Understanding Varicose Veins: Causes, Symptoms & Modern Treatment Options

by | Sep 4, 2025 | health

Varicose veins are more than just a cosmetic concern; they are a common vascular condition that can lead to discomfort, pain, and other complications if left untreated. At Swift Vein and Vascular in the Bronx, Dr. Pradeep Goyal specializes in diagnosing and treating varicose veins using modern, minimally invasive techniques.

Whether you’re starting to notice bulging veins in your legs or struggling with chronic leg pain and swelling, understanding the causes, symptoms, and treatment options can help you take proactive steps toward better vein health.

What Are Varicose Veins?

Varicose veins are swollen, twisted veins that usually appear just beneath the surface of the skin, most commonly in the legs. They occur when the valves inside the veins become weak or damaged, causing blood to flow backward and pool in the vein. This leads to increased pressure, which enlarges the veins and causes them to bulge.

While many people see varicose veins as a cosmetic issue, they can also be a sign of underlying venous insufficiency, a condition where blood isn’t efficiently returned to the heart.

Common Causes of Varicose Veins

Several factors can contribute to the development of varicose veins:

  • Age

As you age, veins lose elasticity and valves may weaken, making varicose veins more likely.

  • Genetics

If your parents or grandparents had varicose veins, you’re at a higher risk of developing them too.

  • Gender

Women are more prone to varicose veins due to hormonal changes during pregnancy, menopause, or while taking birth control pills.

  • Pregnancy

Pregnant women have increased blood volume and hormonal changes, which can lead to vein enlargement.

  • Obesity

Excess weight puts added pressure on your leg veins.

  • Prolonged Standing or Sitting

Jobs that require long hours on your feet or sitting in one place can slow circulation and contribute to vein issues.

Signs and Symptoms to Watch For

While varicose veins are often easy to spot due to their bulging, rope-like appearance, other symptoms may include:

  • Aching or heavy feeling in the legs
  • Swelling in the lower legs and ankles
  • Cramping or throbbing pain
  • Itchy skin around the veins
  • Skin discoloration or ulcers in severe cases

If you’re experiencing any of these symptoms, it’s important to consult a vascular expert like Dr. Pradeep Goyal to evaluate your condition.

Modern Treatment Options

Gone are the days when varicose vein treatment required surgery and long recovery periods. Thanks to advancements in interventional radiology, most procedures today are minimally invasive, outpatient, and require little to no downtime.

  • Endovenous Laser Therapy (EVLT)

This procedure uses laser energy to close off the affected vein. It’s safe, effective, and leaves no scars.

  • Radiofrequency Ablation (RFA)

Similar to EVLT, this method uses radiofrequency energy to heat and seal the damaged vein.

  • Ultrasound-Guided Foam Sclerotherapy

A specialized foam is injected into the vein under ultrasound guidance to collapse and close the vein.

  • VenaSeal™ Closure System

This uses a medical adhesive to seal the vein shut without heat, making it a good option for those sensitive to thermal treatments.

  • Ambulatory Phlebectomy

In cases with large surface veins, tiny incisions are made to remove the affected veins. It’s done under local anesthesia with minimal scarring.

At Swift Vein and Vascular, best interventional radiologist in Bronx, Dr. Goyal, offers these advanced procedures tailored to each patient’s condition and comfort level.

Why Choose Dr. Pradeep Goyal?

Dr. Pradeep Goyal is a board-certified interventional radiologist with extensive experience in treating vascular conditions, including varicose veins and deep vein thrombosis (DVT). He uses image-guided, non-surgical methods to provide fast relief and better outcomes for his patients.

His clinic in the Bronx is equipped with the latest technology and a patient-focused environment that ensures comfort, safety, and optimal results.

Don’t Ignore Your Veins, Get Expert Care

Varicose veins are not just a cosmetic concern. If left untreated, they can lead to chronic venous insufficiency, ulcers, and even blood clots. If you’re experiencing symptoms or are unhappy with the appearance of your legs, schedule a consultation with Dr. Pradeep Goyal today.Modern treatments are fast, safe, and highly effective, giving you healthier veins and renewed confidence.