Why is it advisable to remove varicose veins?

Varicose veins, also known as varices, are often perceived as an aesthetic issue that can be distressing for many women and men. It may be surprising to learn that varicose veins are not only a cosmetic concern but can also pose serious health risks. Approximately one in five adults suffers from varicose veins, yet few recognize the potential dangers associated with this venous condition.

The removal of varicose veins aims not only to improve the external appearance and prevent long-term skin damage such as discoloration and open sores but also focuses on eliminating acute medical risks that can be life-threatening in severe cases.

At venenmed, we employ both innovative technologies and traditional methods. We prioritize a comprehensive diagnosis, taking into account the individual needs of our patients in both health and aesthetic aspects. venenmed experts work in an interdisciplinary team, led by vascular surgeon Prim. PD Dr. Afshin Assadian and dermatologist OA Dr. Michael Kaulich, both renowned and experienced vein specialists. Therefore, the removal of varicose veins at venenmed is not just a matter of external appearance but also an investment in your long-term health and quality of life.


Why should one choose to have varicose veins removed? But what are varicose veins in the first place?

Varicose veins are swollen, bluish, and enlarged veins that typically occur on the legs. The term "varicose" in this context has nothing to do with muscle cramps. In medieval times, they were referred to as "Krummadern," which evolved over time into "Krampfader."

The most common location for varicose veins is on the calves or the inner thighs, where blood can accumulate in the superficial leg veins. A milder form of varicose veins is spider veins, fine reddish or bluish branches under the skin of the legs, usually posing only a cosmetic problem.

The decision to have varicose veins removed is particularly crucial when symptoms arise. For this reason, venenmed has developed a comprehensive venous concept with vascular surgical and dermatological expertise, including detailed diagnostics. Your health status is determined through duplex ultrasound, and therapy is carried out using innovative technologies such as lasers, specific sclerotherapy methods, and minimally invasive procedures like radiofrequency or acrylate glue, or, if the health status requires, through surgery.

The development of varicose veins can be traced back to evolutionary factors. The upright posture, significant for human development, presents a challenge to our venous valves. These valves must pump about 7,000 liters of blood daily from the feet to the heart against gravity. When the complex venous system malfunctions, serious problems can quickly arise.

Healthy veins transport blood towards the heart and lungs, with the venous valves assisting with each muscle movement. Venous issues can worsen with a lack of movement or occupations that require prolonged sitting or standing.

It is advisable to have varicose veins removed, as untreated varicose veins can lead to vein inflammation, chronic insufficiency, vascular occlusions, or even thromboses. Thrombosis can result in life-threatening complications such as pulmonary embolism.

Various factors can influence the development of varicose veins, including genetic predisposition, hormonal changes, pregnancy, sedentary or standing occupations, weight, and injuries. Therefore, it is essential to be aware of individual risk factors and consider seeking specialist advice if needed.


Am I affected by varicose veins and venous disorders?

The symptoms of varicose veins can vary from person to person, ranging from mild to very severe manifestations. Typical symptoms include:

  1. Visible twisted and enlarged veins: A clearly visible sign of varicose veins is twisted veins that appear bluish or greenish under the skin. These veins may also appear swollen, twisted, or distorted.
  2. Pain and swelling: Pain and swelling in the legs can also indicate varicose veins. The pain can be dull or pulsating and tends to worsen with prolonged standing or sitting. Swelling can also occur in the ankles and feet.
  3. Fatigue and heaviness: A common symptom of varicose veins is noticeable fatigue or a feeling of heaviness in the legs.
  4. Skin changes: Varicose veins can lead to skin changes, including redness, itching, scaling, and dry skin. In advanced cases, ulcers or open wounds may even develop.
  5. Muscle cramps: Varicose veins can also cause muscle cramps.


Special case: Varicose veins during pregnancy

Varicose veins are more common during pregnancy, due to hormonal changes and the pressure of the growing uterus on the pelvic veins.


When do varicose veins become dangerous?

Vascular surgeon Prim. PD Dr. Afshin Assadian and dermatologist OA Dr. Michael Kaulich, both experienced and renowned vein specialists, warn against taking spider veins and varicose veins lightly. Untreated venous diseases could lead to life-threatening complications over time. Therefore, we recommend having varicose veins removed, as venous disorders and varices can always be potentially dangerous. You should definitely consult a doctor in case of the following changes:

- Hyperpigmentation
- Stasis eczema
- Indented sock lines
- Overheating of the affected region
- Pronounced swelling
- Visible veins
- In extreme cases, already open wounds


The consequences of varicose veins and venous disorders

The consequences of varicose veins (varices) and deeper vein problems are both visually and health-threatening. Therefore, we advise against the removal of varicose veins.

  1. Vein inflammation (thrombophlebitis): Symptoms include redness, pain, swelling, sensitivity, warmth, and occasionally fever. Treatment depends on the cause and severity.
  2. Pain: Vein diseases can lead to mild to severe pain in the affected areas, impacting the quality of life.
  3. Swelling: Venous diseases can cause painful swelling, especially with prolonged standing or sitting.
  4. Skin changes: Redness, itching, scaling, and dry skin may occur. In severe cases, open wounds can develop.
  5. Thromboses: Vein inflammation or varicose veins can lead to clots, increasing the risk of thrombosis and causing life-threatening complications such as pulmonary embolism.
  6. Everyday life restrictions: Venous diseases can limit mobility and make everyday tasks more difficult.
  7. Impact on self-esteem: Varicose veins can affect self-esteem, leading affected individuals to conceal the affected areas.
  8. Chronic venous insufficiency (CVI): A long-term condition with insufficient vein function, affecting oxygen-poor blood circulation.


How do I recognize venous problems and varicose veins?

Due to potential health hazards, Prim. PD Dr. Assadian and OA Dr. Kaulich use ultrasound (sonography) to determine whether deeper veins are affected in the case of spider veins and varicose veins. This thorough examination allows for a precise diagnosis and the development of an individualized treatment plan.


Why remove varicose veins at venenmed in Vienna?

venenmed offers a specialized venous concept that takes into account the individual needs of patients regarding health and aesthetics. Comprehensive diagnostics are performed using duplex ultrasound, and therapy includes innovative technologies such as lasers, sclerotherapy, and minimally invasive procedures, as well as traditional vein surgery.