Physical Exam and Tests

Most people with varicose veins have asymptomatic disease because early on, varicose veins produce no symptoms. As the disease progresses, varicose veins become more and more engorged with blood. The blood serum may leak out into the surrounding tissue, causing leg swelling. Eventually the leg vein circulation may be impaired to the point were the skin ulcerates and becomes infected (stage 4 disease). At that point, the disease is limb threatening.

Before the advent of serious symptoms, vein circulation willl be asymptomatic or may cause a variety of milder symptoms including:

  • An achy or heavy feeling of the 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
  • Leg swelling
  • Skin ulcers near your ankle, which can mean you have a severe form of vascular disease that requires medical attention

Physical Examination and Tests

Dr. Katsaros performs a comprehensive examination to determine the cause and extent of varicose veins, including a physical examination and diagnostic tests. Dr. Katsaros will also discuss the various treatment options that we offer.

Does Insurance Cover Spider and Varicose Treatments?

Varicose vein treatments are almost always covered by insurance. For small spider veins, coverage will depend on the situation. Generally any patient with physical signs and symptoms of venous insufficiency will be covered.

Asymptomatic patients with small spider veins may be covered if testing ultrasound and plethysmography shows that there are signs of venous insufficiency.