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Varicose Vein Clinic

What Are Varicose Veins?

Heavy legs · swelling · night cramps · bulging veins
Before putting it down to tiredness, check how your veins are circulating
From symptoms to treatment, Bluesky Phlebology guides you

#symptoms #causes #tests #non-surgical #surgical

Venous insufficiency

A circulation disorder in which weakened valves let blood flow backwards or pool

Even with no visible veins

Heaviness, swelling and night cramps can also be symptoms of varicose veins

Ultrasound is essential

The direction of treatment can only be decided once the site and degree of reflux are known

Not always surgery

Depending on the condition, care ranges from daily management to procedures

Varicose Vein Clinic

What kind of condition are varicose veins?

In varicose veins, blood in the leg veins cannot travel up toward the heart properly and is pushed downwards, so the veins widen or become twisted.

Veins carry blood from the legs up to the heart. The structures that stop blood from falling back down are the valves.

A valve works like a small door that keeps blood flowing in one direction. When valve function weakens, blood flows backwards and the pressure inside the vein rises, which can produce symptoms.

This is not simply a problem of the veins you can see: it is a circulatory condition of the leg veins, where flow and reflux must be assessed together.

It often progresses without symptoms, so early assessment matters. If your legs feel tired or swell repeatedly, a duplex ultrasound is recommended.

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Main symptoms

If these symptoms keep returning...

01

Heavy legs

Especially heavy and tired in the afternoon

02

Ankle swelling

Often swollen in the evening

03

Night cramps

Calf cramps during sleep

04

Bulging veins

Twisted veins standing out

05

Skin pigmentation

Skin around the ankle becomes rough

06

Itching and pain

Itching or throbbing around the veins

07

Numbness and heat

Worse after standing for a long time

08

Eased by compression

Relieved by lying down with the legs raised or by compression

An important point


You can have varicose veins even when no veins are visible

Even when veins do not clearly bulge…

That is why assessing varicose veins means
using duplex ultrasound to check
the actual flow of blood

Causes

Why do varicose veins develop?

At the centre of varicose veins are weakened venous valves and the backward flow of blood.

When the valves cannot do their job, blood pools in the lower leg and the pressure inside the veins rises, so the vessels can widen.

Family history, ageing, long periods of standing or sitting, pregnancy and hormonal change, obesity and lack of exercise are known to raise the risk.

Work that involves standing for much of the day, sitting for long stretches, or housework and caregiving that keep you on your feet can all put a strain on the leg veins.

Having these factors does not mean varicose veins will develop, so it is important to look at the symptoms and the state of the veins together.

Healthy valve — The valve closes and blood travels up toward the heart
Healthy valve

The valve closes and blood
travels up toward the heart

Damaged valve — the valve stretches and blood flows backwards
Damaged valve

The valve stretches and no longer closes,
so blood flows backwards

How it is diagnosed

Duplex ultrasound gives a precise picture

STEP 01

Locating the reflux

We identify precisely which vein the reflux occurs in

STEP 02

Measuring the degree of reflux

Reflux time and vein diameter are measured to judge whether treatment is needed

STEP 03

Deciding the direction

Non-surgical or surgical treatment is decided from the site and degree of reflux and the symptoms

Examination time: about 20–30 minutes | No pain | Results the same day

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How treatment is decided

Not every case of varicose veins needs surgery

The direction of treatment is set by considering the severity of symptoms, the ultrasound findings, the site and extent of reflux, the vein diameter, daily habits and how much discomfort you feel.


The method is decided from the ultrasound findings
Depending on your condition, a combination of treatments may be needed

Treatment options

We choose the treatment that fits your condition

01

Non-surgical treatment

Compression stockings · oral medication · sclerotherapy

02

Minimally invasive procedures

ClariVein · PhleboGrip · VenaSeal · radiofrequency · laser

03

Surgical treatment

High ligation, stripping, local phlebectomy

* The method is decided from the ultrasound findings
* Depending on your condition, a combination of treatments may be needed

Aftercare

How to care for your legs and avoid recurrence

Finishing a procedure or operation is not the end. Aftercare and daily habits affect how quickly you recover and the risk of recurrence.

Points to watch after treatment

  • 01 Keep wearing compression stockings Wearing them consistently for the period advised supports vein-wall recovery and reduces swelling.
  • 02 Avoid long periods of standing or sitting Right after surgery, avoid staying in one position; move often, even briefly, to help circulation.
  • 03 Keep the treated area clean and dressed Keep the treated area clean and follow the dressing schedule you are given.
  • 04 Hold off on strenuous exercise, saunas and hot packs For a period, avoid strenuous exercise, saunas, hot packs and anything else that strains the veins.
  • 05 Come in promptly if something is wrong Mild pain, bruising and swelling can be part of recovery, but if symptoms worsen or heat and redness appear, please come in straight away.

Daily habits that help prevent recurrence

🚶
01
Walk regularly

Using the calf muscles supports venous circulation

🔄
02
Move often

Do not stay in one position; stretch whenever you can

🛌
03
Rest with your legs up

Raising the legs above heart level helps reduce swelling

⚖️
04
Keep to a healthy weight

Managing weight reduces the load on the leg veins

🩺
05
Regular check-ups

When needed, check your condition with regular duplex ultrasound

* This is general guidance; actual aftercare depends on the treatment and your own veins. Please follow the advice of your medical team first.

If left untreated

What happens if it is left alone?

Not every case of varicose veins worsens quickly. But if heaviness, swelling, pain or night cramps keep returning, or skin changes appear, it should be checked.

When circulation problems continue for a long time, irreversible changes such as pigmentation, eczema, lipodermatosclerosis, inflammation or ulcers can develop

FAQ

Frequently asked questions

Do veins have to bulge before I should suspect it?

No. Even when no veins are visible, recurring heaviness, swelling, night cramps or numbness can point to a circulation problem. Only duplex ultrasound can give an accurate diagnosis.

Not every case calls for surgery. Depending on the symptoms and the ultrasound findings, it can be managed with compression stockings, oral medication or sclerotherapy. The direction is decided after a full examination.

Yes, these are common early symptoms. If they worsen in the afternoon or after long periods of standing, a circulation problem is possible. If they keep returning, an examination is recommended.

With duplex ultrasound. It takes about 20–30 minutes, is painless, and the results are available the same day. The site of reflux and the vein diameter are measured to decide the direction of treatment.

It matters to choose a clinic with its own ultrasound equipment and dedicated vein care. Bluesky Phlebology is a vein clinic in Busan where ultrasound diagnosis through to treatment is handled in one place.

Book a visit

If heavy legs keep coming back, talk to a specialist now

From checking symptoms to treatment, Bluesky Phlebology is with you
Ultrasound results the same day · same-day consultation available

Weekdays 09:00–12:30, 13:30–18:00 | Wed & Sat 09:00–13:00 | Closed Sun & holidays