New York Skin & Vein Blog

Share This Post

When to Worry about Varicose Veins

Bulging blue or purple veins look unpleasant but occasionally cause no symptoms for many people. For others, these varicose veins can cause symptoms and discomfort. They can also indicate an underlying circulation problem. If you have any symptoms or concerns, a vein screening can determine whether you need treatment. 

What Are Varicose Veins?

The veins in the legs carry blood back to the heart against the force of gravity. To make this possible, veins have one-way valves that prevent backflow. If these valves become damaged, blood pools in your veins. As a result, they expand, swell, and become discolored. Varicose veins on the surface, especially if you have symptoms, may indicate that the larger, deeper leg veins should be screened. 

When to Worry About Varicose Veins

Your varicose veins sometimes never cause any problems. However, if you notice any of the following signs, consider scheduling a consultation with a vein specialist like Dr. Dohner. Leaving circulation problems untreated will cause symptoms to get worse. Contact a vein specialist if you notice:

  • Aching, throbbing or heaviness in your legs
  • Leg pain or muscle cramps
  • Swelling
  • Restless legs
  • Red, sore, or itchy skin on your legs
  • Ulcers or open areas on your lower legs

You do not have to live with uncomfortable varicose vein symptoms. Treatment can correct varicose veins for cosmetic and physical health benefits. 

Consultations Available Now

The first step is to schedule an in-person consultation with one of our highly trained providers at New York Skin & Vein Center located in Oneonta, NY, serving the surrounding New York City areas with additional offices in Norwich, Binghamton, and Cobleskill.

Simply fill out the form on this page and we will reach out to you promptly to schedule your appointment. Your journey to a healthier, happier you can start today.

What Causes Varicose Veins?

Varicose veins can have a variety of underlying causes. The most common risk factors for varicose veins include:

  • Female hormones
  • Obesity
  • Pregnancy
  • Long periods of sitting or standing still
  • Changes due to aging
  • Heredity

Women develop varicose veins more often than men. Female hormones can cause changes in the walls of blood vessels, and pregnancy increases your total blood volume and puts extra pressure on leg veins. 

How are Varicose Veins Treated?

Dr. Dohner treats varicose veins with several treatment methods. Sometimes more than one treatment will be used to give you the best resolution of your varicose vein problem. 

Endovenous Laser Treatments (EVLT)

This laser treatment sends energy directly into the feeder veins that cause your problem varicose veins. This energy causes the vein wall to collapse and cut off blood flow to the varicose vein. The vein will fade over time, although combining EVLT with ambulatory phlebectomy will often improve your results. 

Ambulatory Phlebectomy

The varicose vein is removed from under the skin during this treatment using special tools. The tools only require an opening the size of a freckle to remove the vein. This treatment works when used alone, but it can also remove unsightly veins after EVLT has closed them off. 

Varithena and Ultrasound-Guided Sclerotherapy

These methods works well for hard-to-reach or stubbornly recurring varicose veins. Using ultrasound to locate and precisely target the problem vein, Dr. Dohner will inject a sclerosing medication. This foam causes the veins to seal shut and collapse. This prevents the abnormal backflow to occur.


*Individual Results May Vary

Dr. Dohner and his team strive to provide the best experience for everyone who chooses their practice for their aesthetic and vein needs. Read why our patients love their results & experience with Dr. Dohner and his team of expert providers at New York Skin & Vein Center in New York.

Take the Next Step

To schedule your in-person varicose vein consultation, call New York Skin & Vein Centers at (607) 431-2525 or simply fill out the form on this page. We look forward to working with you!

More To Explore


Phone: 607-431-2525


Phone: 607-336-2400


Phone: 607-201-1100


Phone: 518-823 4122