Varicose veins and the risk of blood clots

Last updated on June 1, 2023

Varicose veins are a common condition that affect millions of people worldwide. They occur when the veins in your legs become twisted, enlarged, and swollen. Varicose veins are usually not harmful, but they have been linked with blood clots, so it helps to know the signs.

In this blog, we will discuss varicose veins and the risk they pose for blood clots, including their causes, common symptoms, and treatment options.

Understanding varicose veins

Varicose veins are enlarged, twisted veins that usually occur in the legs and feet. They develop when the valves in the veins that are responsible for preventing blood from flowing backward become weak or damaged, causing blood to pool in the veins.

Varicose veins can be unsightly and uncomfortable, but for the most part, they are not harmful. In some rarer cases, they can also lead to serious health problems such as blood clots.

Does varicose veins cause blood clots?

It is common to develop varicose veins as you age, but it is important to take note of when to seek medical help if they become severe.

The Link Between Varicose Veins and Blood Clots

Varicose veins have been linked with blood clots in two ways. A clot can form inside a varicose vein itself, called superficial thrombophlebitis; slow-moving blood in the stretched vein is thought to play a part. Large studies have also found that people with varicose veins are more likely to be diagnosed with a deep vein thrombosis (DVT), although it isn’t clear whether the varicose veins cause it or whether both share risk factors such as age, weight and inactivity. A clot in a deep vein can break off and travel to the lungs (a pulmonary embolism), which is why a painful, swollen calf or leg should be checked the same day.

Identifying the Risk Factors for Blood Clots

There are several risk factors that increase the likelihood of developing blood clots in varicose veins. These include a family history of blood clots, obesity, pregnancy, a sedentary lifestyle, smoking, and certain medical conditions such as cancer, heart disease, or autoimmune disorders.

Preventing blood clots in varicose veins

There are several ways to prevent blood clots from forming in varicose veins. These include staying active and exercising regularly, maintaining a healthy weight, avoiding prolonged periods of sitting or standing, wearing compression stockings, and elevating the legs when resting.
Does varicose veins cause blood clots?
Certain lifestyle changes, such as maintaining a healthy weight and staying active, can go a long way toward helping prevent varicose veins and blood clots.

Treating varicose veins

Treatment options for varicose veins include lifestyle changes such as exercise and weight loss, wearing compression stockings, and medical procedures such as sclerotherapy or endovenous ablation. These treatments can ease symptoms and close the faulty veins.

Managing blood clots in varicose veins

If you notice a red, hard, tender varicose vein, see a doctor. An ultrasound shows whether the clot is only in the surface vein or has spread to the deep veins. A clot in a varicose vein usually settles over a few weeks with compression, anti-inflammatory medicine and staying active, and sometimes a blood thinner is recommended. A clot in a deep vein is usually treated with blood thinners.

Living with varicose veins and blood clots

While varicose veins and blood clots can be concerning, there are steps you can take to manage the condition and prevent further complications. This may include making lifestyle changes, taking medications as prescribed, and following up regularly with your healthcare provider. It’s also important to stay informed about the latest treatment options and to seek medical attention promptly if you experience any new symptoms or changes in your condition.

Varicose veins are common and usually not serious, but knowing the signs of a clot means you can get help early.

If you have varicose veins or are at risk for blood clots, get in touch with us to learn more about your options for prevention and treatment.

Contact us today to book your consultation, where we can provide information on your conditions and recommend safe treatment options.

We can provide a quotation on treatments, details on health insurance coverage, and if you qualify for a Medicare rebate.

FAQs

If you still have more questions on ‘Can varicose veins cause blood clots?” please read our most frequently asked questions:
Developing varicose veins is common, and they have been linked with a higher chance of a blood clot, but it is difficult to determine how often they cause a blood clot. Factors such as age, gender, and the severity of the varicose veins all play a role in the likelihood of a blood clot forming. People with varicose veins should discuss their individual risks with their healthcare provider.
Symptoms of varicose veins include leg pain, itching, burning sensation, heaviness, leg swelling, cramping, or throbbing in the affected area. If you have any of these symptoms and have evidence of venous reflux or varicose veins, it is best to consult a doctor to determine if further treatment is necessary.

Usually, yes. A clot in a varicose vein usually settles over a few weeks, although the vein may stay firm or discoloured for a while. It should still be checked with an ultrasound to make sure it hasn’t spread to the deep veins, and treating the varicose veins lowers the chance of it happening again.

They’re usually not dangerous, but they should be checked. Sometimes the clot extends into the deep veins, or a DVT is present at the same time, which an ultrasound can rule out. See a doctor if you have a red, hard, tender vein, and get help the same day if your calf or leg becomes painful and swollen.

This information is not intended to be used for diagnosis or treatment. It is aimed at presenting a perspective only and is not a substitute for a prescription. Anyone experiencing a medical condition should consult their doctor.

About The Author

Picture of Dr Ryan McConnell

Dr Ryan McConnell

Dr Ryan McConnell is an interventional radiologist (FRANZCR) and vein specialist, and head of interventional radiology at Northern Beaches Hospital. He performs around 1,500 endovascular procedures a year and does his own vein ultrasound.

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