Varicose Veins, Chronic Venous Insufficiency, Stasis Dermatitis Quiz
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Swollen feet
Swelling
Left leg swelling
Dark skin
Sores or ulcers of the skin
Leg rash
Swelling in the legs
Not seeing your symptoms? No worries!
What is Varicose Veins, Chronic Venous Insufficiency, Stasis Dermatitis?
Varicose veins are bulging, twisting veins that are often blue or dark purple in color. They occur when the valves in the vein become defective, causing the blood to move in the wrong direction or pool.
Typical Symptoms of Varicose Veins, Chronic Venous Insufficiency, Stasis Dermatitis
- Primarily engaged in work that requires standing
- Swelling or water retention on one side of the body
- Hard or stiff skin
- Dark spots on skin
- Swelling leaves a dent when pressed for at least 15 seconds
- Swelling in any body part
- History of groin hernia
- History of deep vein thrombosis / blood clot in my leg veins
Diagnostic Questions for Varicose Veins, Chronic Venous Insufficiency, Stasis Dermatitis
Your doctor may ask these questions to check for this disease:
- Do you stand a lot for work?
- Is one side of your body swollen?
- Have you noticed any hard or stiff areas on your skin?
- Do you have darkened skin?
- Does the swelling leave a dent when pressed for at least 15 seconds?
Treatment of Varicose Veins, Chronic Venous Insufficiency, Stasis Dermatitis
The most common treatment option for varicose veins is sclerotherapy, a procedure in which medicine is injected into the veins, making them shrink. Some other treatments include laser, vein stripping, and endoscopic vein surgery.
Reviewed By:
Mo Gerdvisheh, MD (General Surgery)
Dr. Gerdvisheh is a Board Certified General Surgeon specializing in Minimally Invasive Surgery. He graduated Magna Cum Laude from Virginia Commonwealth University with a Bachelor of Science in Biology and Minor in Chemistry. He went on to earn his medical degree from Saba University School of Medicine and completed General Surgery residency at Mercy Health - Jewish Hospital. During his residency, he was awarded the Joel A. Essig Outstanding Resident Award as the most technically gifted and compassionate surgical resident. Dr. Gerdvisheh is also a graduate of the Harvard Medical School Surgical Leadership Program and holds positions on the Utilization Review, Credentialing, and Robotic Steering committee's at The Christ Hospital. He is committed to providing comprehensive care to his patients for a wide variety of surgical problems.
Yoshinori Abe, MD (Internal Medicine)
Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.
Content updated on Feb 13, 2025
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- Scars or marks from the rash/wound
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- Hyperpigmentation
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- The groin skin is dark
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Symptoms Related to Varicose Veins, Chronic Venous Insufficiency, Stasis Dermatitis
Diseases Related to Varicose Veins, Chronic Venous Insufficiency, Stasis Dermatitis
FAQs
Q.
Numb or Cold? Why Your Circulatory System Is Failing & Medical Next Steps
A.
Cold or numb hands or feet can signal circulation problems from reduced arterial flow or poor venous return, though similar symptoms can also come from nerve conditions; risks are higher with diabetes, smoking, high blood pressure, high cholesterol, inactivity, and age. Next steps typically include a focused exam and tests such as an ankle-brachial index and Doppler ultrasound, with urgent care needed for sudden one-sided numbness, chest pain, or a cold painful limb; there are several factors to consider, and the complete guidance on warning signs, exact tests, and treatments is outlined below.
References:
* Schmieder, R. E., & Delles, C. (2020). Peripheral artery disease: Epidemiology, pathophysiology, diagnosis, and treatment. *The Lancet*, *395*(10228), 986-997. PMID: 32171068.
* Herrick, A. L. (2020). Raynaud's phenomenon: Pathogenesis and management. *Journal of Autoimmunity*, *108*, 102431. PMID: 32067950.
* Oaklander, A. L., & Nolano, M. (2023). Small fiber neuropathy: an update on diagnosis and treatment. *Current Opinion in Neurology*, *36*(3), 205-212. PMID: 37198889.
* Distler, O., & Herrick, A. L. (2020). Vascular manifestations of systemic sclerosis. *Nature Reviews Rheumatology*, *16*(5), 269-281. PMID: 32242139.
* Freeman, R. (2020). Update on the diagnosis and management of autonomic neuropathies. *Journal of Neurology, Neurosurgery & Psychiatry*, *91*(8), 856-863. PMID: 32366627.
Q.
Painful Varicose Veins? Why Your Veins are Failing & Medical Next Steps
A.
Painful varicose veins often signal failing vein valves and chronic venous insufficiency, not just a cosmetic issue, causing blood to pool and lead to aching, swelling, heaviness, and sometimes skin changes or ulcers; risk rises with family history, pregnancy, prolonged standing or sitting, obesity, aging, or prior leg injury or clots. There are several factors to consider, and important details below could change your safest next step. Options range from leg elevation, movement, weight management, and medical-grade compression to ultrasound-guided treatments like sclerotherapy, endovenous ablation, or adhesive closure, with urgent care needed for sudden one-leg swelling, severe pain, chest pain, or shortness of breath; see the complete details below.
References:
* Gloviczki P, Lawrence PF, Wanhainen A, et al. Varicose Veins: Review of Current Management. J Vasc Surg. 2018 Jan;67(1):153-162.
* Wittens C, Davies AH, Bækgaard N, et al. Management of chronic venous disease: clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2015 May;49(5):678-737.
* Gloviczki P, Comerota AJ, Dalsing RH, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011 May;53(5 Suppl):2S-48S.
* Davies AH. The pathophysiology of varicose veins. Phlebology. 2019 Jun;34(1_suppl):4-8.
* Puskas A, Veres G, Deak P, et al. Pharmacological and non-pharmacological conservative treatment for symptomatic varicose veins: a systematic review. J Vasc Surg Venous Lymphat Disord. 2023 Mar;11(2):373-380.e1.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Youn, Y. J., & Lee, J. (2018). Chronic venous insufficiency and varicose veins of the lower extremities. The Korean Journal of Internal Medicine.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6406103/Eberhardt, R. T., & Raffetto, J. D. (2014). Chronic venous insufficiency. Circulation.
https://www.ahajournals.org/doi/abs/10.1161/circulationaha.113.006898Lichota, A., Gwozdzinski, L., & Gwozdzinski, K. (2019). Therapeutic potential of natural compounds in inflammation and chronic venous insufficiency. European Journal of Medicinal ….
https://www.sciencedirect.com/science/article/pii/S0223523419304039