Understanding Vein Diseases: Symptoms, Causes & Treatment Options

If your legs frequently ache, feel tired or heavy—particularly after standing or sitting for an extended period—it may be more than fatigue. Puffy veins or visible discomfort may be a sign of vein problems. At Vein Center of Arizona, we’re committed to helping clarify what may be happening and what you can do about it.
What Are Vein Problems?

Vein issues occur when blood doesn’t move correctly through your veins, particularly in your legs. This may occur if the veins’ valves don’t function properly, allowing blood to travel backwards and accumulate. This can result in veins appearing swollen, twisted, or colored.
Common Vein Issues
Varicose Veins
These are big veins that protrude, typically in your legs, and can appear purple or blue. They can produce aching, itching, or heaviness, particularly after standing for a period of time.
Spider Veins
They are small, thin veins that appear just beneath the skin, resembling red or blue webs. They don’t normally cause pain but can be a cosmetic issue and can indicate other vein issues.
Chronic Venous Insufficiency (CVI)
CVI occurs when blood begins to collect in your legs due to weakened or injured veins. This may cause swelling, skin changes, or even painful ulcers.
For a detailed explanation of common vein conditions, including the differences between spider veins and varicose veins, read our article on Spider Veins vs. Varicose Veins
What Causes Vein Problems?
- Aging – Veins and valves can become weakened as you age.
- Family History – If vein problems have occurred in your family, they may occur in you, too.
- Pregnancy – Increased blood and pressure can impact veins.
- Extra Weight – More weight = more pressure on your veins.
- Sitting or Standing Too Long – Not moving enough makes it more difficult for blood to flow correctly.
How to Know If You Have a Vein Problem
- Leg cramps or pain, particularly at night
- Swelling in your ankles or feet
- Legs feeling tired or heavy
- Skin around your legs becoming discolored or altered in texture
- Itchy or dry spots close to veins
- Visible, raised veins that appear twisted beneath the skin

Treatment for Vein Issues
Sclerotherapy
A straightforward injection that closes off small veins, making them disappear over time.
Endovenous Laser Therapy (EVLT)
A small laser is employed to seal off veins that aren’t functioning properly. It’s an easy and fast treatment.
Radiofrequency Ablation (RFA)
Like the laser treatment, but employs radio waves to seal off bad veins.
Ambulatory Phlebectomy
Larger veins can be removed with small cuts, no hospital admission.
Compression Stockings
Special socks for your circulation and swelling.
Tips to Keep Your Veins Healthy
- Stay on the move: walk, stretch, avoid sitting or standing for too long
- Rest with your legs up
- Stay at a healthy weight
- Wear compression socks if your doctor says so
- Avoid tight clothing that constricts circulation
Many patients ask about how spider veins differ from varicose veins and what treatment options exist.
Common Questions About Vein Health
Q: Are varicose veins dangerous?
A: Generally, they’re not harmful, but if neglected, they can worsen and lead to blood clots or ulcers.
Q: Can men have spider veins?
A: Absolutely! Men can also develop spider veins, although women are more likely to get them.
Q: Will insurance pay for treatment?
A: If your veins are uncomfortable or causing medical problems, most insurance policies will assist with payment for treatment. We can confirm for you.
Q: How does the treatment feel?
A: Treatments are easy and fast with minimal pain. Most people can resume their activities the same day.
Q: When do I need to see a specialist?
A: If you’re experiencing changes in your legs or experiencing discomfort, it’s best to consult a vein specialist.
Why Choose Vein Center of Arizona?
At Vein Center of Arizona, we aim to deliver the very best care while keeping you comfortable. Whether you require pain relief or simply desire clearer skin, you’re in good hands.
Feel Better Now?
Don’t delay any longer. Call us or schedule online to initiate the process toward healthier, more comfortable legs.
To understand the broader context of vein health and treatment, check out our comprehensive pillar article on vein health.