It is believed that many people have noticed small capillaries resembling spider webs or large bulging veins on the legs, which are mostly found in working-age women and have risk factors such as jobs that require standing or sitting for long periods, being overweight, etc. Most people think these symptoms are only a cosmetic issue.
However, in reality, these symptoms may be warning signs of abnormal venous circulation in the legs (chronic venous insufficiency), which if left untreated for a long time, can lead to more severe complications in the future. Additionally, varicose veins may cause discomfort such as a heavy feeling in the legs when standing, sitting, or walking for a long time, as well as frequent cramps.
What are Varicose Veins? And Why Should They Not Be Ignored?
Varicose veins are small to large bulging veins under the skin that look like spider webs or sometimes large bulging veins. These are mostly symptoms of stage 1 and 2 of chronic venous insufficiency, which has 6 severity levels as follows:
Level 1 spider vein Visible as fine purple varicose veins resembling spider webs.
Level 2 varicose vein Visible bulging veins under the skin that are larger in size.
Level 3 edema Swelling in the legs.
Level 4 skin change Skin abnormalities such as darkening around the inner ankle, skin becoming hard and rough, and sometimes persistent itchy rashes.
Level 5-6 chronic wound Wounds start to appear on the legs that are difficult to heal or recurrent wounds in the same area.
Diagnosis
Color duplex ultrasound can effectively examine and provide detailed information about vascular abnormalities. It is accurate and takes a short time to perform.
Appropriate Treatments
- Behavioral adjustments such as weight loss and exercises to strengthen leg muscles
- Wearing compression stockings for varicose veins
- Taking medications that stimulate venous circulation
- Sclerotherapy and laser skin treatment
- Surgery
Currently, there are various treatment options available. Minimally invasive surgery allows quick recovery and patients can go home immediately after the procedure. The surgeon will choose the appropriate surgery based on the lesion found and the patient’s condition.
| Treatment Method | Suitable For | Highlights |
| 1. Sclerotherapy | Small to medium varicose veins | No surgery required, can go home immediately after treatment |
| 2. Laser Therapy | Spider veins, uneven skin surface | Good cosmetic results, no surgery required, can go home immediately after treatment |
| 4. Endovenous Surgery | Very large or complex varicose veins | Treats reflux veins, which are the main cause of the disease |
Why Choose Treatment at Phyathai 1 Hospital Surgical Center?
Because you can directly consult a vascular surgeon and undergo vascular ultrasound diagnosis as well as treatment planning without wasting time.
