When Is It Time to See a Varicose Veins Specialist?

by | Nov 9, 2023

When it comes to varicose vein concerns, we understand uncertainty may hold you back from seeking help. However, if you’re experiencing vein pain, noticeable swelling, or tenderness in the area, it’s important to consult a varicose veins specialist. At Supreme Vascular and Interventional Clinic, we can evaluate the severity of your condition with personalized guidance and appropriate treatments. 

Running long hours without spider veins

Introduction to Varicose Veins


When they first appear, varicose veins have more of an impact on your appearance than your health, But in some cases, these enlarged and discolored veins can become quite painful and harm your circulation. Here is an overview of varicose vein symptoms and when it is appropriate to contact a vein specialist for the ailment. 

Varicose Veins Top Symptoms


The most common symptoms of varicose veins are: 

  • Pain in your legs, particularly behind your knees, when walking
  • Swelling in your legs and feet at the end of the day
  • Feelings of heaviness or weakness in the legs and feet
  • Tender lumps in your leg stemming from phlebitis, an inflammation of a vein that can lead to blood clots and is sometimes caused by varicose veins

If you notice the emergence or experience any of the symptoms above, it may be a clear signal to consult a varicose veins specialist.


Family History of Venous Diseases


There is plenty of evidence that the presence of varicose veins is heavily influenced by family history. While there is no specific gene related to vein conditions, having malfunctioning valves or not enough valves is an inheritable trait. One study in France examined 134 families and found that patients with parents who both had the disorder had a 90% risk of developing varicose veins. 

Varicose Veins and Spider Veins Procedures and Treatments

There are various techniques available to treat varicose veins and spider veins depending on the clinical presentation.

Leg Ulcer


People diagnosed with varicose veins also have a higher chance of developing venous leg ulcers. These are chronic sores that cause pain, itching, and swelling in your legs. Leg ulcers most often appear on the inside of the leg above the ankle. 

Rash Near Ankle

People with varicose veins are also completely affected by varicose eczema. Also known as venous or gravitational eczema, this is a long-term skin condition that resembles a rash on the lower legs. 

On white skin, the affected areas can become red or brown, and on black or brown skin, it can take on a dark brown, grey, or purple tint.  

Varicose eczema also results in skin that is itchy, dry, and scaly. The intensity of the condition can vary over time.  

Blue or Bulging Veins in Ankle


One possible cause of varicose veins and similar disorders is superficial venous reflux. (The condition is sometimes known as saphenous venous reflux). This is when the valves in your legs and ankles become damaged and cause blood to pool in the area, leading to discolored veins. In addition to varicose veins, superficial venous reflux can lead to spider veins, and reticular veins. Statistically, women are at much higher risk for superficial venous reflux than men.

Women are more likely to get varicose veins resulting from a unique blend of genetic, hormonal, and lifestyle factors. While varicose veins can also occur in men, women face distinct risk factors that increase their susceptibility to this condition.

Swollen Ankle 


Chronic venous insufficiency (CVI) is another example of venous reflux disease. A buildup of blood in the ankles and legs due to dysfunctional veins can result in swelling, restless leg syndrome, and varicose veins. The occurrence of CVI is increased by factors such as age, hypertension, leg injuries, a history of deep vein thrombosis, and a sedentary lifestyle. 


Varicose Veins Treatments


Dr. Manish Taneja, our varicose veins speclist at Supreme Vascular and Interventional Clinic in Singapore provides several treatment options for varicose veins. Depending on the severity of your condition and any other medical problems you currently have, we may recommend any of the following treatments:

  • Conservative medical management – using at-home treatments such as compression socks to manage symptoms without undergoing a medical procedure
  • Laser endovenous treatment (ELVT) – using a laser with ultrasound assistance to reduce varicose veins via heat
  • Radio-frequency endogenous ablation (RFA) – shrinking varicose veins with radio waves
  • VenaSeal endogenous closure system – sealing damaged veins with medical adhesives
  • Microwave endogenous ablation – using heat to treat varicose veins
  • Open surgery – undergoing traditional surgery to bring varicose veins down to their standard size
  • Venous avulsions – removing varicose veins entirely through minor surgery
  • Sclerotherapy – injecting an irritant into the veins to shrink them by temporarily increasing inflammation
  • Clarivein endovenous treatment- combines sclerotherapy with a mechanical means of reducing varicose veins
  • Cryolaser and cryosclerotherapy – using extreme cold to shrink varicose veins


Keep Your Veins in Good Health with Supreme Vascular and Interventional Clinic


Varicose veins may initially be harmless, but if left untreated for too long, they can eventually harm your quality of life through regular pain and discomfort, the onset of other life-altering venous diseases, and blood clots. If you want to receive medical attention for varicose veins in Singapore, look no further than Supreme Vascular and Interventional Clinic. Our vascular specialist Dr. Manish Taneja has plenty of experience performing many types of vascular interventions. Many of these interventions come in the form of minimally invasive treatments that reduce pain next to little visible scarring and fast recovery times. 

Contact us today to schedule an appointment and begin the process towards better vein health. 

Dangers of Untreated Varicose Veins

Ignoring any potential health concerns, such as your varicose veins, can lead to serious long-term consequences.
Am I at Risk of Varicose Veins, Spider Veins, or Deep Vein Thrombosis?
The appearance of varicose and spider veins on your body is nothing of immediate concern. If there are symptoms associated with them, schedule a visit with your doctor to diagnose and treat varicose veins. Spider veins, varicose veins, and deep vein thrombosis (DVT) can occur on individuals with all body types, genders, and ages. The following demographics may have a higher chance of experiencing them.

  • Those who are overweight (therefore, maintain a healthy weight to reduce the pressure)
  • Pregnant women
  • Females
  • Individuals between the ages of 40 and 80
  • Those who are inactive/not exercising (even sitting or standing for long periods)
  • Smoker
  • Frequent flyers
  • Those who have had surgery or leg trauma

Varicose veins specialist, Dr. Manish Taneja, offers comprehensive care for varicose veins patients at Supreme Vascular and Interventional Clinic in Singapore.

Assessment of Varicose Veins

Clinical examination and ultrasound doppler scan are most important tools in assessment and deciding management of varicose veins. This takes about 15-20 minutes to do and is usually done in the clinic itself.

Treatment of Varicose Veins

There are various techniques available to treat varicose veins depending on clinical presentation. These include:

  • Conservative medical management including compression socks
  • Laser endovenous treatment (EVLT)
  • Radio-frequency endovenous ablation (RFA)
  • Clarivein endovenous treatment
  • VenaSeal endovenous closure system
  • Microwave endovenous ablation
  • Open surgery
  • Venous avulsions
  • Sclerotherapy
  • Cryolaser and cryosclerotherapy

What are the Advantages of Minimally Invasive Treatments?

  • No major surgery
  • No or minimal visible scars
  • Quick recovery
  • Same day admission and discharge
  • Clinic based treatments

Consult a Vascular Specialist for Your Varicose Veins and Spider Veins


Dr. Manish Taneja, a certified vascular and varicose veins specialist in Singapore, has extensive experience in the treatment of all vascular interventions and looks after venous diseases like varicose veins, spider veins, and reticular veins. Come in for a further evaluation. Arrange an appointment with Dr. Manish Taneja, our varicose veins specialist.


Dr. Manish Taneja performing surgery

Varicose Veins Resources

Explore our varicose veins and spider veins resources for patients. Gain insight into the diagnosis and treatment of varicose and spider veins conditions, their underlying causes, symptoms, and complications. Connect with your vascular health.

Keep Varicose Veins and Spider Veins at Bay

If your legs feel sore persistently, achy when standing long periods, or maybe you notice blue or purple veins even bulging in the area, chances are these symptoms of varicose veins and spider veins could lead to other serious venous diseases such as Deep Vein Thrombosis (DVT), Chronic Venous Insufficiency (CVI), or Leg Swelling due to increased pressure forming larger blood clots over time. Varicose veins are fully treatable with minimally invasive procedures and treatments offering minimal downtime and quick recovery preventing further complications. Long term effects of untreated varicose veins can hinder your daily life and impact your health.

The Supreme Vascular and Interventional Clinic in Singapore is here to diagnose and treat varicose veins smoothening patients’ experience to find relief and comfort. As a vascular and interventional radiology specialist based in Singapore, Dr. Manish Taneja looks after a spectrum of venous diseases, peripheral vascular malformations, and peripheral arterial disease. Dr. Manish Taneja also has extensive experience in performing all vascular interventions, non-vascular interventions and interventional oncology procedures.

Other Health Conditions

The Supreme Vascular and Interventional Clinic is your “go-to” facility for various conditions and treatments. To arrange an appointment with Dr. Manish Taneja, our varicose veins specialist, contact us. You can also call us at (+65) 6904 8084 for a consultation.