Not all endovenous procedures require phlebotomies to achieve an excellent result. However, the treatment of the varicose veins themselves by removal is usually said to result in a better cosmetic outcome, and is thus optimal, particularly in procedures mandating local anaesthesia for truncal ablation. The alternative would be delayed treatment with ultrasound-guided foam sclerotherapy, though that would make the course of treatment longer, and may result in patchy skin discolouration.

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Bulging and Painful Veins:

Varicose veins are often characterized by visibly swollen and bulging veins. If your varicose veins are particularly painful or uncomfortable, this may be a sign that a phlebotomy is needed to alleviate these symptoms.

Difficulty Locating Suitable Veins:

In individuals with extensive varicose veins, it can be challenging for healthcare professionals to locate suitable veins for blood drawing. This difficulty may result in multiple needle insertions and discomfort for the patient.

Increased Risk of Bruising:

Due to the fragility of varicose veins, there is an increased risk of bruising at the puncture site during a phlebotomy. This is not only uncomfortable but can also be unsightly.

Reduced Blood Flow:

Varicose veins can impede proper blood flow in the affected areas, potentially affecting the rate at which blood can be drawn. This may lead to a longer, more uncomfortable phlebotomy experience.

Swelling and Discomfort After Phlebotomy:

If you notice increased swelling, pain, or discomfort in the area where blood was drawn after phlebotomy, it may be a sign that the procedure was not well-suited to your varicose veins.

Risk of Complications:

Individuals with varicose veins are at a higher risk of complications during phlebotomy, such as the formation of blood clots or bleeding. These complications can be serious and may warrant careful consideration before undergoing a phlebotomy.

varicose veins,

Symptoms of Varicose Veins

Visible, Twisted Veins:

Varicose veins typically appear as enlarged, twisted, and bulging veins, often with a bluish or purplish colour. They are most commonly found on the legs, but they can occur in other areas as well.

Aching or Throbbing Pain:

Many individuals with varicose veins experience discomfort in the affected area. This pain may range from a mild ache to more severe throbbing sensations, and it often worsens after prolonged periods of standing or sitting.

Swelling in the Legs and Ankles:

Varicose veins can cause swelling, particularly in the lower legs and ankles. This swelling is often more pronounced at the end of the day or after extended periods of inactivity.

Itchiness or Burning Sensations:

Some individuals may experience itching or burning sensations over the affected veins. This can lead to discomfort and a desire to scratch the area.

Leg Fatigue or Heaviness:

Varicose veins can make the legs feel tired or heavy, especially after extended periods of activity. This sensation can affect mobility and overall comfort.

Common Causes of Varicose Veins

Genetic Predisposition:

One of the most significant factors contributing to the development of varicose veins is a family history of the condition. If your parents or close relatives have had varicose veins, you are at a higher risk of developing them as well.


The risk of varicose veins tends to increase with age. Over time, wear and tear on the veins can lead to weakened vein walls and valves, which can result in the development of varicose veins.


Women are more commonly affected by varicose veins than men. This is partly due to hormonal changes during pregnancy, menstruation, and menopause, which can weaken vein walls and valves.


The pressure exerted on the veins in the pelvic area and lower limbs during pregnancy can lead to the development of varicose veins. Hormonal changes during pregnancy also contribute to the weakening of vein walls and valves.


Excess body weight places added pressure on the veins, particularly in the lower extremities. This can increase the risk of varicose veins developing.

Sedentary Lifestyle:

Lack of physical activity can impede healthy blood circulation and contribute to the formation of varicose veins. Regular exercise can help prevent or alleviate this condition.

Occupational Risks:

Certain occupations that require prolonged periods of standing or sitting can increase the risk of varicose veins. Examples include nurses, teachers, and office workers who spend long hours on their feet or at a desk.

Deep Vein Thrombosis (DVT):

A history of deep vein thrombosis, a condition characterized by blood clots in the deep veins, can damage vein valves and increase the risk of varicose veins.


Smoking is known to reduce blood circulation and negatively affect the health of veins, potentially contributing to the development of varicose veins.

Hormonal Changes:

Hormonal changes related to birth control pills or hormone replacement therapy can weaken vein walls and valves, increasing the risk of varicose veins.

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