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How Your Veins Are a Road Map to Your Health

Your veins are a vital part of the inner workings of your body, even if they sometimes appear unsightly from the surface. It is completely normal to see those little blue vessels through your skin. And for them to be bulging out of it when your blood pressure is up from a strenuous workout or a frustrating traffic jam.


Legs with varicose veins standing

The look of your veins can also be a sign of a health problem — especially when a change in appearance is followed by pain, discomfort, itching, burning or restlessness. Veins that look and feel different signal a problem with the vascular system, and can lead to bigger concerns than a squiggly blue line on your skin.

Vascular system? What's that?

Think about your neighborhood. There's a network of roads to get you everywhere you need to go. Each road has two lanes so you can travel in both directions.

Your vascular system works the same way. It's the network of veins and arteries inside your body, carrying blood everywhere it needs to go. Arteries carry the oxygen-rich blood from your heart to every last cell. Then veins carry it all back — except they have to make a couple pit stops in your kidneys and liver to dump waste before delivering the blood back to the heart.

Des Moines doesn't crack any “Cities With the Worst Traffic” lists. But as you know, a steady stream of traffic on 80/35 or I-235 can lead to a number of problems. In your veins and arteries, there's a constant flow of blood traffic. A little congestion or road damage can lead to troubles throughout the whole vascular system.

Varicose Veins

Varicose veins are gnarled or enlarged veins that are like roads in need of repair. A weakening of the vein wall causes the structure to collapse and blood to pool up. You're left with what looks like twisted, dark blue or purple cords on your legs or feet. In addition to the unwelcome appearance, varicose veins can cause aching pains, discomfort and more serious medical concerns.

Spider Veins

Spider veins are more of a surface-level concern, like potholes. They're similar to varicose veins, but smaller. You can see the red, blue or purple veins under the surface of your skin. The web of twisted vessels appear most often in the legs and face due to increased pressure in the veins. Along with the cosmetic concerns, spider veins can cause heaviness, tiredness or swelling in your legs.

Chronic Venous Insufficiency

Chronic venous insufficiency occurs when damaged veins can't do their job, resulting in a traffic jam in your legs. The unhealthy veins are so weak, they can't fight gravity and deliver blood back to the heart. Instead of flowing up, blood starts to leak back down — going the wrong direction on a one-way street. Over time, the backed-up blood can cause pain, swelling, reddish brown skin and ulcers.

Other Vein Disorders

There are countless other conditions that can occur when your blood highway system is damaged or weakened. Deep vein thrombosis and pulmonary embolism are a result of blood clots. An aneurysm is when your artery expands like a balloon due to a weak artery wall. Although most vascular conditions can be treated without surgery, a vascular surgeon is your best bet for medical help.

I don't need surgery. So why do I need a surgeon?

Even if you're seeking help for purely cosmetic reasons, a vascular surgeon is a better option than another vein specialist. While other health providers may provide some of the same treatments, they are focused on clearing up your symptoms and issues of appearance. They don't have the in-depth knowledge of the vascular system to identify the source of the problem and its effects elsewhere in the body.

Vascular surgeons receive more training on the various vein conditions and therapies. They're board-certified experts on the entire vascular system who can help you make lifestyle changes, and can perform minimally invasive endovenous therapies. In severe cases, surgery may be performed for treatment of varicose or spider veins.

From spider veins to the feeling that there are spiders in your veins, a vascular surgeon is the only vein specialist qualified to treat the full range of vein disorders. Their knowledge extends far beyond the operating room; they understand how the whole map of interconnected veins and arteries works, so they can help you find the underlying issues and clear up your condition.

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