Is varicose veins a serious issue?
- MVM Health
- Jul 16
- 5 min read
Quick Answer Yes varicose veins can be a serious medical issue. While some cases are purely cosmetic, untreated varicose veins can progress to chronic venous insufficiency, skin ulcers, blood clots, and deep vein thrombosis (DVT). If your veins are causing pain, swelling, or skin changes, they deserve prompt medical evaluation. |
Most people notice varicose veins and assume they are just a cosmetic problem — something to cover up, not something to treat. But that assumption can be costly. Varicose veins are swollen, twisted veins that develop when the valves inside them stop working properly, causing blood to pool and pressure to build. Over time, that pressure causes real damage to your skin, your circulation, and your quality of life.
If you live in the Bethlehem, PA area and have been putting off looking into varicose vein treatment, this article is for you. Here is what you need to know about when varicose veins become serious and what your options are.
Concerned About Varicose Veins? MVM Health offers expert varicose vein treatment in Bethlehem, PA with minimally invasive options and same-week appointments. |
What Causes Varicose Veins?
Veins carry blood back to your heart using a series of one-way valves. When those valves weaken or become damaged, blood flows backward and collects in the vein. The pooled blood stretches the vein wall, creating the bulging, rope-like appearance you can see just beneath the skin.

Common causes and risk factors include:
• Prolonged standing or sitting — jobs that keep you on your feet or at a desk for hours at a time
• Genetics — if a parent had varicose veins, your risk is significantly higher
• Pregnancy — increased blood volume and hormonal changes put extra pressure on leg veins
• Obesity — excess body weight increases pressure in the venous system
• Age — vein valves naturally weaken as you get older
• Female sex — women are more prone to varicose veins due to hormonal influences
When Do Varicose Veins Become Serious?
This is the question most patients want answered. The honest answer: varicose veins exist on a spectrum. Mild cases may cause nothing more than a cosmetic concern. But without treatment, they frequently progress.
Signs Your Varicose Veins May Be a Medical Problem
• Aching, heaviness, or throbbing in the legs — especially after standing
• Swelling in the ankles or feet by the end of the day
• Skin discoloration or a brownish staining around the ankle
• Itching or burning directly over a vein
• Skin that feels hard or leathery near the calf or ankle
• Open sores or wounds near the ankle that are slow to heal
• A sudden increase in vein size or tenderness
Complications of Untreated Varicose Veins
The medical community classifies chronic vein disease using a system called CEAP classification, which ranges from C0 (no visible disease) to C6 (active venous ulcers). Varicose veins typically start at C2 or C3 and can advance without intervention.
Chronic Venous Insufficiency (CVI)
The most common complication. When damaged valves allow blood to pool chronically, the surrounding tissue becomes oxygen-deprived. Patients develop persistent swelling, skin changes, and significant discomfort that worsens over time.
Venous Skin Ulcers
Venous leg ulcers are open wounds, typically near the ankle, caused by chronic high pressure in the veins. They are notoriously slow to heal and are one of the most debilitating complications of untreated varicose veins.
Deep Vein Thrombosis (DVT)
Varicose veins are associated with an elevated risk of DVT blood clots forming in the deep veins of the leg. DVT can be life-threatening if a clot breaks off and travels to the lungs (pulmonary embolism). Patients with varicose veins should not ignore new or worsening leg symptoms.
Bleeding
Varicose veins that sit close to the skin surface can rupture from minor trauma even something as simple as a bump or a shaving nick. The bleeding can be significant and alarming, even if it typically stops with pressure and elevation.
Don't Wait for Complications to Develop The team at MVM Health in Bethlehem, PA provides complete vein evaluations and personalized varicose vein treatment plans — using minimally invasive techniques that get you back on your feet quickly. |
Varicose Vein Treatment Options in Bethlehem, PA
The good news is that varicose vein treatment has changed dramatically over the last decade. The old image of painful surgery with weeks of recovery is no longer the standard of care. Today's minimally invasive treatments are performed in-office, usually in under an hour, with most patients returning to normal activities the same day or the next.
Treatment | How It Works | Best For |
Endovenous Laser Ablation (EVLA) | Laser energy seals the damaged vein from inside | Large varicose veins |
Radiofrequency Ablation (RFA) | Heat energy closes the vein wall via a thin catheter | Large varicose veins |
Sclerotherapy | A chemical solution is injected to collapse the vein | Small to medium veins, spider veins |
VenaSeal | Medical adhesive closes the vein without heat | Patients who prefer no thermal energy |
At MVM Health in Bethlehem, PA, your treatment plan is determined after a thorough vein evaluation not a one-size-fits-all protocol. The right option depends on the size and location of the affected veins, your symptoms, and your overall health history.
Does Insurance Cover Varicose Vein Treatment?
In many cases, yes when varicose veins are causing documented medical symptoms such as pain, swelling, or skin changes, most major insurance plans classify treatment as medically necessary rather than cosmetic. MVM Health accepts most major insurance plans and works with patients to verify coverage before treatment begins.
Frequently Asked Questions About Varicose Vein Treatment
Q: Are varicose veins dangerous?
Varicose veins are not always dangerous, but they can become a serious medical condition when left untreated. Complications include chronic venous insufficiency, skin ulcers, bleeding, and an increased risk of deep vein thrombosis (DVT). If your veins are painful or causing skin changes, consult a vein specialist.
Q: Can varicose veins go away on their own?
No. Varicose veins do not resolve on their own. Without treatment, they typically worsen over time. Compression stockings can manage symptoms, but only medical treatment can close or remove the damaged vein.
Q: Is varicose vein treatment painful?
Modern minimally invasive varicose vein treatments are performed under local anesthesia and are generally well-tolerated. Most patients report mild discomfort during the procedure and return to normal activity within a day or two.
Q: How long does varicose vein treatment take?
Most in-office varicose vein procedures take between 30 and 60 minutes. There is no general anesthesia, no hospital stay, and most patients walk out of the office on their own.
Q: Can varicose veins come back after treatment?
Treated veins do not return, but new varicose veins can develop over time — especially if underlying risk factors like genetics, weight, or prolonged standing are not addressed. Follow-up monitoring is recommended.
Q: Where can I get varicose vein treatment in Bethlehem, PA?
MVM Health offers comprehensive varicose vein treatment in Bethlehem, PA. Their board-certified vein specialists provide personalized treatment plans using the latest minimally invasive techniques, with most major insurance plans accepted.
The Bottom Line
Varicose veins are not something to wait on. What starts as a cosmetic nuisance can evolve into a condition that limits your mobility, damages your skin, and increases your risk of serious complications. The earlier you seek evaluation, the more straightforward treatment typically is.
If you are in the Bethlehem, PA area and have varicose veins that are causing discomfort, swelling, or skin changes — or if you simply want to understand your risk MVM Health is here to help. Their team of board-certified specialists uses minimally invasive varicose vein treatment options tailored to each patient's needs.


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