The very appearance of telangiectasias and protruding veins may stimulate the affected person to seek consultation with a physician. Indications for varicose vein surgery are:

• General appearance

• Aching pain

• Feeling of heaviness in leg

• Easy leg fatigue

• Superficial thrombophlebitis (inflammation and blood clot in a superficial vein or veins that lie above the muscles of the leg)

• External bleeding

• Ankle hyperpigmentation (increased skin color)

• Lipodermatosclerosis (hard, plaque-like painful areas affecting the skin and the tissues under the skin)

• Atrophie blanche (white scar
tissue)

• Venous ulcer (skin eruption)

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