What Doctor Treats Varicose Veins?

Varicose veins are a common condition that affects many individuals, causing discomfort and aesthetic concerns. When seeking treatment, it’s essential to understand which type of doctor can best address this issue. In this article, we will explore the different specialists involved in the diagnosis and treatment of varicose veins, helping you make an informed decision about your healthcare.

Understanding Varicose Veins

Varicose veins are enlarged, twisted veins that typically appear on the legs and feet. They occur when the valves in the veins that regulate blood flow become weak or damaged. This results in blood pooling in the veins, causing them to stretch and enlarge. While varicose veins are often seen as a cosmetic issue, they can also lead to discomfort, pain, and more serious complications if left untreated.

Signs and Symptoms

Before delving into the type of doctor you should see for varicose veins, it’s important to recognize the signs and symptoms. Common symptoms include:

  • Visible, swollen veins: These veins are usually blue or dark purple and may bulge out from the skin.
  • Aching or heavy legs: This discomfort often worsens after standing or sitting for long periods.
  • Swelling: Ankles and feet may become swollen, especially after prolonged periods of inactivity.
  • Skin changes: Skin around varicose veins may become discolored or develop ulcers.

Why See a Doctor for Varicose Veins?

Seeing a doctor for varicose veins is crucial for several reasons. Firstly, a healthcare professional can provide an accurate diagnosis and rule out other potential conditions. Secondly, a doctor can recommend appropriate treatments to alleviate symptoms and prevent complications. Lastly, treating varicose veins can improve your overall quality of life by reducing discomfort and enhancing the appearance of your legs.

Which Doctor to Consult?

When considering what doctor treats varicose veins, several specialists come to mind. Each type of doctor brings unique expertise to the table, ensuring comprehensive care for your condition.


A phlebologist is a vein specialist focused on diagnosing and treating vein diseases, including varicose veins. Phlebologists undergo specialized training in vein care, making them highly knowledgeable about the latest treatments and technologies. They offer various minimally invasive procedures, such as sclerotherapy, endovenous laser therapy (EVLT), and radiofrequency ablation.

Vascular Surgeons

Vascular surgeons are trained to manage diseases of the vascular system, which includes arteries and veins. They are capable of performing both non-invasive and surgical treatments for varicose veins. If you have severe varicose veins or complications such as ulcers or bleeding, a vascular surgeon can provide advanced surgical options like vein stripping or ambulatory phlebectomy.


Dermatologists specialize in skin conditions and are often consulted for varicose veins when the primary concern is cosmetic. They can perform procedures like sclerotherapy and laser treatments to improve the appearance of varicose veins and related skin issues. While dermatologists are not vascular specialists, their expertise in skin care can be beneficial for managing surface-level varicose veins.

Interventional Radiologists

Interventional radiologists use imaging techniques to guide minimally invasive procedures. They can treat varicose veins with methods like endovenous laser therapy (EVLT) and radiofrequency ablation. Interventional radiologists offer a less invasive alternative to traditional surgery, using advanced imaging to ensure precision and effectiveness in treating varicose veins.

Diagnostic Procedures

Before recommending a treatment plan, doctors will conduct various diagnostic procedures to assess the severity of your varicose veins. Common diagnostic tests include:

  • Ultrasound: This imaging test uses sound waves to visualize blood flow in the veins and identify any blockages or valve malfunctions.
  • Venography: In this procedure, a contrast dye is injected into the veins, and X-rays are taken to provide detailed images of the veins’ structure and function.

Treatment Options

The treatment for varicose veins depends on the severity of the condition and the patient’s overall health. Here are some common treatments offered by specialists:

Lifestyle Changes

For mild varicose veins, doctors often recommend lifestyle changes as the first line of treatment. These may include:

  • Exercise: Regular physical activity helps improve blood circulation and reduce vein pressure.
  • Weight Management: Maintaining a healthy weight can alleviate pressure on the veins.
  • Compression Stockings: Wearing compression stockings can help support the veins and improve blood flow.


Sclerotherapy is a minimally invasive procedure where a solution is injected into the varicose veins, causing them to collapse and fade over time. This treatment is commonly performed by phlebologists and dermatologists for smaller varicose veins and spider veins.

Endovenous Laser Therapy (EVLT)

EVLT is a minimally invasive procedure that uses laser energy to seal off the affected veins. A thin laser fiber is inserted into the vein, and the heat from the laser closes the vein. The body then reroutes blood flow to healthier veins. Both phlebologists and interventional radiologists commonly perform EVLT.

Radiofrequency Ablation

Similar to EVLT, radiofrequency ablation uses heat to close off varicose veins. Instead of a laser, radiofrequency energy is used to heat the vein walls, causing them to collapse and seal shut. This procedure is effective for larger varicose veins and is performed by vascular surgeons and interventional radiologists.

Surgical Procedures

For severe varicose veins, surgical intervention may be necessary. Vascular surgeons can perform procedures such as:

  • Vein Stripping: In this procedure, the affected vein is tied off and removed through small incisions.
  • Ambulatory Phlebectomy: This involves removing smaller varicose veins through tiny punctures in the skin.

Post-Treatment Care

After undergoing treatment for varicose veins, following your doctor’s post-care instructions is crucial to ensure a successful recovery. Common post-treatment care steps include:

  • Wearing Compression Stockings: These help support the veins and improve circulation.
  • Avoiding Prolonged Standing or Sitting: Moving around regularly can prevent blood from pooling in the veins.
  • Elevating Your Legs: Elevating your legs when resting can reduce swelling and discomfort.

When to Seek Medical Attention

While varicose veins are often harmless, there are situations where you should seek immediate medical attention. These include:

  • Severe Pain or Swelling: If you experience intense pain or swelling in your legs, contact your doctor promptly.
  • Ulcers or Open Sores: These can be signs of more severe complications and require medical intervention.
  • Bleeding Varicose Veins: If a varicose vein begins to bleed, apply pressure and seek medical help immediately.

Prevention Tips

Preventing varicose veins or minimizing their severity involves making lifestyle changes and being mindful of activities that impact your vascular health. Here are some tips to help prevent varicose veins:

  • Regular Exercise: Engage in activities like walking, swimming, and cycling to improve circulation and strengthen your veins.
  • Maintain a Healthy Weight: Excess weight puts additional pressure on your veins, so maintaining a healthy weight is crucial.
  • Elevate Your Legs: Elevating your legs when resting can help prevent blood from pooling in the veins.
  • Avoid Tight Clothing: Wearing loose, comfortable clothing can prevent unnecessary pressure on your veins.
  • Stay Hydrated: Drinking plenty of water helps maintain healthy blood flow and reduces the risk of varicose veins.


Varicose veins are a common condition that can cause discomfort and affect your quality of life. Understanding what doctor treats varicose veins is the first step in managing this condition effectively. Phlebologists, vascular surgeons, dermatologists, and interventional radiologists all play vital roles in diagnosing and treating varicose veins. By consulting with the appropriate specialist, you can receive personalized care and access to the most effective treatment options.

Remember, seeking medical advice early can prevent complications and improve outcomes. Whether you opt for lifestyle changes, minimally invasive procedures, or surgical interventions, the key is to take proactive steps towards managing your varicose veins. By doing so, you can alleviate symptoms, enhance the appearance of your legs, and enjoy a better quality of life.