or Tenderness: Veins that are warm to the touch or tender may indicate inflammation or potential clot. Bleeding: Any bleeding from varicose veins requires immediate medical attention. Ulceration: The development of ulcers or sores near the ankles could be a sign of severe chronic venous insufficiency. It’s important to note that these symptoms could indicate complications such as superficial thrombophlebitis or deep vein thrombosis, which require prompt medical attention. Postpartum Expectations For many women, varicose veins improve significantly after giving birth. Studies suggest that up to 40% of women will see some significant remnants of their varicosities even after 3 months postpartum. If varicose veins persist beyond this period, consultation with a vascular specialist may be advisable. Modern treatments for persistent varicose veins are minimally invasive and highly effective, with options including sclerotherapy, endovenous laser treatment, radiofrequency ablation and several others. Taking the Next Step Pregnancy-related varicose veins, while common, should not be dismissed as they can be a sign of deep vein issue.  Timely medical consultation when necessary can ensure optimal maternal health and comfort both during and after pregnancy. At Colorado Skin & Vein, we specialize in the management of pregnancy-related vascular issues. Our team of experienced, board-certified specialists offers comprehensive evaluations and personalized treatment plans.  To schedule a free consultation with our experts, please contact Colorado Skin & Vein at 303.683.3235. Let us help you navigate this aspect of your pregnancy and postpartum journey with confidence and expert care.

Varicose veins: they’re unsightly, uncomfortable, and sometimes downright painful. If you’ve ever dealt with these bulging, twisted veins, you know firsthand how they can impact your daily life and self-confidence. But did you know that varicose veins are also a sign of a deeper underlying health issue? It’s true, and that’s why understanding the cause of varicose veins is so important.   At Colorado Skin & Vein, we’ve been treating varicose veins and other vascular issues for over two decades. As a national leader in medical and aesthetic vein treatments, we know that the key to effective varicose vein management is education and early intervention. That’s why we’ve created this comprehensive guide to help you understand when your varicose veins require medical attention.   In this article, we’ll dive deep into the world of varicose veins, exploring what causes them, how to recognize the signs of a more serious problem, and what treatment options are available. Whether you’re dealing with mild discomfort or more severe symptoms, we’ll provide you with the information and resources you need to take control of your vein health.   So, if you’re ready to say goodbye to the worry and hello to healthier, more beautiful legs, keep reading. With the help of the expert team at Colorado Skin & Vein, you’ll be well on your way to living your best, varicose vein-free life.   Understanding Varicose Veins Varicose veins are enlarged, twisted veins that most commonly appear on the legs and feet. These veins have faulty valves that allow blood to flow backwards and pool, causing the vein to stretch and bulge. While varicose veins can be unsightly, they are also a sign of deeper vascular issue . In some cases, they can lead to more serious health problems. “Varicose veins are a common condition that affect millions of Americans,” says David Verebelyi, MD, RVT, the medical director at Colorado Skin & Vein. “While they are often a cosmetic concern, it’s important to understand that varicose veins are almost always a sign of a more serious underlying vascular issue.”   It’s important to distinguish varicose veins from spider veins, which are smaller, thinner, not raised and often red or blue in color. Spider veins are usually harmless and do not typically cause symptoms. On the other hand, varicose veins can cause a range of symptoms, including: Aching or heavy feeling in the legs Burning, throbbing, or cramping sensations Swelling in the lower legs and ankles Itching around the veins Skin discoloration around the varicose veins Several factors can increase your risk of developing varicose veins, including: Age: The risk of varicose veins increases as you get older. Gender: Women are more likely to develop varicose veins than men. Pregnancy: The weight and hormonal changes during pregnancy can increase the risk of varicose veins. Obesity: Excess body weight puts added pressure on the veins. Prolonged standing or sitting: Jobs that require long periods of standing or sitting can lead to varicose veins.   When Varicose Veins Require Medical Attention While you may have been told that varicose veins are a cosmetic issue, that is simply not true.  Varicose veins are a sign of venous reflux which is the most common cause of blood clots.  That means all varicose veins warrant evaluations by a vascular specialist like those at Colorado Skin & Vein. If you experience any of the following, it’s time to seek medical attention: Swollen veins that are raised above the skin in the thighs or legs which get worse with long periods of standing Significant pain, swelling, or heaviness in the legs Restless Leg Syndrome NIghttime cramping in the calves or feet Skin changes around the varicose veins, such as: Ulcers or open sores Dermatitis (skin inflammation) Discoloration or darkening of the skin Leaving severe varicose veins untreated can lead to serious complications, including: Blood Clots: Varicose veins can increase the risk of developing deep vein thrombosis (DVT), a blood clot that forms in the deep veins of the leg. If left untreated, DVT can lead to a pulmonary embolism, a potentially life-threatening condition that occurs when the blood clot breaks free and travels to the lungs. Skin Damage and Swelling: Varicose veins can cause skin changes including darkening of the skin or thickening of the skin.  Swelling and long term skin changes can make skin  more susceptible to infections, such as cellulitis. Cellulitis is a serious bacterial skin infection that can spread rapidly and require hospitalization. Skin Ulceration:  Skin damage due to swelling associated with varicose veins and venous insufficiency can lead to skin breakdown and ulcerations.  These ulcers are almost impossible to heal without first treating the underlying vein problems.  If you are experiencing any of these symptoms or are concerned about your varicose veins, it’s crucial to seek medical attention. You can schedule a screening and diagnosis with a vascular specialist. At Colorado Skin & Vein, our expert team uses state-of-the-art technology to assess your vein health and develop a personalized treatment plan to relieve your symptoms and prevent complications.   Treatments for Problematic Varicose Veins Varicose veins are not just a cosmetic concern. These bulging, tortuous veins are almost always a sign of deeper vascular issues that can lead to serious complications such as blood clots and skin ulcers. That’s why we offer a range of advanced treatment options to address varicose veins and improve your overall vein health.   “Varicose veins are a progressive condition that won’t improve on its own,” explains Dr. Verebelyi. “The good news is that we have a variety of minimally invasive treatments that can effectively close off damaged veins and restore healthy blood flow. Our goal is to provide each patient with a personalized treatment plan that delivers the best possible results.” According to Dr. Verebelyi, some of the most effective treatments include: Endovenous radiofrequency ablation (EVRF) and endovenous laser ablation (EVLA): These procedures use targeted energy to close damaged veins without affecting surrounding tissue. VenaSeal: This groundbreaking treatment uses a specialized medical-grade

If you’re one of the millions of people suffering from the discomfort and unsightly appearance of varicose veins, you may be wondering what type of doctor can best treat your condition. Varicose veins are more than just a cosmetic concern – they can lead to serious health issues like blood clots and ulcers if left untreated. But with so many different medical specialists out there, it can be confusing to know where to turn for help. We’ll break down the types of doctors who treat varicose veins and what you can expect from each, so you can confidently take the first step towards healthier, better-looking legs.   Whether your varicose veins are causing you pain, interfering with your daily activities, or making you self-conscious about showing your legs, there are effective treatment options available. The key is finding an experienced vein specialist who can accurately diagnose the underlying cause of your varicose veins and recommend the most appropriate course of treatment for your individual needs.   As Dr. David Verebelyi of Colorado Skin & Vein, a national leader in vein treatments, explains: “Varicose veins are a sign of an underlying problem with the valves in your veins that keep blood flowing in the right direction. Depending on the severity of the issue, treatments can range from lifestyle changes and compression stockings to minimally-invasive procedures that close off damaged veins.”   By understanding the different types of doctors who treat varicose veins and the treatment options they offer, you can take control of your vein health and get back to living your life to the fullest. Let’s dive in and explore the world of vein specialists and how they can help restore your legs to their healthy, youthful appearance.   Types of Doctors Who Treat Varicose Veins Several types of medical specialists are trained to diagnose and treat varicose veins, each with their own unique qualifications and areas of expertise. The most common types of doctors who treat varicose veins include: Phlebologists: Phlebologist specialize in vein care. These are doctors who have completed significant training in the diagnosis and treatment of venous disorders, including varicose veins. They may come from a variety of medical backgrounds, such family medicine, internal medicine, emergency medicine, or general surgery.  Your Phlebologist should be board certified by the American Society for Venous and Lymphatic Medicine and have extensive experience in treating vein disorders. .  Interventional Radiologists: These doctors use imaging technologies like ultrasound and X-rays to guide minimally-invasive treatments for varicose veins, such as endovenous laser treatment (EVLT) or radiofrequency ablation. Your provider should be board certified by the American Board of Radiology and have extensive knowledge and experience in vein procedures.  Vascular Surgeons: These doctors specialize in treating conditions affecting the blood vessels, but most specialize in arterial issues. They are trained to perform a wide range of treatments, from minimally-invasive procedures to complex surgeries.  Ensure that your surgery is board certified by the American Board of Surgery and has extensive knowledge and experience in vein procedures.  Dermatologists: While dermatologists primarily focus on skin conditions, some specialize in treating vein-related issues like spider veins and small varicose veins using treatments like sclerotherapy or laser therapy.  Ensure that your provider is board certified by the American Board of Dermatology.  They should have extensive knowledge and experience specifically with veins.  Their vein practice should not just be a side business in their practice to make extra money.  When choosing a doctor to treat your varicose veins, it’s important to look for a specialist who has extensive experience in diagnosing and treating venous disorders. Look for board certification in their specialty and ask about their specific training and experience with varicose vein treatments.   Choosing the Right Doctor for Varicose Vein Treatment When it comes to treating varicose veins, selecting the right doctor is crucial for achieving the best possible outcomes. With various medical professionals offering vein treatments, it can be challenging to know where to start. Here are some key factors to consider when choosing a doctor for your varicose vein treatment:   Specialization and Training: Look for a doctor who specializes in the diagnosis and treatment of venous disorders. Phlebologist, interventional radiologists and vascular surgeons, are among the most qualified specialists for treating varicose veins. Many of these providers have completed extensive training in the management of vein-related issues and are well-versed in the latest treatment techniques. Board Certification: Ensure that your chosen doctor is board-certified in their respective specialty. Board certification demonstrates that a doctor has met rigorous standards of education, training, and experience in their field. You can verify a doctor’s board certification through the American Board of Medical Specialties (ABMS) or the American Board of Venous & Lymphatic Medicine (ABVLM). Experience and Expertise: When it comes to varicose vein treatment, experience matters. Ask your potential doctor about their experience treating varicose veins and the specific procedures they offer. An experienced vein specialist will have a deep understanding of the various treatment options and can recommend the most appropriate approach for your individual case. Patient Reviews and Testimonials: Reading patient reviews and testimonials can provide valuable insights into a doctor’s bedside manner, communication skills, and overall patient satisfaction. Look for reviews on the doctor’s website, as well as on independent review sites Google. Comprehensive Treatment Options: A skilled vein specialist should offer a range of treatment options to address various stages and severities of varicose veins. From non-invasive methods like compression stockings and lifestyle modifications to minimally-invasive procedures like sclerotherapy, endovenous laser or radio frequency treatments, and VenaSeal, your doctor should be able to provide a personalized treatment plan that meets your specific needs. State-of-the-Art Technology: Varicose vein treatment has advanced significantly in recent years, with new technologies and techniques constantly emerging. Choose a doctor who invests in the latest, state-of-the-art equipment and stays up-to-date with the most current treatment methods. This ensures that you have access to the safest, most effective treatments available. Ask questions about treating all veins from the largest

Ah, pregnancy – a time of wonder, excitement, and… unexpected body changes. While you’re busy marveling at your growing bump and dreaming of tiny toes, you might have noticed some unwelcome guests making an appearance: varicose veins. These raised, twisted lines snaking across your legs weren’t exactly part of the pregnancy glow you imagined, were they? If you’re like many expectant moms, you’re probably hoping these unsightly veins will pack their bags and leave once your little one arrives. Well, let’s dive in and explore what you can really expect after delivery, and what options you have if those stubborn veins decide to overstay their welcome. After all, you’ve got enough on your plate with a newborn – the last thing you need is to worry about your legs! The Prevalence of Varicose Veins in Pregnancy Varicose veins are a common occurrence during pregnancy, affecting approximately 40% of pregnant women. This high prevalence underscores the importance of understanding this condition and its implications for maternal health. Why Do Varicose Veins Develop During Pregnancy? Several factors contribute to the development of varicose veins during pregnancy: Increased Blood Volume: During pregnancy, blood volume increases by up to 20%. This extra blood puts additional pressure on your veins, especially in the legs. Hormonal Changes: Pregnancy hormones, particularly progesterone, cause the walls of blood vessels to relax, making it easier for veins to dilate. Uterine Growth: As your uterus grows, it puts pressure on the large vein on the right side of your body (the inferior vena cava).  This inhibits the blood flow back to the heart from the legs and increases the venous pressure in those veins trying to push the blood upwards. Weight Gain: The natural weight gain during pregnancy adds extra pressure on your legs, further stressing the veins. Do Varicose Veins Go Away After Pregnancy? The good news is that for many women, varicose veins can improve after giving birth. Here’s what you can expect: In many women, varicose veins developed during pregnancy will start to recede within three months after delivery. Around 30-40% of women will have ones that remain over the next four months. If vessels remain or cause symptoms such as pain, swelling, heavy or tired legs, they need to be checked out by a knowledgeable provider.  Long term vessels are a sign of a deeper problem.  Factors that may influence persistence include: Having multiple pregnancies Age (women over 35 are at higher risk) Family history of varicose veins Pre-existing vein issues before pregnancy What If My Varicose Veins Don’t Go Away? If your varicose veins persist beyond 3-4 months postpartum, it’s advisable to consult with a vascular specialist. There are several effective treatment options available: Conservative Measures: These include wearing compression stockings, elevating your legs, exercise and maintaining a healthy weight. Minimally Invasive Procedures: These include: Sclerotherapy: Injection of a solution to collapse smaller veins Radiofrequency ablation (RFA): Similar to EVLT, but uses radiofrequency energy Endovenous laser treatment (EVLT): Uses laser energy to seal off larger varicose veins VenaSeal: A newer technique that uses medical adhesive to close affected veins Phlebectomy: removing the superficial, bulging vein and closing the vessel feeding it These procedures have shown high success rates with minimal side effects and faster recovery times compared to traditional surgical approaches such as vein stripping which should rarely be used today. . When Should I Seek Treatment? You should consult a healthcare provider if you experience: Persistent pain or discomfort Swelling that doesn’t improve Skin changes or discoloration around the veins Any signs of infection or inflammation The vessels are still visible 4 months after pregnancy Conclusion: Taking the Next Step in Your Vein Health While many women will see their pregnancy-related varicose veins disappear naturally, some may require additional care. If you’re concerned about persistent varicose veins after pregnancy, it’s important to seek professional advice. At Colorado Skin & Vein, we understand the unique challenges that pregnancy-related varicose veins can present. Our team of board-certified specialists is equipped with state-of-the-art technology and extensive experience in treating varicose veins with minimally invasive procedures. Don’t let persistent postpartum varicose veins impact your confidence or quality of life. Contact Colorado Skin & Vein today for a free consultation. Our experts will provide a personalized assessment and discuss treatment options tailored to your specific needs. Call us at 303.683.3235 to schedule your free consultation today. Let us help you regain comfort and confidence.

Pregnancy is a time of significant physiological changes, and one common but often misunderstood issue is the development of varicose veins. These swollen, twisted veins can cause discomfort and concern for many expectant mothers. This article aims to provide a comprehensive understanding of why varicose veins occur during pregnancy and what can be done to manage them. The Prevalence of Varicose Veins in Pregnancy Varicose veins are a common occurrence during pregnancy, affecting up to 40% of pregnant women. This high prevalence underscores the importance of understanding this condition and its implications for maternal health. What Are Varicose Veins? Varicose veins are dilated, twisted veins that typically appear on the thighs, legs and feet. They occur when the walls of the vessel become stretched and or damaged.  While they can be unsightly, it’s important to note that this is not just a cosmetic issue.  Varicose veins are almost always a sign of a deeper vascular problem called venous reflux where the valves in the deep veins do not close properly which can happen due to a variety of reasons.  Physiological Factors Contributing to Varicose Veins in Pregnancy Several pregnancy-related physiological changes contribute to the development of varicose veins: 1. Increased Blood Volume During pregnancy, a woman’s blood volume increases by 20-40%. This substantial increase is necessary to support fetal growth and development but puts additional pressure on the venous system, particularly in the lower extremities due to gravity. 2. Hormonal Changes Pregnancy hormones, especially progesterone, play a significant role in the development of varicose veins. Medical literature indicates that progesterone causes relaxation of vein walls, which can lead to venous dilation and reduced valve efficiency. 3. Uterine Enlargement As pregnancy progresses, the growing uterus exerts pressure on the inferior vena cava, the large vein responsible for returning blood from the lower body to the heart. Research has shown that this pressure can inhibit blood flow back to the heart.  This in turn causes the increased pressure in the vein below this area as they try to push the blood through the compressed vein.  The increased pressure stretches the vessels contributing to the formation of varicose veins. 4. Weight Gain The natural weight gain associated with pregnancy adds additional pressure on the veins the same as above, further stressing the venous system. 5. Genetic Predisposition and Multiple Pregnancies It’s worth noting that the risk of developing varicose veins increases by approximately 20% with each subsequent pregnancy. Additionally, women with a family history of varicose veins or who are over 35 years old are also at higher risk. Management Strategies for Varicose Veins During Pregnancy While it’s not always possible to prevent varicose veins during pregnancy, there are several evidence-based strategies that can help manage symptoms and potentially reduce their severity: Regular Exercise : Engaging in low-impact physical activity can improve circulation and help prevent blood pooling in the legs.  Exercises that activate the calf such as cycling, elliptical, swimming and rowing tend to be the most effective. Leg Elevation: Elevating the legs above heart level when resting uses gravity to assist in venous return. Compression Therapy: Research suggests that wearing compression stockings, even just over the lower legs,  can be effective in managing varicose veins by promoting better blood flow. Weight Management: Maintaining a healthy weight gain during pregnancy, as recommended by healthcare providers, can help minimize additional pressure on the venous system. Sleeping Position: Sleeping on the left side can help relieve pressure on the inferior vena cava, potentially improving venous return from the lower body. When to Seek Medical Attention While varicose veins during pregnancy are typically benign, certain symptoms warrant medical evaluation: Significant pain or swelling in the legs Warm, red, or tender veins that are painful to touch Any bleeding from varicose veins These symptoms could indicate complications such as edema, superficial clot or DVT, which require prompt medical attention. Treatment After Pregnancy For women experiencing persistent varicose veins after pregnancy, several minimally invasive treatment options are available. These procedures, typically performed on an outpatient basis, include sclerotherapy, endovenous laser treatment (EVLT), radiofrequency ablation (RFA), VenaSeal and phlebectomy. Sclerotherapy involves injecting a solution to collapse smaller veins, while EVLT and RFA use heat energy to seal off larger varicose veins. VenaSeal, a newer technique, employs a medical adhesive to close affected vein and phlebectomies are used to remove superficial varicosities after the feeding vessels have been treated.  Studies have shown these methods to be highly effective with low complication rates and faster recovery times compared to traditional surgical approaches. It’s important to note that most vascular specialists recommend waiting at least three months postpartum before pursuing any invasive treatments.  This allows time for natural improvement and hormone stabilization. Consultation with a qualified vascular specialist is crucial to determine the most appropriate treatment plan based on individual circumstances and the severity of the condition. Conclusion Varicose veins are a common and often unavoidable aspect of pregnancy for many women. While they can be uncomfortable and aesthetically displeasing, it’s important to remember that effective treatments are available, especially for those experiencing persistent symptoms postpartum. Understanding the physiological factors contributing to varicose veins during pregnancy is the first step in managing this condition. By implementing the strategies discussed and seeking appropriate care, you can effectively navigate this aspect of your pregnancy and post-pregnancy journey. At Colorado Skin & Vein, we understand the unique challenges that pregnancy-related varicose veins can present. Our team of board-certified specialists is equipped with state-of-the-art technology and extensive experience in treating varicose veins with minimally invasive procedures. We’re committed to helping you achieve both relief from symptoms and cosmetic improvement. Don’t let varicose veins impact your confidence or quality of life. If you’re experiencing persistent varicose veins after pregnancy, we invite you to take the next step in your vein health journey. Contact Colorado Skin & Vein today for a free consultation. Our experts will provide a personalized assessment and discuss treatment options tailored to your specific needs. Call us at 303.683.3235 or schedule your

Varicose veins, those unsightly, bulging, and sometimes painful veins that appear on the legs, affect an estimated 20-25 million Americans, with women being more susceptible than men. While often dismissed as a mere cosmetic concern, varicose veins are a sign of underlying vascular issues that, if left untreated, can lead to more serious health problems. Below we’ll explore the causes of varicose veins, drawing on the expertise of one of the countries leading vein specialists, David Verebelyi, MD, RVT.  By gaining a deeper understanding of the factors that contribute to the development of varicose veins, you’ll be better equipped to prevent and manage this common condition, ensuring healthier, more beautiful legs for years to come.   The Anatomy of Veins and Valves To understand the causes of varicose veins, it’s essential to first grasp the basics of the circulatory system and the role of veins in maintaining healthy blood flow. Unlike arteries, which carry oxygen-rich blood from the heart to the rest of the body, veins are responsible for returning deoxygenated blood back to the heart. Since vein carry blood against gravity back to the heart, they are equipped with tiny, one-way valves that prevent blood from flowing backward and pooling in the legs. When these valves do not close properly, blood can fall back into the lower segments of the vein and pool.  This causes the veins to stretch, bulge, and twist. Over time, this increased pressure on the vein walls weakens them, leading to the development of varicose veins. As Dr. Verebelyi explains, “Varicose veins form when the valves in the veins fail to function properly, allowing blood to flow backward and pool in the vein. This increased pressure causes the vein to stretch out and become varicose.”   Risk Factors for Varicose Veins: Who Is Most Susceptible?   While anyone can develop varicose veins, certain factors can increase your risk. Age is a significant risk factor, as the wear and tear on vein valves over time can cause them to weaken and not close properly. Women are more prone to varicose veins than men, particularly during pregnancy, when hormonal changes and increased blood volume put added pressure on the veins.   Family history also plays a significant role, with genetics accounting for at least 50% of varicose vein cases. If your parents or grandparents had varicose veins, you’re more likely to develop them as well.   Lifestyle factors, such as obesity, prolonged standing or sitting, and lack of exercise, can also contribute to the development of varicose veins. As Dr. Verebelyi notes, “Maintaining a healthy weight, exercising regularly, and avoiding prolonged periods of sitting or standing can go a long way in preventing varicose veins and promoting overall vein health.”   The Progression of Varicose Veins: From Cosmetic Concern to Medical Issue In the early stages, varicose veins may be little more than a cosmetic concern, causing no symptoms beyond their unsightly appearance but they are always a sign of a deeper problem. . Early detection of varicose veins can significantly enhance treatment outcomes. As the condition progresses, patients may begin to experience a range of symptoms, including: Aching, heavy, or tired legs Burning, throbbing, or cramping sensations in the legs Itching or skin irritation around the affected veins Swelling in the ankles and feet Skin discoloration or texture changes If left untreated, varicose veins can lead to more serious complications, such as blood clots, and skin ulcers. As Dr. Verebelyi warns, “Ignoring varicose veins can have serious consequences for your health. Early intervention is key to preventing complications and ensuring the best possible outcomes.”   Treatment Options for Varicose Veins Fortunately, there are many treatment options available for those struggling with varicose veins, ranging from simple lifestyle changes to advanced medical procedures. The first line of defense against varicose veins is often self-care measures, such as:   Maintaining a healthy weight through diet and exercise Include proper exercises that engage your calf such as cycling, elliptical, rowing or swimming into your regular routine Avoiding prolonged periods of sitting or standing Elevating the legs above the heart when resting Wearing compression stockings to improve blood flow   For those whose varicose veins don’t respond to lifestyle changes, or whose condition is more advanced, minimally invasive procedures can offer effective relief. At Colorado Skin & Vein, Dr. Verebelyi and his team offer a range of state-of-the-art treatments, including:   Sclerotherapy: Injecting medication into the vein to seal it shut Radiofrequency ablation (RFA): Using radiofrequency energy to collapse and seal the damaged vein Endovenous laser ablation (EVLA): Using laser energy to close off the damaged vein VenaSeal: Sealing the problem  vein with a medical adhesive   In rare cases, surgical intervention may be necessary to remove particularly large or troublesome sections of vein. Vein stripping and ligation, once the go-to treatments for varicose veins, have largely been replaced by less invasive options.   As Dr. Verebelyi notes, “At Colorado Skin & Vein, we pride ourselves on offering the most advanced, effective treatments for varicose veins. Our goal is to help each patient achieve the best possible results with the least amount of discomfort and downtime.”   When to Seek Medical Help: Listening to Your Body and Your Veins While varicose veins may start of harmless, they are a sign that the valves within the deeper vessel are not working properly and warrant proper work up by a vein specialist. Any bulging vein in the lower limbs if good reason for evaluation especially If you experience any of the following: Persistent pain, swelling, or heaviness in the legs Tired or swollen legs after travel and a long day sitting or standing  Bleeding from a varicose vein Nighttime leg or foot cramps Restless leg syndrome Difficulty walking or standing for long periods Skin changes, such as discoloration, thickening, or ulceration When choosing a vein specialist, it’s essential to look for physician  board-certified by the American Society for Venous and Lymphatic Surgery. These physicians have extensive experience in treating varicose veins.

Varicose veins, those elevated, twisted vessels that often emerge on our legs, are commonly dismissed as nothing more than a cosmetic concern—a superficial condition that affects appearance rather than health. However, this perception overlooks the deeper significance and potential risks associated with untreated varicose veins and their root cause. As Dr. David Verebelyi of Colorado Skin & Vein notes, “Varicose veins are not just unsightly. Their root cause is the single most common reason patients get superficial blood clots.  Untreated varicose veins can lead to several other complications that range from poor sleep due to Restless Leg Syndrome to venous leg ulcers.” Below we’ll delve into what causes varicose veins, the potential risks of leaving them unaddressed, and when it’s time to seek medical attention. Rest assured that with today’s minimally-invasive treatments, you don’t have to suffer the pain or embarrassment of varicose veins any longer. By understanding what causes these veins to form, the symptoms to watch for, and the innovative treatments available, you can take control of your treatment approach.  With this knowledge, you will be able to take proactive steps towards reducing medical risk, maintaining not just the beauty of your legs, and ensuring their optimal functionality. Whether you’re seeking to alleviate discomfort or prevent future complications, it’s essential to recognize the significance of varicose veins beyond their impact on appearance Understanding Varicose Veins According to the Society for Vascular Surgery, varicose veins affect up to 35% of Americans. Varicose veins occur when the one-way valves inside the veins stop working properly. These valves are responsible for keeping blood flowing towards the heart. When they malfunction, blood can pool in the veins, causing them to stretch, twist, and become visible under the skin. As Dr. Verebelyi explains, “Over time, the increased pressure from the pooling blood weakens the vein walls and damages the valves further. This creates a vicious cycle, making the varicose veins gradually worse. More concerning is that the blood that is not moving normally around the valve becomes the place where clots can form.” Common symptoms of varicose veins include: Enlarged, elevated veins that get worse over time Achy, heavy, or tired sensations in the legs Leg Swelling, especially in the ankles and feet Itching, burning or irritated skin around the veins Calf or foot muscle cramps, particularly at night Certain factors can increase your likelihood of developing varicose veins: Family history: Genetics play a significant role Age: Risk increases as you get older Gender: Women are more prone due to hormonal changes Pregnancy: Increased blood volume and pressure on the veins from the fetus can accelerate vein deterioration Obesity: Extra weight puts added pressure on veins Prolonged sitting or standing: When the calf muscle is inactive more pressure is put on the valves If you have any of these risk factors and are experiencing symptoms, it’s important to monitor your vein health closely.   Potential Dangers of Untreated Varicose Veins While varicose veins may seem like a minor nuisance, they can lead to uncomfortable and serious complications if ignored. As the disease progresses, you may experience: Worsening Pain and Swelling: Without treatment, varicose veins will become increasingly painful over time. The legs will get more achy or heavy, and swelling can make physical activity difficult.  Nighttime cramping becomes more common and Restless Leg Syndrome becomes more severe. Other more serious concerns include: Blood Clots: Sluggish blood flow in varicose veins increases the risk of superficial blood clots. These clots can be very painful and take several months to resolve.  More concerning is the potential for deep vein thrombosis (DVT), where a blood clot forms in the deeper veins. If this clot breaks loose and travels to the lungs, it can cause a potentially fatal pulmonary embolism. Skin Changes: These leaky valves cause a condition called chronic venous insufficiency.  Chronic venous insufficiency will eventually cause the skin around the ankles to become discolored, thick, and leathery. Scratching or injuring this delicate tissue can result in hard-to-heal wounds called venous ulcers. Bleeding: The skin over varicose veins often becomes very thin. Even a minor bump or scrape can cause a varicose vein to burst and bleed profusely. While the bleeding itself is usually not dangerous, it can be difficult to stop without medical attention. “Many people don’t realize that varicose veins are a progressive condition,” cautions Dr. Verebelyi. “What starts as a few ropy veins can gradually evolve into significant pain, swelling, and even blood clots or skin ulceration if not addressed. That’s why it’s crucial to get evaluated by a vein specialist at the first sign of symptoms – early treatment is key to preventing complications down the road. It is amazing to me that many of these patients are still being told by some providers that this is a cosmetic issue.”   Aside from the physical impact, living with unsightly varicose veins can take a toll on self-esteem. Many people with the condition feel self-conscious wearing shorts or swimsuits, and the discomfort may keep them from engaging in activities they enjoy. Treating varicose veins can restore both your comfort and confidence.   When to Seek Treatment for Varicose Veins If you’re experiencing any symptoms of varicose veins, it’s important to schedule an evaluation with a vascular specialist. Dr. Verebelyi advises, “Even if your varicose veins aren’t causing significant discomfort, they are always a sign that something is off with the veins in those areas. It needs to be checked out so either proper preventative strategies can be put in place or proper medical intervention.  A vein doctor (call a Phlebologist) expert can determine the extent of the problem and recommend a treatment plan tailored to your needs.” You should definitely see a doctor if you notice: Varicose veins that have continued to worsen over time, especially over the thighs or insides of the legs. Swelling in your legs or ankles Skin discoloration or texture changes around your varicose veins A rash or itching in the affected area A painful cord in a leg

Pregnancy is a time of significant physiological changes, and one common but often misunderstood issue is the development of varicose veins. These swollen, twisted veins can cause discomfort and concern for many expectant mothers. This article aims to provide a comprehensive understanding of why varicose veins occur during pregnancy and what can be done to manage them. The Prevalence of Varicose Veins in Pregnancy Varicose veins are a common occurrence during pregnancy, affecting up to 40% of pregnant women. This high prevalence underscores the importance of understanding this condition and its implications for maternal health. What Are Varicose Veins? Varicose veins are dilated, twisted veins that typically appear on the thighs, legs and feet. They occur when the walls of the vessel become stretched and or damaged.  While they can be unsightly, it’s important to note that this is not just a cosmetic issue.  Varicose veins are almost always a sign of a deeper vascular problem called venous reflux where the valves in the deep veins do not close properly which can happen due to a variety of reasons.  Physiological Factors Contributing to Varicose Veins in Pregnancy Several pregnancy-related physiological changes contribute to the development of varicose veins: 1. Increased Blood Volume During pregnancy, a woman’s blood volume increases by 20-40%. This substantial increase is necessary to support fetal growth and development but puts additional pressure on the venous system, particularly in the lower extremities due to gravity. 2. Hormonal Changes Pregnancy hormones, especially progesterone, play a significant role in the development of varicose veins. Medical literature indicates that progesterone causes relaxation of vein walls, which can lead to venous dilation and reduced valve efficiency. 3. Uterine Enlargement As pregnancy progresses, the growing uterus exerts pressure on the inferior vena cava, the large vein responsible for returning blood from the lower body to the heart. Research has shown that this pressure can inhibit blood flow back to the heart.  This in turn causes the increased pressure in the vein below this area as they try to push the blood through the compressed vein.  The increased pressure stretches the vessels contributing to the formation of varicose veins. 4. Weight Gain The natural weight gain associated with pregnancy adds additional pressure on the veins the same as above, further stressing the venous system. 5. Genetic Predisposition and Multiple Pregnancies It’s worth noting that the risk of developing varicose veins increases by approximately 20% with each subsequent pregnancy. Additionally, women with a family history of varicose veins or who are over 35 years old are also at higher risk. Management Strategies for Varicose Veins During Pregnancy While it’s not always possible to prevent varicose veins during pregnancy, there are several evidence-based strategies that can help manage symptoms and potentially reduce their severity: Regular Exercise: Engaging in low-impact physical activity can improve circulation and help prevent blood pooling in the legs.  Exercises that activate the calf such as cycling, elliptical, swimming and rowing tend to be the most effective. Leg Elevation: Elevating the legs above heart level when resting uses gravity to assist in venous return. Compression Therapy: Research suggests that wearing compression stockings, even just over the lower legs,  can be effective in managing varicose veins by promoting better blood flow. Weight Management: Maintaining a healthy weight gain during pregnancy, as recommended by healthcare providers, can help minimize additional pressure on the venous system. Sleeping Position: Sleeping on the left side can help relieve pressure on the inferior vena cava, potentially improving venous return from the lower body. When to Seek Medical Attention While varicose veins during pregnancy are typically benign, certain symptoms warrant medical evaluation: Significant pain or swelling in the legs Warm, red, or tender veins that are painful to touch Any bleeding from varicose veins These symptoms could indicate complications such as edema, superficial clot or DVT, which require prompt medical attention. Treatment After Pregnancy For women experiencing persistent varicose veins after pregnancy, several minimally invasive treatment options are available. These procedures, typically performed on an outpatient basis, include sclerotherapy, endovenous laser treatment (EVLT), radiofrequency ablation (RFA), VenaSeal and phlebectomy. Sclerotherapy involves injecting a solution to collapse smaller veins, while EVLT and RFA use heat energy to seal off larger varicose veins. VenaSeal, a newer technique, employs a medical adhesive to close affected vein and phlebectomies are used to remove superficial varicosities after the feeding vessels have been treated.  Studies have shown these methods to be highly effective with low complication rates and faster recovery times compared to traditional surgical approaches. It’s important to note that most vascular specialists recommend waiting at least three months postpartum before pursuing any invasive treatments.  This allows time for natural improvement and hormone stabilization. Consultation with a qualified vascular specialist is crucial to determine the most appropriate treatment plan based on individual circumstances and the severity of the condition. Conclusion Varicose veins are a common and often unavoidable aspect of pregnancy for many women. While they can be uncomfortable and aesthetically displeasing, it’s important to remember that effective treatments are available, especially for those experiencing persistent symptoms postpartum. Understanding the physiological factors contributing to varicose veins during pregnancy is the first step in managing this condition. By implementing the strategies discussed and seeking appropriate care, you can effectively navigate this aspect of your pregnancy and post-pregnancy journey. At Colorado Skin & Vein, we understand the unique challenges that pregnancy-related varicose veins can present. Our team of board-certified specialists is equipped with state-of-the-art technology and extensive experience in treating varicose veins with minimally invasive procedures. We’re committed to helping you achieve both relief from symptoms and cosmetic improvement. Don’t let varicose veins impact your confidence or quality of life. If you’re experiencing persistent varicose veins after pregnancy, we invite you to take the next step in your vein health journey. Contact Colorado Skin & Vein today for a free consultation. Our experts will provide a personalized assessment and discuss treatment options tailored to your specific needs. Call us at 303.683.3235 or schedule your free

Pregnancy is a miraculous journey filled with moments of joy, anticipation, and profound changes to a woman’s body. Among these changes, many women experience swelling in the lower legs or even the development of varicose veins.  Varicose veins are characterized by swollen, twisted veins that can cause discomfort and concern. Varicose veins affect up to 40% of pregnant women, becoming a common yet manageable aspect of pregnancy. Understanding and addressing this condition is vital for the comfort and health of expectant mothers.    David Verebelyi, MD, RVT,  the Chief of Laser Surgery at Colorado Skin & Vein, reassures, “While swelling and varicose veins can be a source of discomfort, there are numerous ways to manage and potentially prevent them during pregnancy, ensuring both mother and baby’s well-being.”   Understanding Swelling and Varicose Veins and Pregnancy Normal tissue hydration is a balance between fluid moving into the extravascular space and the lymphatics pulling fluid out of the extravascular space.  In the case of swelling there is an imbalance normally where the lymphatic system is overloaded and cannot keep up so the tissue swells with fluid.   IN the case of pregnancy this happens for a few reasons.   The fetus can sit on top of the veins returning blood back to the heart causing increased pressure causing more fluid to move through the vein wall into the soft tissue. Gravity, increased pressure within the vein and increased blood volume all contribute to more fluid being pushed into the tissue.     The same factors can also result in varicose veins.  There are enlarged, twisted veins that typically appear on the legs and feet. During pregnancy, the likelihood of developing varicose veins also increases due to hormonal changes.  The rise in progesterone levels causes the walls of your veins to relax and become more susceptible to stretching. Additionally, as mentioned above the increased blood volume necessary to support your growing baby puts extra pressure on your veins. As your uterus expands, it can also place pressure on the vessels which bring blood back to the heart, further contributing to the development of varicose veins. Common symptoms of varicose veins during pregnancy include: Swelling in the legs and ankles Aching or heavy sensation in the legs Cramping or throbbing pain, especially after standing for prolonged periods Itching or burning sensation around the veins Visible distended vessels over the lower limbs such as thighs, legs and ankles Skin discoloration or darkening around the affected areas While these symptoms can be uncomfortable, understanding the underlying causes and implementing preventive measures can help alleviate discomfort and promote overall vein health throughout your pregnancy.   Preventative Measures to Take During Pregnancy Making simple lifestyle changes can go a long way in preventing the development and progression of varicose veins during pregnancy. Here are some effective strategies to incorporate into your daily routine: Exercise Regularly: Engaging in regular physical activity helps improve circulation, strengthens your leg muscles, and promotes blood flow. Low-impact exercises such as cycling, elliptical, swimming, and prenatal yoga are excellent options. Aim for exercises that engage the calf muscle and at least 30 minutes of moderate exercise most days of the week, with your healthcare provider’s approval. Elevate Your Legs: Whenever possible, elevate your legs above your heart level to encourage blood flow back to your heart. This can be done by propping your legs up on a pillow while lying down or using a footrest when sitting. Compression: Lower leg or even thigh high compression can play an important part in keeping swelling and varicosities during pregnancy under control.  Gravity makes the blood push out on the vessels walls.  Compression helps push back to keep the vessels from dilating.   Stay Hydrated and Eat a Balanced Diet: Drinking plenty of water helps maintain proper blood circulation and prevents constipation, which can exacerbate varicose veins. Opt for a diet rich in fiber, including fruits, vegetables, and whole grains, to promote regular bowel movements and prevent straining. Healthy weight gain which is usually around 20 lbs is important.  Additional weight will further compress the veins trying to bring the blood back to heart.  Avoid Tight Clothing: Tight clothing, especially around the waist and legs, can restrict blood flow and contribute to the development of varicose veins. Choose loose, comfortable clothing that allows for proper circulation. By implementing these lifestyle modifications, you can take proactive steps towards preventing swelling and varicose veins and promoting overall vein health during your pregnancy.   Compression Therapy for Varicose Vein Management Compression therapy is a highly effective and non-invasive method for managing swelling and varicose veins during pregnancy. It involves wearing specially designed compression stockings or socks that apply gradual pressure to your legs, promoting better blood flow and reducing swelling. Benefits of compression therapy include: Improved circulation: Compression stockings encourage blood to flow upwards from your legs to your heart, reducing the pooling of blood in your veins. Reduced swelling: By applying pressure to your legs, compression stockings help minimize swelling and discomfort. Symptom relief: Compression therapy can alleviate symptoms such as aching, heaviness, and cramping associated with varicose veins. Prevention of progression: Wearing compression stockings consistently can help prevent the worsening of existing varicose veins and the development of new ones. When choosing compression stockings, it’s essential to select the right size and compression level for optimal results. Graduated compression stockings, which provide the greatest pressure at the ankle and gradually decrease towards the top, are typically recommended. Your healthcare provider can guide you in selecting the appropriate compression level based on your individual needs.   To maximize the benefits of compression therapy, it’s important to wear your compression stockings consistently throughout the day, especially when traveling,  standing or sitting for prolonged periods. Put them on first thing in the morning before swelling occurs, and remove them before bedtime.   When to Seek Professional Help While swelling and varicose veins can be a temporary discomfort associated with pregnancy, often they are signs that the veins are not working properly and

personal concern for many. These twisted, enlarged veins, often visible beneath the skin’s surface, are not just a cosmetic inconvenience but herald underlying vascular challenges. They weave a complex tale of genetics, lifestyle, and the relentless force of gravity, affecting a significant portion of the adult population. Amidst the sea of health advice, one beacon of hope frequently shines through: exercise. The notion that physical activity could be the panacea for a myriad of health woes is well-entrenched in our collective consciousness. But when it comes to varicose veins, does exercise truly hold the key to diminishing their prominence or even making them disappear? Our journey through the science of varicose veins and the role of exercise offers not just understanding but also practical steps for those seeking to manage this common condition.   Understanding Varicose Veins Varicose veins are enlarged, twisted veins that most commonly appear on the legs and feet. They develop when the valves within the veins, which keep the blood flowing against gravity blood back to the heart, become stretched, damaged or weakened. This allows blood to pool in the veins, causing them to stretch and bulge beneath the skin. Common symptoms of varicose veins include: Pain and aching in the legs Swelling and heaviness in the legs Itching and burning sensations around the affected veins Skin discoloration and texture changes Nighttime symptoms such as cramping and Restless Leg Syndrome Several factors can increase the risk of developing varicose veins, including: Family history: Genetics play a significant role Age: Risk increases as you get older Gender: Women are more prone due to hormonal changes Pregnancy: Increased blood volume and pressure on the veins from the fetus can accelerate vein deterioration Obesity: Extra weight puts added pressure on veins Prolonged sitting or standing: When the calf muscle is inactive more pressure is put on the valves Dr. David Verebelyi, Chief of Laser Surgery at Colorado Skin & Vein, explains, “Varicose veins are not merely a cosmetic issue. They signify an underlying problem with the valves in the veins, which eventually leads to more serious complications if left untreated.”   The Benefits and Limitations of Exercise for Varicose Veins   Exercise can play a role in managing varicose veins symptoms, but it’s important to understand its benefits and limitations. Engaging in regular exercise that engages the calf muscle such as cycling, swimming, rowing or even just walking can help push the blood out of the leg and back to the heart. This may help decompress enlarged superficial vessels  and reduce the appearance of varicose veins.   However, while exercise can temporarily alleviate symptoms and reduce the prominence of varicose veins, it has not been shown to affect the progression of the underlying disease which causes varicose veins. Once a vein has become varicose, it will not return to its normal state through exercise.    Dr. Verebelyi advises, “Incorporating regular exercise into your lifestyle is an important step in managing symptoms. However, it is important to understand why.  That way you chose activities that involve a high range of ankle flexion and extension which more effectively activates the calf muscle pump.”   While exercise can be beneficial, it should be seen as a complementary approach rather than a sole solution for varicose veins. For those seeking a more definitive treatment, medical interventions performed by experienced vein specialists are often necessary. Low-Impact Exercises that Promote Venous Health While exercise cannot cure varicose veins, engaging in regular low-impact activities can help alleviate symptoms, improve circulation, and promote overall venous health. Here are some of the best exercises for maintaining healthy veins: Cycling: Whether on a stationary bike or outdoors, cycling is a low-impact activity that is one of the best when the goal is to engage your calf muscle. Swimming: The buoyancy of water reduces the impact on your joints and veins while providing a full-body workout. Just like cycling, swimming involves a high range of motion in the ankle which does a great job of activating the calf muscle pump. Skiing: We all know how our calves feel after the first day of the season on the slopes.  This is another great way to target the calf muscle pump Walking: One of the simplest exercises for improving blood flow in the legs and although not as effective as cycling or swimming still shows positive improvements.  Aim for at least 30 minutes of brisk walking per day, five times a week. Dr. Verebelyi recommends, “Incorporating exercises that target activating your calf muscle into your routine can help manage the symptoms of varicose veins and venous reflux. Be sure to listen to your body and consult with a vein specialist if you experience pain or discomfort during exercise.”   In addition to these specific exercises, it’s essential to maintain an active lifestyle overall. Simple habits like taking the stairs instead of the elevator, parking farther away from your destination, and taking short walks during work breaks to maintain a healthy weight will always contribute to better venous health.   Remember, while exercise is an essential component of vein and overall health, it will not  eliminate varicose veins. If your varicose veins continue to cause discomfort or affect your quality of life, consult with a vein specialist at Colorado Skin & Vein to explore the most advanced and effective treatment options available. Preventing Varicose Veins: Lifestyle Tips While medical treatments can effectively eliminate existing varicose veins, slowing their development is likely also important. Incorporating the following lifestyle habits can help maintain healthy veins: Maintain a healthy weight: Excess weight in the abdomen puts added pressure on your veins which makes it harder to get the blood back to your heart.  Keeping your weight in check can reduce your risk of developing varicose veins. Stay active: Regular exercise, particularly like those mentioned above promotes engagement of your calf muscle pump improving the circulation of the blood headed back to your heart. Avoid prolonged standing or sitting: If your job requires extended periods of