If you are bothered by varicose veins, should you seek treatment from a medical professional? The straightforward answer is, yes. Speak to your primary care doctor and ask to be referred to a specialist who can evaluate and treat your varicose veins. Unfortunately, some people may avoid treatment because of rumors or outdated information they’ve heard. That’s why we’ve put together this list of six varicose vein myths and the truth behind them. Be sure to share this with your loved ones who have varicose veins.
Myth #1: Varicose veins are just a cosmetic problem
Some people believe varicose veins are only cosmetic, especially if they’re not experiencing any other symptoms. The truth is that while not everyone has symptoms, all varicose veins are caused by a very real medical condition that will not get better on its own.
The underlying condition that causes varicose veins is called venous reflux. This means that the tiny valves inside the vein (meant to keep blood circulating toward your heart) are malfunctioning. Some blood is flowing backward and pooling inside the vein, causing it to become twisted and enlarged.
If left untreated, varicose veins can lead to complications such as itching, swelling, leg pain, and in severe cases ulcers. They may also be associated with restless legs and skin changes called lipodermatosclerosis. This is why you should always have your varicose veins evaluated by a specialist.
Myth #2: Varicose veins are always visible
You can have venous reflux (the medical condition that causes varicose veins) even if you don’t have bulging veins.
If the venous reflux occurs in a vein that is deeper under your skin, you may not be able to see it. The usual way to diagnose venous reflux is with a vein mapping ultrasound. So if you are experiencing a tired, aching, heavy, or painful sensation in your legs, or if you notice swelling or discoloration of the skin, be sure to see your doctor.
Myth #3: Insurance won’t cover varicose vein treatment
Some people avoid getting treatment for their varicose veins because they think it won’t be covered by insurance. This myth persists because in the past it was true. But times have changed.
Today, all major insurance carriers— including Medicare and Medicaid—recognize varicose veins as a medical, not cosmetic, condition and provide coverage for treatment.
Myth #4: Standing on the job causes varicose veins
In most cases, we don’t actually know the exact cause of varicose veins. While lifestyle factors such as sitting, standing, or crossing your legs for a long period of time may contribute to varicose veins, it’s not clear that avoiding these behaviors will prevent them. There is also a hereditary component, meaning that if your parents had varicose veins there is a higher chance you will get them, too.
Trauma can also be a contributing factor. For example, if you suffer a car accident or sporting injury, that can lead to varicose veins.
If you have a job that requires you to be on your feet, and you want to reduce your risk of varicose veins, consider wearing compression stockings.
Myth #5: The only treatment for varicose veins is major surgery
This is another myth that historically was true. However, advancements in medical science mean today’s varicose vein treatments are minimally invasive. These procedures are done in an outpatient setting, not the hospital. They use local anesthesia (numbing of the area) rather than putting you to sleep. The procedure, itself, is virtually painless and most patients are able to return to work the next day.
Myth #6: Varicose veins will disappear after one treatment
The treatment for varicose veins is highly effective at alleviating symptoms such as aching, pain, itching, and swelling. However, the bulging appearance of the veins may persist even after treatment. This, however, can be remedied with follow up procedures that are typically also covered by insurance.