If you have varicose veins, you may not enjoy the look of them, but they are generally not harmful or something to worry about. Some people choose to have them removed for aesthetic purposes only.  For others, though, varicose veins may be a warning sign of other deeper vein health issues. Learn about varicose veins, and when they pose a danger to your health.

What Are Varicose Veins?

Varicose veins are veins that have been damaged or have become weak. When blood moves through the body, veins carry blood only one way through each vein or blood vessel. 

If the valves that control the flow of blood stop working correctly, blood can pool in the vein. This additional pressure and backflow can make the veins fill up, bulge, and start to twist, a lot like how a fast-flowing river appears. When these veins are closer to the skin’s surface, they are visible and are often blue or deep purple.


Spider veins, or telangiectasias, are small veins visible on the skin’s surface. They are often red, blue, or purple and can appear to “web” out. These veins are harmless and aren’t considered varicose veins. Their existence may be a symptom of poor circulation, which could indicate a higher risk of developing varicose veins. 

Since not all spider veins turn into varicose veins, they are considered a cosmetic procedure to have removed. However, oftentimes spider veins can progress into becoming varicose veins, so most patients choose to have procedures to remove spider veins in order to prevent varicose veins. 

When to See a Vein Health Doctor

While some varicose veins can be normal and don’t pose a health risk, it is crucial to know if they are a health concern. Not getting these veins treated can result in much more severe conditions.

when to see a doctor for varicose veins in tennessee

If you are experiencing any of these symptoms, make sure you give your doctor a call and schedule a vein screening. Some vein clinics like the Vein Centre offer online consultations as well. The earlier you can catch a circulatory problem, the better chance you have at correcting it or controlling it. 

What are the common symptoms and early warning signs for varicose veins and spider veins?

  • Severe and continuous leg pain
  • Swelling in the legs, ankles, and feet
  • Heaviness or a dull ache in the legs that happens often
  • Varicose veins are red and painful or feel warm
  • Spontaneous bleeding from veins or bleeding from a slight injury
  • Itchy and inflamed skin around veins
  • Ulcer and open skin wounds that developed on their own

While varicose veins may never become a health concern, they have the potential to develop into a vein ailment or disease over many years. These more complex health issues can take years to form, so if you have varicose veins, you should schedule consistent screenings. 

Leaving unhealthy veins untreated can result in:

  • Severe pain: This can feel like a deep ache or heaviness in the limbs. 
  • Muscle cramps: Cramping can occur when blood pools in the veins instead of flowing through muscle tissue as it should. Leg cramps can happen, especially at night. 
  • Itching and burning: Leaky blood vessels can cause itching. When little oxygen is able to reach the skin, veins can become itchy and red.
  • Blood clots: Also known as phlebitis. Blood clotting can occur as veins become twisted, and the blood flow is not quick enough. Slow-moving blood won’t break up, forming clots as it is stagnant. 
  • Deep vein clot (thrombus): Also known as DVT or deep vein thrombosis, affects over 200,000 people per year. Leg pain from DVT can worsen as you bend your foot.
  • Skin ulcers: A varicose ulcer can occur when blood doesn’t circulate back to the heart effectively. As blood backs up in the veins, pressure builds under the skin, and an open wound may form. Leg ulcers are the most common.
  • Pulmonary embolism: PE is a serious condition that occurs when the lung artery is blocked. The blockage occurs when a blood clot makes its way through the bloodstream to the lung. PE causes permanent lung damage.
  • Lymphedema: When varicose veins begin to damage the lymphatic system, lymphedema can occur. This condition causes swelling, most often in the feet and toes.
  • Cellulitis: If lymphedema has occurred, cellulitis may follow. Cellulitis is a serious skin infection of the soft tissue skin.
  • Venous stasis dermatitis: Another skin ailment from unhealthy veins where the skin can become leathery and reddish-brown. In some cases, clear or yellow fluid comes through the skin. 
  • Dermatitis: Dermatitis is an inflamed, itchy rash from varicose veins. Found on the leg or ankle often. 
  • Peripheral artery disease: Called PAD for short. When PAD is occurring, the veins aren’t able to provide enough blood flow to the limbs. This condition is likely widespread through the body and can affect the heart and brain, as well. 

Steps to Take

While some of these complications are only uncomfortable, others can be life-threatening. If you have any concerns about your circulatory health, it is critical to visit a board certified vascular surgeon to have a vein health screening. There are several noninvasive tests they can perform to assess the health of your veins.

Dr. Roger Bonau, board certified vascular surgeon at the Vein Centre explains treating varicose veins in this videoFortunately, there are treatments for varicose veins. If the pain is mild, there are treatments your doctor can teach you to do self-care at home, such as wearing compression stockings, elevating your feet, increased exercise, and the use of pain medication. But sometimes a vein requires treatment.

In rare cases, varicose veins can cause skin ulcers and other serious complications. If you have varicose veins, see a doctor right away for treatment options. Many varicose vein treatment options are covered by insurance and there are several advanced forms of treatment. However, once your veins start to become varicose, there’s often little that can be done to prevent new varicose veins from developing in the future. 

Vein Health Tips

Vein health can be part hereditary and part lifestyle. Some risk factors like aging, obesity, pregnancy, smoking, and occupations that require sitting or standing can make matters worse. 

Try practicing these tips to give your veins a break:

  • Don’t sit or stand for long periods.
  • If you are sitting for long periods, get up every 30 minutes, and move around.
  • Elevate the legs above the heart whenever possible. You can use pillows or the arm of a chair to support your legs.
  • Regular exercise can get your blood flowing and relieve veins with pooling blood. 
  • If you are overweight, eat a healthy diet and try to lose weight
  • Wear compression stockings, especially on long trips or when sitting for long periods of time.

The board certified vascular surgeons at The Vein Centre are trained and experienced in identifying vascular diseases. The Vein Centre’s main goal is to get to the root of the problem for each patient, not just treating the surface veins. Oftentimes, what’s happening on the surface is a result of deeper issues. It’s best to see a board certified vascular surgeon to know without a doubt how to best treat each specific vein issue.  It is recommended, especially with age or other risk factors, to get regular screenings starting after 30 years of age. If you experience any of the symptoms and discomforts listed above, or are at risk for vein disease, please don’t hesitate to give us a call. The Vein Centre offers many types of vein treatments for venous disease. 

Our offices are located near Downtown Franklin and Nashville. Visit us in Franklin, Belle Meade, or Mt. Juliet, Tennessee. To schedule, please call us at 615.269.9007. We would be happy to answer any questions you may have about our vein services.