Varicose Veins are large, ropey, dilated veins that appear to bulge out on the lower legs and thighs. In some cases they may also appear in the groin area, arms, and abdomen. These veins can cause pain, itching, and swelling. In some cases, bleeding may occur. Varicose veins can be found in both men and women, though they are more common in women. For example, if a woman's mother or father has varicose veins, she has a 60% chance of being affected whereas a man will have about a 25% risk of disease. Age also plays a role with varicose veins, with chances increasing with age. In unusual cases, varicose veins may arise from previous trauma. The good news here is that this form of venous disease is usually the more easily approached. On your first visit a physical exam and ultrasound evaluation will be done and a plan of treatment outlined. You will often be required to undergo a trial of conservative therapy before any curative procedure can be performed, but we will explain all this to you and answer any questions you may have.