Frequently Asked Questions
Varicose & Spider Veins
Understanding Varicose Veins & Spider Veins
What are varicose veins?
Varicose veins are enlarged, twisted veins that typically appear in the legs and feet. They develop when the valves in the veins weaken or fail, causing blood to pool and pressure to build. This leads to visible, bulging veins on the skin’s surface, often blue or purple in colour.
How are varicose veins different from spider veins?
While both are vein disorders, varicose veins are larger, deeper, and more likely to cause symptoms like aching or heaviness. Spider veins are smaller, superficial, and typically less painful. However, both indicate underlying vein issues and may require evaluation by a vascular specialist.
Are varicose veins dangerous or just cosmetic?
Although varicose veins are often seen as a cosmetic concern, they can indicate deeper venous insufficiency. In some cases, they can lead to complications such as skin ulcers, blood clots, or chronic swelling. It’s important to seek medical advice if symptoms persist
Are varicose veins a sign of poor circulation?
Yes, varicose veins can be a sign of poor venous circulation. They occur when valves in the leg veins fail to pump blood effectively back to the heart. Left untreated, they may worsen and lead to further circulatory problem
Causes & Risk Factors
What causes varicose veins?
Varicose veins are caused by faulty or weakened vein valves that allow blood to flow backward and pool in the vein. This increases pressure and causes the vein to enlarge and twist. Ageing, genetics, pregnancy, and prolonged standing all contribute to this condition.
What causes spider veins to appear?
Spider veins often result from increased pressure in small blood vessels near the skin’s surface. Factors include hormone fluctuations, sun exposure, injury, or prolonged sitting or standing. They may also be linked to underlying venous insufficiency.
Who is most at risk of developing varicose veins?
People with a family history of varicose veins, women (especially during or after pregnancy), older adults, and individuals with sedentary lifestyles or standing jobs are at higher risk. Obesity and hormonal treatments may also increase your chances.
Is standing or sitting for long periods a risk?
Yes, prolonged standing or sitting can contribute to varicose veins by preventing proper blood flow. Movement helps push blood through the veins, and without it, pressure builds and vein valves may fail. Taking breaks and moving regularly can help reduce your risk.
Do genetics play a role in varicose veins?
Genetics play a significant role in the development of varicose veins. If one or both parents have them, you are more likely to develop the condition. Inherited vein wall weakness and valve dysfunction contribute to their formation.
Can pregnancy cause varicose veins?
Pregnancy is a known risk factor for varicose veins due to increased blood volume, hormonal changes, and pressure from the growing uterus. These factors weaken the vein walls and valves, increasing the likelihood of developing varicose veins, especially in the legs.
Are men at risk of getting varicose veins too?
Yes, although more common in women, men can also develop varicose veins. Risk factors include genetics, age, obesity, and occupations that involve prolonged standing or lifting. Men may experience fewer cosmetic concerns but still face the same health risks.
Does being overweight increase my risk?
Being overweight puts extra pressure on the veins in your legs, increasing the risk of varicose veins. Excess weight can impair circulation and worsen valve function, making vein issues more likely and more difficult to treat.
Symptoms & Diagnosis
What are the common symptoms of varicose veins?
Common symptoms of varicose veins include aching, heaviness, throbbing, swelling, and visible bulging veins. You might also experience itching, cramping, or skin discolouration near the affected areas. These symptoms often worsen after long periods of standing or sitting.
Are varicose veins always painful?
Not all varicose veins cause pain, especially in the early stages. However, as the condition progresses, they can become uncomfortable or painful, particularly after prolonged standing. Pain may present as aching, burning, or a sense of fullness in the legs.
When do spider veins indicate a more serious problem?
While usually cosmetic, spider veins can sometimes point to deeper venous insufficiency, especially when accompanied by leg discomfort or swelling. If spider veins are increasing in number or are painful, a vascular assessment may be warranted.
Can varicose veins lead to blood clots or other complications?
Yes, varicose veins can lead to complications like superficial thrombophlebitis, deep vein thrombosis, skin ulcers, or chronic venous insufficiency. If you notice swelling, redness, or sudden leg pain, seek immediate medical advice.
When should I see a doctor for my vein issues?
You should consult a doctor if your varicose veins are painful, swollen, or worsening in appearance. Seek medical advice if you notice skin changes, ulcers, or symptoms of clotting. Early diagnosis helps prevent complications and improves treatment options.
What tests are used to diagnose vein problems?
Vein problems are usually diagnosed through a clinical examination and imaging tests. The most common diagnostic test is a venous duplex ultrasound, which visualises blood flow and identifies valve function and any blockages.
At the Vascular and Interventional Clinic, we provide both an in-depth consultation and an in-clinic venous duplex ultrasound in our $150 varicose veins screening.
What is a venous duplex ultrasound?
A venous duplex ultrasound is a non-invasive imaging test that uses sound waves to check the structure and function of your veins. It helps identify varicose veins, detect faulty valves, and rule out blood clots, guiding treatment planning.
Do I need to see a specialist for diagnosis?
Yes, a vascular specialist is best qualified to diagnose and manage varicose veins. They use specialised imaging and clinical assessments to evaluate the extent of venous insufficiency and recommend appropriate treatment.
Treatment Options
What are the treatment options for varicose veins?
There are several treatment options available for varicose veins in Singapore, ranging from non-invasive methods to minimally invasive procedures performed by a vascular surgeon. Each treatment is tailored to the patient’s symptoms, the severity of the veins, and underlying venous reflux. Some common varicose vein treatments include:
- Endovenous Laser Ablation
- Radiofrequency Ablation
- Ultrasound-Guided Foam Sclerotherapy
- VenaSeal
- Laser treatment for spider veins
- Micro Phlebectomy
Each treatment has its own benefits, recovery time, and suitability depending on your vein condition. A consultation with a vascular surgeon can help determine the most appropriate option for your specific case.
Can I treat varicose veins without surgery?
Yes, many varicose veins can be managed without surgery using lifestyle changes, compression therapy, or minimally invasive procedures. Early intervention and medical guidance can help reduce symptoms and prevent progression.
What factors influence treatment choice?
Treatment choice depends on the severity of the varicose veins, symptoms, overall health, and patient preferences. A vascular surgeon will assess your condition and recommend options based on clinical findings and imaging results.
What’s the best treatment for spider veins on the legs or face?
CLaCS is commonly used for treating spider veins. Sclerotherapy is also widely used for spider veins on the legs, while laser treatments may be preferred for facial veins. A consultation with a vein specialist will help determine the most effective and safe approach for your condition.
How do I know which treatment is right for me?
The best treatment for varicose veins is determined after a thorough clinical evaluation and ultrasound scan. Your vascular surgeon will consider your symptoms, lifestyle, and goals to tailor a suitable treatment plan.
Will my veins disappear completely after treatment?
Most treatments significantly reduce or eliminate the appearance of varicose veins. However, results vary based on individual factors, and new varicose veins may develop over time. Ongoing care and follow-up can help maintain long-term results.
Are there medications for vein problems?
There are medications that may help alleviate symptoms such as swelling and pain, but they do not cure varicose veins. Treatment is most effective when combined with lifestyle changes or medical procedures.
Recovery & Aftercare
Is there downtime after varicose vein treatment?
Most minimally invasive varicose vein treatments involve little to no downtime. Patients typically resume normal activities within a day or two. However, strenuous exercise and prolonged standing should be avoided for a short period post-treatment.
Can I walk or exercise after the procedure?
Light walking is encouraged after varicose vein treatment to promote blood flow and prevent clots. However, high-impact activities should be paused for a few days to allow proper healing. Your doctor will provide specific post-procedure guidelines.
Do I need to wear compression stockings?
Yes, wearing compression stockings after treatment supports the healing process and reduces the risk of bruising, swelling, or recurrence. Your vascular specialist will advise you on the duration and type of stockings to wear.
How long does it take to see results?
Visible improvement after varicose vein treatment usually appears within a few weeks, but full results may take up to three months. The timeline varies depending on the treatment method and individual healing response.
Will I need follow-up appointments?
Yes, follow-up appointments are essential to monitor your progress and ensure successful treatment. Your vascular surgeon may conduct a repeat ultrasound to assess the vein closure and check for any new issues.
Cost & Insurance
How much does varicose vein treatment cost in Singapore?
The cost of varicose vein treatment in Singapore can range significantly depending on complexity. Costs vary based on the treatment type, clinic, and whether the procedure is medically necessary.
What factors affect the cost of treatment?
Costs depend on the severity of the varicose veins, chosen procedure, number of sessions needed, and clinic facilities. Additional fees may apply for ultrasounds, follow-up consultations, or compression garments.
Is spider vein removal covered by insurance or Medisave?
Spider vein treatments are generally considered cosmetic and not covered by Medisave or insurance in Singapore. Exceptions may apply if spider veins are part of a medically diagnosed venous disorder.
Can I use Medisave for varicose vein treatment?
Medisave may be used for varicose vein treatment if it is deemed medically necessary by a specialist. This includes procedures to relieve symptoms like pain, swelling, or ulcers resulting from venous disease.
When is treatment considered medically necessary?
Treatment is medically necessary when varicose veins cause symptoms like pain, swelling, skin changes, or ulcers, or if there’s a risk of complications like clotting. A vascular specialist’s diagnosis and report are usually required for insurance claims.
How do I know if my insurance will cover treatment?
Check with your insurance provider for coverage details. You’ll likely need a referral and medical documentation proving that the varicose vein treatment is necessary to address health issues rather than for aesthetic purposes.
Lifestyle & Prevention
Can I prevent varicose veins from getting worse?
You can help prevent varicose veins from worsening by maintaining a healthy weight, exercising regularly, avoiding prolonged sitting or standing, and wearing compression stockings. Elevating your legs periodically can also reduce pressure.
What lifestyle changes help improve vein health?
Improving vein health involves regular physical activity, weight management, and a diet high in fibre and low in salt. Avoiding tight clothing, crossing your legs while sitting, and staying hydrated can also support healthy veins.
Does losing weight help with varicose veins?
Yes, weight loss reduces pressure on your leg veins, improving circulation and alleviating symptoms of varicose veins. It also lowers your risk of developing further vein issues or complications in the future.
Can exercise reduce the risk of developing vein issues?
Moderate exercise like walking or swimming helps improve blood circulation and strengthens leg muscles, reducing your risk of varicose veins. Exercise also helps with weight control, another important preventive factor.
Are compression stockings helpful?
Compression stockings are beneficial in managing symptoms of varicose veins. They help blood flow more efficiently, relieve swelling, and reduce discomfort. They’re often used as a first-line treatment or post-procedure support.
What sleeping positions are best for leg circulation?
Sleeping with your legs slightly elevated can help improve blood flow and reduce pressure in the veins. Avoid sleeping with crossed legs or in a position that restricts circulation for long hours.
Special Situations
Is it safe to treat varicose veins while pregnant?
Most doctors recommend postponing varicose vein treatment until after pregnancy, as many symptoms improve postpartum. Non-invasive measures like compression stockings can provide relief during pregnancy.
Will my varicose veins go away after pregnancy?
Some varicose veins may improve or disappear a few months after delivery as hormone levels and blood volume return to normal. However, in many cases, the veins remain and may require treatment.
Can I continue sports after treatment?
Yes, you can return to sports after varicose vein treatment, but it depends on the procedure performed. Light exercise like walking is encouraged, but high-impact activities should be resumed only after medical clearance.
Do certain sports worsen varicose veins?
Sports that involve heavy lifting or prolonged standing, like weightlifting or certain martial arts, can increase pressure in leg veins. Choosing low-impact activities like swimming or cycling may be more vein-friendly.
How long should I avoid exercise after treatment?
Most patients can resume light activity within 24–48 hours of treatment. High-intensity workouts should be avoided for one to two weeks, depending on your recovery. Always follow your specialist’s advice.
Are varicose vein treatments safe for older adults?
Yes, varicose vein treatments are generally safe and effective for older adults. Modern minimally invasive procedures carry low risk and are often performed under local anaesthesia with quick recovery times.
Are there age-related considerations for treatment?
Older adults may have more complex medical histories or reduced mobility, which can influence treatment choice. A thorough evaluation is necessary to ensure safety and optimise outcomes.
What are the benefits of treatment in later life?
Treating varicose veins later in life can greatly improve comfort, mobility, and quality of life. It also reduces the risk of complications like ulcers, skin changes, and blood clots, contributing to overall better vascular health.
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CONTENTS
YOUR Preferred Health Partner
Why Choose the Vascular & Interventional Centre
We Own Our Own Hybrid Operating Theatre
Unlike many other clinics, the Vascular & Interventional Centre owns and operates our own fully equipped day surgery theatre (angiosuite). This gives you a significant advantage:
- Lower facility and equipment fees – as we do not rely on third-party hospitals.
- Faster scheduling – skip the hospital queues, your procedure can be done promptly and at your convenience.
- Seamless care – from consultation to surgery and follow-up, all under one roof.
This integrated setup allows us to offer greater cost transparency, shorter waiting times, and a smoother overall experience for patients seeking varicose veins treatment.
Highly Experienced Team with Transparent Pricing
Our team brings years of specialised experience in varicose veins treatment, having successfully treated thousands of patients with various venous conditions.
We believe in transparent pricing without hidden costs or unexpected charges. Before beginning treatment, you’ll receive a detailed cost breakdown including all anticipated expenses, helping you plan accordingly and avoid financial surprises during your treatment journey.
Our commitment to transparency extends to treatment expectations, potential risks, and realistic timelines for results. We want you to feel confident and well-informed.
