Understanding Varicose Veins: Causes, Risks, and Modern Treatments
- Dr. Vadim Kolesnikov
- May 10
- 2 min read

Varicose veins are a common vascular condition affecting nearly one in three adults at some point in their lives. These enlarged, twisted veins most commonly appear on the legs and feet due to increased pressure in the lower body. While they might initially seem like just a cosmetic concern, they are often a visible sign of an underlying circulatory problem known as chronic venous insufficiency (CVI).
CVI occurs when the small valves inside the veins, which help push blood back toward the heart, become weak or damaged. When these valves fail, blood begins to pool in the veins instead of flowing efficiently upward. Over time, this pressure causes veins to bulge, become discolored, and appear close to the skin’s surface. The result is what we commonly identify as varicose veins.
Some common symptoms of varicose veins include:
Aching or heavy sensation in the legs
Burning, throbbing, or cramping
Swelling in the ankles and feet
Itching around the vein
Skin discoloration near the affected vein
Leg ulcers in severe cases
Left untreated, varicose veins can lead to more serious complications such as skin thickening, eczema, bleeding, or venous ulcers. In some cases, they can even increase the risk of deep vein thrombosis (DVT).
At Sinai Vein and Wound Care, our team of vascular specialists offers expert diagnosis and cutting-edge treatments tailored to your condition. We focus on minimally invasive treatments, including Endovenous Laser Therapy (EVLT) a revolutionary procedure that uses targeted laser energy to seal off the diseased vein from the inside.
EVLT requires only local anesthesia and involves a tiny incision through which a laser fiber is inserted into the affected vein. Once activated, the laser delivers controlled heat that causes the vein to collapse and seal shut. Blood is naturally rerouted to nearby healthy veins, restoring proper circulation. The entire process usually takes under an hour, and most patients walk out of the clinic and return to light activity the same day.
Other complementary treatments may include:
Compression therapy: Wearing compression stockings to promote blood flow
Lifestyle adjustments: Weight management, regular movement, and leg elevation
Sclerotherapy: An injectable solution for smaller varicose or spider veins
Our holistic approach ensures that both your symptoms and their root causes are addressed. Every treatment plan is customized based on your vein health, lifestyle, and goals.
If you're noticing any signs of vein disease visible veins, aching legs, or chronic swelling, don't wait. The earlier you start treatment, the easier it is to prevent complications and restore your leg health. Schedule your consultation with Sinai Vein and Wound Care in Brooklyn or Manhattan today. Your legs deserve expert care.
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