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Varicose veins

Human Spider Veins on Leg Closeup

What Are Varicose Veins?

Gnarled or enlarged veins that are most commonly affected in your legs and feet because the pressure increases in the veins of your lower body due to standing and walking upright.

Varicose veins may also signal a higher risk of other circulatory problems. Treatment may involve self-care measures or procedures by your doctor to close or remove veins.

Causes of Varicose Veins

Arteries carry blood from your heart to the rest of your tissues. Veins return blood from the rest of your body to your heart, so the blood can be recirculated. To return blood to your heart, the veins in your legs must work against gravity.

Muscle contractions in your lower legs act as pumps, and elastic vein walls help blood return to your heart. Tiny valves in your veins open as blood flows toward your heart then close to stop blood from flowing backward.

Causes of varicose veins also include age and pregnancy.

Symptoms of Varicose Veins

Varicose veins may not cause any pain. Signs you may have with varicose veins include:

  • Veins that are dark purple or blue in color
  • Veins that appear twisted and bulging; often like cords on your legs

When painful signs and symptoms occur, they may include:

  • An achy or heavy feeling in your legs
  • Burning, throbbing, muscle cramping and swelling in your lower legs
  • Worsened pain after sitting or standing for a long time
  • Itching around one or more of your veins
  • Bleeding from varicose veins
  • A painful cord in the vein with red discoloration of the skin
  • Color changes, hardening of the vein, inflammation of the skin or skin ulcers near your ankle, which can mean you have a serious form of vascular disease that requires medical attention