Complications

Simple varicose veins seldom cause medical complications. In advanced or secondary varicose veins, complications are more common.

Superficial Phlebitis ( Non bacterial inflammation of the varicose veins) Trauma, slow blood flow within the vein and other unrelated incidents near the veins may cause thrombosis in varicose veins. The vessel is thickened, tender and painful. Healing takes a long time usually 2-3 weeks. Deep veins should be checked with Doppler to rule out concomitant involvement
Spontaneous Bleeding Swollen big varicose veins are more prone to bleeding through scratching, erosions of overlying skin and trauma. Open bleeding can also occur spontaneously. Any kind of bleeding can be readily treated by simple compression by any clean, folded cloth or similar material. Excessive bleeding may be life threatening in cases if occurs when the person is sleeping or unconscious
Varicose Ulcers
Ulcers may develop at the ankles, in varicose veins secondary to Deep Venous Insufficiency . Typically these ulcers are often accompanied with brownish pigmentation and some dermatitis (scaling). They are very resistant to therapy. Treatment of these ulcers need full and to the letter cooperation of the patient. Absolute bed rest with with legs elevated 20 degrees for about 3 weeks or longer.