Chapter 1: The Struggles Begin

The experience was excruciating, and all I desired was relief.

The most joyous time in my life also marked a period of fear; I was expecting my first child while living abroad, away from family support. Back then, the absence of the internet and social media meant I had limited resources for guidance. The initial months of pregnancy were enjoyable, free from the dreaded morning sickness that many warned about. I simply experienced an increased appetite, with cravings for pizza and carrots. Living in Germany, I relished the opportunity to explore a new culture, savoring the cuisine and learning the language.

As my pregnancy progressed, I traveled to Rome with my husband. By the eighth month, getting dressed or transitioning from sitting to standing became a struggle, and I began to experience cramps in my right leg along with some swelling—common after long walks. I dismissed these symptoms, attributing them to the physical exertion of our adventures. Upon returning to Wiesbaden, I found solace in resting, and the discomfort appeared to subside temporarily. However, after giving birth to my daughter, I noticed that the swelling and pain in my leg lingered, accompanied by the sudden appearance of varicose veins.

"My dear, those are varicose veins. You should wear compression stockings; they will help," advised my physician husband. Although I tried to follow this advice, the stockings felt too tight and uncomfortable. Little did I know, these veins would become a long-term source of distress. Fortunately, they only developed in one leg. To manage the pain and swelling, I elevated my leg while sitting and lying down, which provided some relief.

With the arrival of my son, the situation worsened. After his birth, my leg appeared larger, and the swelling and pain persisted, now accompanied by unsightly thick veins along my thigh and calf. This made me self-conscious, leading me to avoid dresses altogether. Living with constant pain and visible veins was frustrating. I pleaded with my husband to surgically remove the veins, but he was reluctant. He explained that the procedure would leave a scar and that general anesthesia was not necessary since it wasn't life-threatening. Additionally, he raised the concern that I might need those veins later for heart surgery.

As time passed, the varicose veins continued to worsen. My right leg was perpetually swollen, relieved only by wearing compression stockings that were uncomfortably tight, especially in the summer heat. During my next pregnancy, my leg appeared even larger than before. Recognizing my struggle, my gynecologist suggested surgical removal of the veins after I gave birth to alleviate the swelling, pain, and discoloration, which was now accompanied by itching.

Despite my husband's objections to trying a cream recommended by another patient, I was desperate and willing to try anything. Unfortunately, it did not work. Years passed, and I learned to cope with the discomfort and the unappealing appearance of my leg. Occasionally, I would ask my husband again about surgery, but the response was always a firm no. I felt unhappy, unable to wear dresses, and even when I donned a bathing suit, I felt compelled to hide my leg, which ironically contributed to worsening the condition.

Ironically, my husband later opened a Laser Vein Center, where he would treat varicosities. Guess who his first patient was? After fifteen long years, I finally found relief. The procedure transformed my leg, eliminating the pain and discomfort, allowing me to wear dresses and swimwear without worry.

The latest technique, which is minimally invasive, involves a laser device that ablates (burns) the affected veins and reroutes blood to healthier veins. Hospitalization and general anesthesia are no longer necessary. As my husband initiated these treatments, the introduction of lasers made the procedures more effective and popular. He was astonished to discover how many people suffered from this debilitating condition, which significantly altered their lifestyles due to pain and discomfort, sometimes leading to ulcers and severe vein problems.

Among the complications were spider veins, which appear as fine blue or red clusters resembling a spider's web. If you experience varicose veins, it’s crucial to find a reputable vein center with a board-certified vein specialist, ideally a vascular surgeon. Radiologists are also performing these procedures. While some perceive it as merely cosmetic, it’s essential to consult a doctor if you experience any of the following symptoms:

The first video discusses the emotional experience of dealing with pain, emphasizing the importance of seeking help and understanding one’s condition.

Symptoms:

• Large protruding veins that may be twisted.
• Redness, swelling, discomfort, discoloration, and itching.
• Ulcers and wounds that are slow to heal.

Causes:

• Weak or damaged valves in veins that allow blood to pool.
• Family history, obesity, pregnancy, prolonged standing or sitting, and aging.

Diagnosis:

• Venous Insufficiency leading to Varicose Veins.
• Spider veins (telangiectasia).
• An ultrasound is conducted to identify the affected veins: GSV (greater saphenous), SSV (shorter saphenous), ASV (anterior saphenous vein).

Treatments:

• Laser Ablation (EVLT): A catheter is inserted into the vein and ablated, closing the defective vein and redirecting blood flow to healthy veins.
• Mini Phlebectomy: A tiny incision allows for the removal of veins that cannot be ablated.
• Sclerotherapy: An injectable solution treats smaller hair-like veins, sometimes combined with laser treatment.

All of these procedures can be performed in-office and are typically covered by most insurance plans, including Medicare. Downtime is minimal. Post-procedure, wearing compression stockings aids healing and comfort. Afterward, walking is recommended, and elevating the leg during long periods of sitting is beneficial. Each procedure takes about an hour or less, followed by a follow-up visit to confirm that the veins are closed.

My experience was transformative. I regained happiness as the pain and discomfort vanished. Wearing heels became enjoyable again, and I could don my favorite clothes without worry. The only noticeable difference was that my right leg was slightly larger, although others claimed not to see any distinction.

If you are struggling with varicose veins affecting your appearance or health, do not ignore them. Seek out information on all available treatments, and proceed only when you feel comfortable. Expect some bruising post-laser ablation, which can be treated with arnica cream and compression stockings to alleviate pain and aid healing. Over time, bruises fade, and remarkable improvements become visible.

For those dealing with spider veins, remember they are generally considered a cosmetic issue unless related to varicose veins. Insurance typically does not cover their treatment, and they are likely to reappear after several months or a year. Be well-informed about the aftermath and costs associated with treatments, so you are prepared for any challenges.

The second video features a TEDx talk discussing coping strategies for pain and the importance of self-advocacy in treatment decisions.