Most patients tend to be amazed by the symptoms that can be explained by vein disease. Venous insufficiency represents the underlying condition for many patients with symptomatic spider and varicose veins.
First and foremost, not all patients with varicose veins have pain. Instead, common complaints are leg heaviness, leg swelling, restless legs. These symptoms occur daily and often worse by the end of the day. Importantly, not every patient with venous insufficiency has visible varicose veins. This probably explains why very few patients are ever referred to a vein clinic for expert evaluation.