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170 N Henderson Road Suite 302

King Of Prussia, PA 19406

Varicose Veins Treatment

Anyone who has ever experienced varicose veins knows the symptoms all too well: enlarged, gnarled veins that protrude from beneath the skin. They are often dark blue or purple in color and can be painful, with accompanying aching and discomfort. But even for those who only have aesthetic issues with their varicose veins, it is a good idea to seek vein treatment. After all, varicose veins can sometimes indicate a higher risk of other vascular problems.

For those who have painful varicose veins, the most common sensations are:

  • Achy or heavy legs
  • Burning, throbbing, cramped muscles
  • Increased pain after prolonged sitting or standing
  • Itching
  • Skin ulcers near the ankles

Varicose Veins & Venous Insufficiency

Varicose veins are often the result of an underlying condition called venous insufficiency. Although they are usually an inherited condition, anyone can develop them.  Fortunately, they do not come on suddenly, typically taking years to develop.

Cause of Varicose Veins

In fact, age is one of the main contributing factors when it comes to varicose veins. Over time, your veins can lose their elasticity, just like your skin. This is problematic because of the way your veins work. Because your leg veins must work against gravity to carry your blood back up to your heart, they contain a series of valves to keep the blood from flowing back down. Inelastic veins can lead to weakened valves; blood pools in your veins, making them enlarged and bulge.

blood pools that create varicose veins; blue and purple bulge


Hormonal Imbalance can Cause Varicose Veins

Hormonal imbalance during puberty, pregnancy and menopause can contribute greatly to varicose vein development. Pregnancy can also lead to the development of varicose veins. This is because pregnancy both increases the amount of blood in your body and restricts the blood flow from the legs to the pelvis. Hormonal changes can also contribute to this condition. However, pregnancy-related varicose veins usually improve on their own after the pregnancy.

Other risk factors for developing varicose veins include:

  • Sex: Women are far more likely to develop varicose veins (by age 50 almost 50% of women and 25% of men may get varicose veins).
  • Family History: If family members have had vein problems, you are at an increased risk.
  • Obesity: Additional weight puts added pressure on your veins.
  • Leg Movement: Standing or sitting for prolonged periods of time can adversely affect the blood flow in your legs.  Certain occupations that require prolonged standing such as health care workers, teachers, hair dressers, mail carriers, restaurant staff etc. are predisposed to developing varicose veins.

Diagnosis & Treatment of Varicose Veins

Dr. Shah diagnosis the underlying cause of varicose veins with the help of the venous duplex ultrasound. The venous duplex ultrasound is used to map the veins out much like a “road map” of the veins in the legs. If the underlying cause, like venous insufficiency, is not dealt with, people can develop more serious symptoms such as phlebitis, skin pigmentation on the lower part of the leg, and possibly leg/ankle sores. If the patient has leaky valves in the Saphenous vein then minimally invasive treatments can deliver maximum results. Endovenous Laser Ablation is appropriate to fix this problem. The residual bulging varicose veins can then be treated with Micro-Phlebectomy or Sclerotherapy. Patients who have undergone these minimally invasive, in-office procedures under local anesthetic. The procedures require no stitches allowing patients to walk right away and return to work the day after the procedure. This is in contrast of the old treatment for varicose veins, which was vein stripping. Because bigger incisions had to be made, vein stripping had to be done in the hospital under general anesthesia. Vein stripping also took much longer to recover from, often taking two more more weeks only to result in long scars and a higher recurrence of varicose veins.

Venous duplex Ultrasound for vein mapping and venous reflux study

Schedule Your Varicose Vein Treatment Session

If you are currently suffering from varicose veins, or think you may be developing them, contact us today to make an appointment with Dr. Shah. Although they are not always painful, treating them can improve your circulation by closing the damaged veins. Since varicose veins often become worse over time, treating them sooner rather than later is generally recommended. We offer a range of varicose vein treatments. To find out more, contact us today.



comma-1 I was referred to Dr Shah by my dermatologist to remove my varicose veins. She told me he was the best Vascular Doctor in the Philadelphia area. Upon meeting Dr Shah, he personally did a thorough consultation which involved taking my history and examing my legs followed by him personally doing a venous duplex ultrasound which enabled him to find out that I had “leaky valves” in my Saphenous veins. Following this he recommended that I needed to have endovenous laser ablation procedure followed by Micro-Phlebectomy for my Varicose veins on my legs. Having never had any type of surgery, I was very apprehensive about the whole process. Dr Shah and his staff were so friendly and immediately put me at ease. I have never had such a personal rapport with a doctor or his staff before now. It is refreshing to be around Dr Shah and the girls in his office. I would highly recommend him to anyone who is suffering with varicose veins. comma-2

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