Michael Nguyen, MD

Board certified specialist in Venous and Lymphatic medicine can help decide on the best course of treatment. A full venous reflux evaluation including ultrasound is part of the initial evaluation. Complete evaluation is recommended.

First thing to consider is a visit to vein specialist so your extremities can be examined. A lower extremity venous ultrasound is needed to confirm if an underlying venous insufficiency is causing these bulging veins as well as to evaluate your overall venous circulation and anatomy. This way the vein specialist can manage your care and options to treatment. Make sure to see a specialist in Venous and Lymphatic medicine. 

Those are correct options for treatment depending on your diagnosis. If you are positive for chronic venous insufficiency, minimally invasive procedures performed with advanced technology treat underlying medical condition responsible for visible varicose veins and symptoms as well.

These methods do not require surgery, they are minimally invasive interventions, but they must be performed by a licensed vein specialist.

Sometimes a combination of other minimally invasive procedure is needed to treat underlying medical condition if present depending on your medical evaluation, venous reflux ultrasound results, and diagnosis. For that it is recommended to a see a board certified specialist in Venous and Lymphatic medicine to decide on the best treatment plan for your case, same specialist can also do your follow up on prior treatment complication. 

All the best, 

I encourage you to schedule an evaluation and ultrasound imaging of your legs with a vein specialist. This first step is very important to determine if an underlying venous disease called venous reflux is causing the appearance of the superficial vein and also the symptoms of tightness and heaviness. Then, specialist can determine your treatment plan correctly. This changes could be a sign of an underlying disease that can be treated medically. 

All the best,