Varicose veins are twisted, enlarged veins. Any superficial vein may become varicosed, but the veins most commonly affected are those in the legs. That’s because standing and walking upright increases the pressure in the veins of your lower body.For some people, varicose veins and spider veins — a common, mild variation of varicose veins — are simply a cosmetic concern. For other people, varicose veins can cause aching pain and discomfort. Sometimes varicose veins lead to more-serious problems.


Varicose veins may not cause any pain. Signs of varicose veins include:

  • Veins that are dark purple or blue in color
  • Veins that appear twisted and bulging; they are often like cords on your legs

When painful signs and symptoms occur, they may include:

  • An achy or heavy feeling in your legs
  • Burning, throbbing, muscle cramping and swelling in your lower legs
  • Worsened pain after sitting or standing for a long time
  • Itching around one or more of your veins
  • Skin discoloration around a varicose vein

Spider veins:

Spider veins are similar to varicose veins, but they’re smaller. Spider veins are found closer to the skin’s surface and are often red or blue.Spider veins occur on the legs, but can also be found on the face. They vary in size and often look like a spider’s web.


Weak or damaged valves can lead to varicose veins. Arteries carry blood from the heart to the rest of your tissues, and veins return blood from the rest of your body to the heart, so the blood can be recirculated. To return blood to the heart, the veins in the legs must work against gravity. Muscle contractions in the lower legs act as pumps, and elastic vein walls help blood return to the heart. Tiny valves in the veins open as blood flows toward the heart then close to stop blood from flowing backward. If these valves are weak or damaged, blood can flow backward and pool in the vein, causing the veins to stretch or twist.

Risk factors

These factors increase risk of developing varicose veins:

  • Age. The risk of varicose veins increases with age. Aging causes wear and tear on the valves in veins that help regulate blood flow. Eventually, that wear causes the valves to allow some blood to flow back into veins where it collects instead of flowing up to heart.
  • Sex. Women are more likely to develop the condition. Hormonal changes during pregnancy, premenstruation or menopause may be a factor because female hormones tend to relax vein walls. Hormone treatments, such as birth control pills, may increase risk of varicose veins.
  • Pregnancy. During pregnancy, the volume of blood in the body increases. This change supports the growing fetus, but also can produce an unfortunate side effect — enlarged veins in the legs. Hormonal changes during pregnancy may also play a role.
  • Family history. If other family members had varicose veins, there’s a greater chance you will too.
  • Obesity. Being overweight puts added pressure on the veins.
  • Standing or sitting for long periods of time. Blood doesn’t flow as well if stays in the same position for long periods.


Complications of varicose veins, although rare, can include:

  • Ulcers. Painful ulcers may form on the skin near varicose veins, particularly near the ankles. A discolored spot on the skin usually begins before an ulcer forms.
  • Blood clots. Occasionally, veins deep within the legs become enlarged. In such cases, the affected leg may become painful and swell. Any persistent leg pain or swelling warrants medical attention because it may indicate a blood clot — a condition known medically as thrombophlebitis.
  • Bleeding. Occasionally, veins very close to the skin may burst. This usually causes only minor bleeding. But any bleeding requires medical attention.

Traditional View:

From an Ayurvedic perspective, Varicose vein is a condition caused due to vitiation of vata dosha (particularly vyana vayu) in the rasa and rakta dhatus and extending into their upadhatus which creates increased pressure that affects the valves and elasticity of the veins. In Ayurveda literature varicose vein has no separate elaborate identity as a disease but considered as SiraVikriti (venous disorder) and named as Sirakautilya or Kutilsira. It can be correlated to Siragranthi (Granthi means protruded nodule like structure and Sira means Vein) and is due to aggrevated vyana vata. Vyana Vata, one of the subdoshas of Vata, is responsible for transporting oxygen-rich blood from the heart to the body’s cells through the arteries. It also governs the flow of oxygen-poor blood from the body’s cells back to the heart through the veins. When Vyana Vata is out of balance, excessive dryness results in hardening and loss of elasticity of the valves and the veins. At the same time, an increase in blood pressure dilates the vein, and the valves no longer seal properly, making it difficult for the muscles to push the blood back to the heart. Instead of flowing from one valve to the next, blood collects in the superficial veins of the legs, which have less muscular support than the deep veins. The result is varicose veins just beneath the surface of the skin. So varicose veins are primarily caused by poor circulation (as governed by Vyana Vata) and its secondary complications such as ulcers are caused by impurities in the blood (as governed by Ranjaka Pitta).


The main line of treatment of varicose vein is to pacify aggravated Vata, Pitta dosha and Raktadhatu (blood tissue). Treatments include administration of traditionally prepared classical internal medicines and external treatment procedures (Pancakarma & Upakarmas).These treatments help to maintain healthy lifestyle, reduce the pressure effects, relive pain and inflammation, and maintain normal tone of venous walls and their functions.

At Haridra we treat varicose vein successfully with out any surgical intervention using traditional chintarmani treatments. Patient usually gets relief within 7 to 8 days of treatment. Apart from treatments lifestyle modifications and diet are also advised.

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