Vascular Surgeon Questions Varicose Veins

What causes sudden varicose veins?

Last month I suddenly had an onset of varicose veins which started to spread rapidly. It has now started spreading in my thighs and behind them making it quite painful and ugly. What causes this varicose veins and can it be treated?

9 Answers

This may be a superficial phlebitis that is diagnosis by ultrasound
The treatment warm compress and analgesic
The most common cause for varicose veins is that the valves within the veins no longer function. This can be evaluated by special type of venous ultrasound done by a vascular surgeon. When done you need to be in an upright position.
There is no such thing as sudden varicose veins.
True varicose veins do not develop rapidly. They take months to develop or worsen. If you see veins progressing you should see a vein specialist for an opinion
Varicose veins are more common in women , after child birth and people who spend lot of time standing. There is no specific cause of varicose veins. Yes all varicose veins can be treated and I recommend evaluation by a specialist and doing an ultrasound to see the valve function before proceed with any intervention.
Family history and prolonged standing (surgeons, butchers, bakers, nurses, etc.) can contribute to venous reflux/insufficiency. Compression therapy (knee high stockings) can help and are the first line of therapy (assuming no severe peripheral arterial disease). Evaluation is non-invasive.
Varicose veins are caused by valves that are not working properly, therefore, allowing blood to pool within the vein. As blood pools it causes the vein to bulge. The most common causes of varicose veins are; pregnancy, obesity, standing for long periods, injury, and genetics.

Yes, varicose veins can be treated. It is best to have an ultrasound of the legs called an insufficiency study to further evaluate your veins and then treatment options can be discussed with a vascular surgeon.
See a vascular surgeon. Find one that treats varicose veins using endovascular techniques.
Treatment begins with proper diagnosis. See a board certified vascular surgeon, who performs his own ultrasound. Lots of specialists such as cardiologist, radiologists, and specialists trained in specialties completely unrelated to veins. If someone refers to themselves as a phlebologist or vein specialist, that's a pretty good indicator that they're not a vascular surgeon. If you see a vascular surgeon, he will assess you, properly diagnose your problem, and prescribe appropriate treatment.