Varicose veins are enlarged and twisted veins that often appear as blue or purple bulges on the legs. They are a common condition that affects many individuals, causing discomfort and cosmetic concerns. It is the price we pay for adopting the erect posture. In India, almost 5% of the population is affected by this condition. Looking at our current population as of 2023, it translates to ‘7,14,58,162’. If this condition is neglected, it can even lead to a fatality.

Hence, this blog post aims to provide an overview of varicose veins recurrence and offer strategies for its prevention. As a neuro and vascular interventional radiologist in Kerala, I intend to guide you about the recurrence of varicose veins, their prevention, and the long-term care that you need to take.

Understanding Varicose Veins Recurrence

Varicose veins recurrence refers to the reappearance or worsening of varicose veins after previous treatment. It is quite possible that even after the treatment, varicose veins can recur. There are various causes for it. Watch my video to gain a detailed insight into it.

Clinically, there are some factors that can cause varicose veins to recur. I’ll discuss it in detail.

Factors Contributing to Varicose Veins Recurrence

Incomplete Treatment of Underlying Venous Insufficiency

When varicose veins are treated without addressing the underlying venous insufficiency, there is a higher likelihood of recurrence. It is essential to seek comprehensive treatment that targets the root cause of the problem.

Genetic Predisposition

Genetics can play a role in the development and recurrence of varicose veins. If you have a family history of varicose veins, you may be more prone to experiencing their recurrence.

Lifestyle and Environmental Factors

Certain lifestyle choices and environmental factors can contribute to varicose vein recurrence. These may include prolonged sitting or standing, obesity, lack of exercise, and exposure to high temperatures.

Hormonal Changes and Pregnancy

Hormonal changes, particularly during pregnancy, can lead to the development or worsening of varicose veins. The increased blood volume and hormonal fluctuations can put added stress on the veins, increasing the risk of recurrence.

Specific Causes of Recurrence

In addition to the above factors, there are specific causes of varicose veins recurrence that should be considered.

Recanalization of Treated Veins

In some cases, the treated veins may reopen or recanalize, leading to the recurrence of varicose veins.

New Sources of Incompetence

The development of new sources of vein incompetence, such as accessory saphenous veins, small saphenous veins (SSV), or perforator veins, can contribute to recurrence.

Pelvic Vein Incompetence

Incompetence of the pelvic veins can also be a factor in varicose veins' recurrence.

Neovascularization

The formation of new blood vessels, known as neovascularization, can contribute to the recurrence of varicose veins.

Deep Venous Disease

Deep venous disease is a recognized risk factor for an increased chance of recurrence, suggesting that obstruction may play a role. Very often patients ask me about the preventive techniques for varicose veins. Here are a few things that you can try to prevent varicose veins.

Prevention Strategies for Varicose Veins Recurrence

Following a Healthy Lifestyle

Regular Exercise and Weight Management

Engaging in regular physical activity and maintaining a healthy weight can reduce the risk of varicose veins recurrence. Exercise promotes good blood circulation and strengthens the leg muscles, supporting healthy veins.

Avoiding Prolonged Sitting or Standing

Avoiding prolonged periods of sitting or standing is crucial in preventing varicose veins recurrence. If your job requires extended periods of sitting or standing, take frequent breaks and incorporate movement into your routine. Any job that requires prolonged periods of standing and sitting puts you at risk for varicose veins. You need to take special care if you belong to specific professions or industries, like-

• Retail and Hospitality
• Healthcare
• Administration and IT
• Hairdressing and Barbering
• Truck Driving
• Teaching

This is not an exhaustive list; it is just to guide you. As a thumb rule, make it a habit to keep moving without sitting or standing in one place for long periods.

Elevating Legs and Practicing Leg Exercises

Elevating your legs above the heart level and performing leg exercises, such as ankle pumps and calf stretches, can help improve blood flow and reduce the risk of varicose veins recurrence.

Wearing Compression Stockings

Wearing compression stockings can provide external support to the veins and promote better blood circulation. They help reduce swelling and discomfort and are particularly beneficial for individuals at risk of varicose veins recurrence.

Treating Underlying Venous Insufficiency

Seeking Comprehensive Treatment from a Vascular Specialist

When seeking treatment for varicose veins, it is crucial to consult a vascular specialist like Dr. Dharav Kheradia. Comprehensive evaluation and treatment of the underlying venous insufficiency will greatly reduce the chances of recurrence.

Understanding the Importance of Addressing Venous Reflux

Venous reflux, a condition where blood flows backward in the veins, is often the cause of varicose veins. Treating venous reflux through minimally invasive procedures, such as endovenous laser treatment or radiofrequency ablation, can significantly reduce the risk of recurrence.

Exploring Minimally Invasive Treatment Options

Minimally invasive treatment options, such as sclerotherapy or ambulatory phlebectomy, can effectively treat varicose veins and help prevent their recurrence. These procedures are performed on an outpatient basis, ensuring a quicker recovery and minimal disruption to daily life.

Managing Risk Factors and Triggers

To effectively manage the risk factors and triggers associated with varicose veins recurrence, consider the following risk factors:

Excess Weight

Excess weight puts added pressure on the veins, increasing the likelihood of varicose veins recurrence. Maintain a healthy weight through regular exercise and a balanced diet.

Tight Clothing and High Heels

Tight clothing, especially around the waist and legs, can restrict blood flow and contribute to varicose veins recurrence. Similarly, high heels can impede proper circulation and put additional strain on the veins.

Sedentary Lifestyle

If you have a sedentary job or need to stand for extended periods, take regular breaks and incorporate movement into your routine. Walking or stretching every hour can help maintain healthy blood flow and reduce the risk of recurrence.

Skin Care

Proper hygiene and skin care are essential in preventing complications and promoting vein health. Keep the skin clean and moisturized, and promptly treat any skin issues to avoid potential infections that can worsen varicose veins.

Long-Term Care for Varicose Veins

By maintaining healthy habits and seeking prompt treatment when needed, individuals can effectively manage varicose veins and promote long-term vein health. In general, if you have varicose veins then you should follow the below-mentioned steps.

Regular Follow-up with a Healthcare Provider

After undergoing treatment for varicose veins, it is important to maintain regular follow-up appointments with a healthcare provider. This allows for ongoing evaluation and monitoring to detect any signs of recurrence at an early stage.

Lifestyle Modifications for Continued Prevention

To ensure continued prevention of varicose veins recurrence, consider the following lifestyle modifications:

Incorporating Physical Activity into Daily Routine

Sustaining an active lifestyle is key to preventing varicose veins recurrence. Incorporate exercise into your daily routine, such as walking, swimming, or cycling, to keep your veins healthy and circulation optimal.

Swimming

Swimming strokes raise your legs and prevent blood from collecting in them. It is an excellent low-impact cardiovascular activity since it does not place stress on your bones and joints. Even if you don’t know how to swim, you can begin by swapping 30 seconds of exercise for 30 seconds of relaxation.

Cycling

Cycling is another low-impact exercise for varicose veins. Cycling improves blood circulation while preserving the joints. Cycling regularly might serve to reinforce the calf muscles and improve healthier blood circulation. There is no need for any special bicycle, you can use conventional bikes.

Running

Running provides the same advantages as walking, including improved cardiovascular health. Running, for example, requires the leg muscles for contraction and expansion. As previously stated, these leg muscles work as a pump to assist the veins in pumping blood to the heart. When performing these workouts, always wear good running or walking shoes and avoid overstressing the body. You must find the right balance between core strength and blood circulation while avoiding placing excess strain on the blood vessels in the legs.

Maintaining a Balanced Diet and Hydration

Eating a balanced diet rich in fruits, vegetables, and whole grains supports overall vein health. Staying adequately hydrated is also essential, as dehydration can affect blood viscosity and increase the risk of recurrence.

Avoiding Smoking and Excessive Alcohol Consumption

Smoking and excessive alcohol consumption have detrimental effects on vein health and overall well-being. Quitting smoking and moderating alcohol intake can significantly contribute to preventing varicose veins recurrence.

Recognizing the Signs of Recurrence and Seeking Prompt Treatment

It’s important to be aware of the signs of varicose veins recurrence, such as the appearance of new bulging veins, increased pain or swelling, or the return of previous symptoms. If you notice any such signs, consult Dr. Dharav Kheradia at Dr. Dharav Endo Vascular Cure in Kerala for a thorough evaluation and appropriate treatment.

With proper care and proactive measures, you can significantly reduce the risk of varicose veins recurrence and maintain healthy legs and veins for years to come.