During Valentine’s Day month, CVR experts explain what your legs may be telling you about circulation and overall wellness

GREENBELT, MD— February is the month of hearts, which makes it an ideal time to talk about cardiovascular wellness and a question many people quietly ask when they notice bulging veins in their legs.

Are varicose veins simply a cosmetic concern, or could they signal a heart problem?

According to specialists at Center for Vein Restoration (CVR), varicose veins are not usually caused by heart disease, but they should not be ignored. They are often an early sign of an underlying circulation condition known as chronic venous disease.

“Varicose veins are often the first visible clue that blood is not flowing properly back up the legs,” said Michael Harding, MD, lead physician at CVR vein clinic in Albuquerque, New Mexico. “They may not point directly to heart disease, but they do deserve medical attention.”

What Causes Varicose Veins?

Varicose veins develop due to venous insufficiency, which occurs when the valves inside leg veins weaken. Instead of flowing efficiently back to the heart, blood can pool in the lower legs, leading to enlarged, twisted veins.

Symptoms may include:

•  Leg heaviness or aching
•  Swelling
•  Skin discoloration
•  In advanced cases, venous ulcers

Chronic venous disease is widespread and frequently underrecognized. According to the American Heart Association, it affects an estimated 25 million adults in the United States, with millions experiencing more advanced stages.

Do Varicose Veins Mean You Have Heart Disease?

Varicose veins do not directly cause heart problems. However, researchers have noted a slightly higher prevalence of congestive heart failure among people with varicose veins.

Experts stress that this does not prove cause and effect, but it may reflect shared risk factors, including:

•  Age
•  Obesity
•  Smoking
•  High blood pressure
•  Lack of physical activity

Diagnosis and Treatment Options

Diagnosis typically includes a clinical evaluation. Treatment may begin with compression therapy and lifestyle changes, with minimally invasive procedures such as sclerotherapy or endovenous ablation available for more advanced cases.