Ask The Doctor: Varicose issue not just cosmetic

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Concerned about your health? Experts from Robert Wood Johnson University Hospital Hamilton are ready to answer readers’ questions. Send your questions to askthedoc@rwjuhh.edu.

Q. I have varicose veins, but have been putting off getting them looked at. Are they just a cosmetic issue or could they lead to a serious health problem if I don’t get them checked out?

A. Varicose veins and venous disease can a have a wide range of presentation and while the mildest forms may be considered a cosmetic condition, many Americans have more serious forms of varicose veins and venous disease with significant medical morbidity and impact. Some estimates show that up to 70 percent of women and 40 percent of men over the age of 60 will experience some form of venous disease.

Complications of varicose veins can include chronic leg pain, swelling, skin changes, rupture with significant bleeding, phlebitis or inflammation of the veins and chronic ulcers or non-healing wounds. A few studies have shown a relationship to deep vein thrombosis or clots and varicose veins but this remains controversial.

Unfortunately, many Americans ignore their varicose veins until complications occur because of various reasons and the misunderstanding that they are “just a cosmetic issue.” This does not have to be the case.

If you are having issues with varicose veins or just want further evaluation of suspected venous conditions, speak to your primary care provider about a referral to a vascular surgeon or specialist. A 10-minute screening can go a long way to preventing further problems with your veins.

To help lower the risk of developing varicose veins, stay active, maintain a healthy weight, avoid standing for long periods of time and straining. Avoiding excess sun exposure may also help lessen the development of the smaller spider-veins.

–Dr. Honesto ‘Sto’ Poblete, RWJ Vein & Vascular Surgery, Robert Wood Johnson University Hospital Hamilton

This content is intended to encourage a healthy lifestyle. For medical advice and treatment, see a physician.

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