Understanding Varicose Veins and Their Impact
Varicose veins are a widespread condition, affecting up to 40 per cent of adults in the UK during their lifetime. This figure increases significantly for those over 75 years old, with more than 60 per cent experiencing this issue. These veins typically appear on the legs and are caused by faulty valves that allow blood to pool, resulting in knobbly, bulging, twisted veins with a dark blue or purple appearance.
Despite common misconceptions, varicose veins are not solely caused by being overweight, pregnancy, or standing for long periods. Instead, they have a strong genetic component. Professor Mark Whiteley, a venous surgeon and founder of the Whiteley Clinic, explains that individuals inherit five genes from each parent that influence how well the valves in their veins function. If someone has five or more ‘bad’ genes, they are likely to develop varicose veins more severely. In extreme cases, people can develop them as early as age 12.
Personal Experiences with Varicose Veins
Ola Majewska, a 42-year-old shop manager living in a small village in Hampshire, has experienced the challenges of varicose veins since her twenties. She began noticing bulging veins between her knee and foot, as well as on the outer side of her thigh on her left leg. Over time, the condition worsened, leading to significant discomfort and impacting her daily life.
“I used to hide my legs and avoid wearing short skirts or dresses,” Ola recalls. “It really affected my self-confidence and made me feel self-conscious even around my partner.” The pain and heaviness in her legs became so severe that it limited her ability to exercise and even drove her to avoid certain activities after work.
Ola’s mother and grandfather also suffered from varicose veins, enduring painful procedures that often led to complications. “They both had traumatic experiences with their treatments, which involved many weeks of recovery,” she says. “My mum still has poorly legs, and my grandfather struggled until the end of his life.”
The Importance of Early Treatment
Professor Whiteley emphasizes that while there is no way to prevent varicose veins, regular exercise can help slow their progression. However, if left untreated, varicose veins can lead to serious complications such as swollen ankles, leg ulcers, blood clots, and even an increased risk of dementia, heart failure, and stroke.
“Varicose veins cause inflammation that blocks capillaries, leading to inflammatory tissue in the legs,” he explains. “Research has shown that this inflammation is linked to several health issues, making it crucial to address varicose veins before they cause further problems.”
Whiteley adds that only about 20 per cent of people have visible varicose veins, but up to 40 per cent have hidden ones that can cause issues without being noticed. He advises getting treated early to prevent complications.
Innovative Treatments and Recovery
In 2024, Ola decided to take action and researched treatment options. After an ultrasound scan of her legs, she underwent endovenous laser ablation and phlebectomy at the Whiteley Clinic. These minimally invasive procedures were performed under local anaesthetic, allowing her to return to work quickly.
In February, Ola completed her treatment with foam sclerotherapy, which eliminates affected veins and prevents them from growing back. “It’s important to do this procedure under ultrasound control to ensure accuracy,” Whiteley explains. “Afterward, a stocking is worn for 21 days to keep the vein closed.”
Ola reported a significant improvement in her leg after the first treatment, with the bulging veins disappearing. She now feels confident enough to wear shorts or shorter dresses without worrying about her appearance. The soreness and tightness have completely gone, and she is exercising regularly to maintain her improved condition.
“I’m really happy with the results and wish my mum and grandfather could have had these options available to them,” Ola says. “It would have made a big difference to their lives.”
