The image shows the back of a person’s legs, and the right leg displays prominent, bulging, twisted veins—classic signs of varicose veins.
Condition Identified: Varicose Veins
What Are Varicose Veins?
Varicose veins are enlarged, swollen, and twisted veins, often appearing blue or dark purple. They develop when faulty valves in the veins allow blood to flow in the wrong direction or to pool.
Causes
Varicose veins are primarily caused by venous insufficiency, which means the veins have trouble sending blood from the limbs back to the heart. Causes include:
Weak or damaged vein walls and valves
Prolonged standing or sitting
Obesity
Pregnancy
Genetic predisposition
Hormonal changes (especially in women)
Symptoms
Bulging, bluish veins visible under the skin
Heaviness or aching in the legs, especially after standing
Swelling in the lower legs
Throbbing or cramping
Itching or skin discoloration near the affected veins
In advanced stages, untreated varicose veins may lead to:
Skin ulcers
Blood clots (e.g., superficial thrombophlebitis)
Bleeding from ruptured veins
Diagnosis
Diagnosis is usually clinical but may be confirmed with:
Doppler Ultrasound: To evaluate blood flow and valve function
Venography (rare): Imaging with contrast dye
Treatment Options
Conservative Measures
Compression stockings
Elevating legs
Exercise and weight management
Avoiding long periods of standing
Medical Procedures
Sclerotherapy: Injection of a solution to close off smaller varicose veins
Laser treatments: For smaller veins near the surface
Radiofrequency or laser ablation: Minimally invasive; uses heat to close veins
Vein stripping and ligation: Surgical removal of larger veins
Ambulatory phlebectomy: Removal through small skin punctures
Prevention Tips
Regular physical activity
Avoid high heels and tight clothing
Elevate legs when resting
Maintain a healthy weight
If this is your leg or someone you know, it’s a good idea to consult a vascular specialist or dermatologist for a proper evaluation and to discuss the best treatment options.
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