Diagnosing varicose veins often involves a combination of performing a physical examination, reviewing the patient’s medical history, and possibly conducting some additional tests. Here's a breakdown of the typical process:

Physical Examination

This is the initial and often most important step. Your doctor will visually inspect your legs, looking for characteristic signs of varicose veins, such as:

• Bulging, bluish or purplish veins: These veins may appear twisted and prominent under the skin.
• Spider veins: Smaller, web-like veins that typically develop around the ankles or knees.
• Swelling in the ankles or legs: This may be present, especially after prolonged standing or sitting.
• Discomfort or pain: Aching, throbbing, or burning sensations in the affected area can occur.

Medical History

Your doctor will inquire about your personal and family history of varicose veins, as well as any other relevant medical conditions or risk factors. They may also ask about your lifestyle habits, such as occupation, activity level, and pregnancy history.

Additional Tests

In some cases, additional tests may be recommended to assess the severity of your varicose veins or rule out other potential causes of your symptoms. These might include:

• Doppler ultrasound: This painless test uses sound waves to examine blood flow in your veins and identify any blockages or valve problems.
• Venography: This X-ray or MRI-based procedure uses a contrast dye to visualize the entire venous system in your legs, providing detailed information about vein structure and function.

Generally, a physical examination alone is sufficient for diagnosing straightforward cases of varicose veins. However, additional tests may be needed for complex cases, especially if surgery is being considered.

If you or your loved one is in the San Antonio area, Boerne or New Braunfels call 210-369-9151 today to make your appointment with Dr. Busken.