Do I have varicose veins?

You may have varicose veins if you have any of the below symptoms

An achy or heavy feeling in your legs

Burning, throbbing, muscle cramping and swelling in your lower legs

Worsened pain after sitting or standing for a long time

Itching around one or more of your veins

Bleeding from varicose veins

Veins that are dark purple / blue in color

Veins that appear twisted and bulging; often like cords on your legs

Inflamed tissues (Eczema)

Skin ulcers or Blood clots

Or if your legs look like this :

Do you need a varicose vein consultation?

Meet our varicose vein specialist:

Dr Rajah Koppala


Interventional radiologist with 22 years of experience 4000 laser surgeries with over 98% success rate Specialises in varicose veins & uterine fibroids

Dr Rajah Koppala is a surgeon is extensively trained in Vascular and Interventional Radiology. He acquired his MD in India followed by FRCR & CCST in the United Kingdom. This was Followed by American Interventional Radiology fellowship and followed by united board certification from Emory University hospital, Atlanta. He relocated to India and has set up India's only Interventional Radiology hospital. He has a license from the medical council of India (MCI) as well as the Bermuda Medical Council, Singapore Medical Council and the Nebraska temporary faculty permit. He is a member of Radiological Society of North America, Royal College Of Radiologists-UK, British Society of Interventional Radiology and Singapore Radiological Society. Dr. Rajah has won many honors including the PRESIDENT'S MEDAL FOR BRAVES HEALTHCARE WORKER during the SARS Epidemic ( 2003) in SINGAPORE.

Dr MC Uthappa


Interventional radiologist with 25 years of experience Performed over 13,500 surgeries Specialises in varicose veins & uterine fibroids

Dr. Vippin Uthappa, is the director of Interventional Radiology and Interventional Oncology at Global Hospitals, Bangalore, Hyderabad and Chennai. He also has extensive experience in uterine fibroid embolisation, embolisation in emergency cases like liver trauma, pelvic trauma, GI bleeding and bronchial artery Embolisation. He is one of the few Interventional Radiologist who has significant experience in management of post liver transplant complications. Dr Uthappa has also started the department of interventional oncology as the emerging field in cancer care He now has an experience of over 6000 minor and 3500 major interventional radiology cases. He was an advisor for interventional Radiology for NICE, UK from 2007 to 2010. He is an expert in all types of interventional radiology procedures for liver cancer and these include Percutaneous Ethanol Injection (PEI), Radiofrequency Ablation (RF), Conventional Transarterial Chemoembolisation (cTACE), DC bead Embolisation, Portal vein Embolisation and Radioembolisation (SIRT). His other areas of interest include hepatic vein and IVC intervention for budd chiari syndrome, TIPSS and BRTO. Dr. Uthappa has an extensive research background with more than 30 publications and scientific articles, numerous abstracts and presentations at various national and international meetings to his credit.   

Dr Shoaib Padaria


Interventional cardiologist with 29 years of experience Awarded the Dr. Dara Kapadia Oration for his work on varicose veins Pioneered laser (EVLT) surgery for varicose vein treatment in India

Dr. Shoaib Padaria Fakhruddin is a Cardiologist and Vascular Cardiologist in Peddar Road, Mumbai and has an experience of 31 years in these fields. He completed MBBS from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1982,MD - General Medicine from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1985 and DM - Cardiology from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1988. He is one of the founders of the Venous Association of India and its Past President. He is also the former Vice President of the Asian Venous Forum, and has delivered Invited lectures and Orations both at National and International levels. He has been honored by being named as the International Advisory member for the American College of Phlebology. He is the Specialist in Vein diseases for the Governing Council of the Association of Physicians of India. Some of the services provided by the doctor are: Patent Ductus Arteriosus Device Closure,Treatment of arrhythmia,Chest Pain Treatment and Gastritis Treatment etc  

Dr Deepa Shree


Interventional cardiologist with 12 years of experience Performed over 400 transarterial chemoembolization and over 200 Uterine artery embolization & varicose veins Specialized in treating Uterine fibroids and Varicose veins

Dr. Deepa Shree T, is the senior consultant of Interventional Radiology at Gleneagles Global Hospitals and Astra Hospital, Chennai. Dr. Deepa Shree had a 5 years pre-cardiology medical experience in UK and 5 years of radiology experience at Leeds teaching hospitals, UK. She was an Interventional Radiologist at St James University Hospital, Leeds, UK. Dr. Deepa Shree T was Poster prize winner of T.E.A.M meeting- March 2012, Commended Poster prize winner- Ansell RCR audit prize competition- RCR (2010), 1st Prize A& E Red dot course Northwick park Hospital , London (2007). Dr. T. Deepa Shree was a member of Royal College of Physicians in UK, Royal College of Radiologists in UK, European society of radiology ESR, Cardiovascular and Interventional Radiologist Society. She has many publications and presentations on a wide range of topics pertaining to medical imaging and interventional treatments to her credit

Dr Shashidhar K P


Master of surgery in Vascular & Endovascular Surgeon with 9 years of experience Performed over 2000 surgeries in various medical specializations Specialized in treating Varicose veins and Deep vein thrombosis

Dr. Shashidhar K P is one of the few M.Ch Vascular & Endovascular Surgery graduates in India. He trained from Prestigious Central Institute, Sree Chitra Tirunal Institute for Medical Sciences and Technology. He has been trained in Austria for advanced endovascular interventions. His specialty interests are endovenous laser ablation for varicose veins, endovascular aneurysm repair, thoracic endovascular aortic repair, open repair of aortic aneurysms including thoracoabdominal and hybrid repairs for aortic arch aneurysm.

Dr Deepak Maharana


Senior Cardiologist and Vascular surgeon for more than 16 years Performed over 2000 surgeries across India Specialized in treating Varicose veins and Deep vein thrombosis

Dr. Deepak Kumar Maharana has spent over 3 years working in thoracic surgical units at various stages in training. He has performed lung resections, decortications, lobectomy, lung biopsy etc. He has a very special and impulsive interest in vascular surgery. Dr. Deepak has worked as a specialist registrar in CPR Hospital, Kolhapur, Maharashtra for one year. As a Registrar in cardiothoracic surgery, he has gained first hand experience and proficiency in patient management.  He has assisted lots of cases of Arterial Thrombembolectomy, Arterio venous fistulas both Radio-cephalic and Brachio-cephalic, Arterial Interposition Grafting, Aorto-bi-iliac Artificial conduit grafting, Aorto-bi-femoral artificial conduit grafting both anatomic and extra-anatomical, Carotid End-arterectomy, Aorto-Axillary Conduits grafting etc.

Patient Testimonials

"Dr.Rajah did wonderful job in helping my brother to get to normal life. Doctor did surgery on a very long due vein problems on both legs, there was huge sufferings from over a decade. Surgery happened around 2 months back and my brother has recovered significantly and ready for normal life. We all have great relief and out of mental stigma. Staff is very cordial and understanding, they always greeted us warmly and gave utmost support. We can't even imagine where we would be without Doc & his team’s help"

Atlanta, USA

"Hi i’m Ramya, I was suffering from vascular problem. My toes of left leg were amputated and the wound was not healing.I was in extreme pain.I was not able to even stand and properly sleep night. DR. RAJAH V KOPPALA helped me by giving me his treatment. Now I m feeling very well.I can eat and sleep properly and can walk with the support of a walker.I m giving exams of 8th class and all the credit goes to RAJAH SIR.... sir me and my family are very thankful to you....are blessings are always with you....thank you"


"Treatment was done in most sophisticated technology of laser not cutting. Right now feeling better after vien ablation carried in both lower limbs."

Mr Shamshul

Medfin's 4 step

Varicose Vein Treatment

Consult our specialist

We will arrange for a consultation with an experienced varicose veins specialist. The doctor will perform a full varicose vein exam and inform you if any surgical intervention is required.

Procedure Counselling

In case there is a requirement to conduct a varicose vein procedure the doctor will explain the entire procedure and then fix a time for the procedure with you.

Procedure Day

On the day of the procedure, come in a hour before the procedure time and you will be prepared for the procedure.


After the procedure, you will be kept under observation for an hour, after which you will be discharged the same day.

Medfin fixed procedure package includes:

Details Included In Cost
1. Consultation with a vein specialist
2. Colour doppler ultrasound
3. Laser (EVLT) procedure (includes surgeons fees, consumables in procedure)
4. One free consultation with the vein specialist post operation
5. Upto Rs. 3000 worth post operative medicine from Medfin

What are varicose veins?

Varicose veins occur when your veins become enlarged, dilated, and overfilled with blood. Varicose veins typically appear swollen and raised, and have a bluish-purple or red color. They are often painful.

Around 30 percent of all adults have varicose veins. In most cases, varicose veins appear on the lower legs

All veins contain one-way values to ensure blood flows towards the heart. Failure of these valves allows blood to flow backwards down the veins and results in an overload of pressure when standing. This excess pressure leads to widening of the veins. Blood then flows back into the leg along these veins and causes varicose veins to develop.

Stages of vein diseases

Stage 1

Spider Veins

These dilated skin capillaries create a spider-like appearance in the legs. They typically cause more cosmetic problems than health problems, but in some cases cause pain. Treating spider veins not only improve appearance but also prevent the progression of venous disease.

Stage 2

Varicose Veins

These veins have a ropey-like appearance and bulge, often protruding, from the skin. These veins, if left untreated, can lead to increased symptoms and worsened appearance which begin to interfere with daily life and activity.

Stage 3

Leg Edema

As venous disease progresses, untreated varicose veins begin to evolve into other health problems, such as edema. This chronic leg swelling manifests over the course of the day or after standing for long periods. Others experience restless leg syndrome, itchy skin, and severe aching or cramping.

Stage 4

Skin Changes

Over time, venous disease causes skin discoloration. The skin becomes thinner and brown discoloration appears as a stain on the skin. This occurs beacause of blood leaking from the blood vessels and into the skin tissue.

Stage 5

Leg Ulcers

These are an indication that the venous disease has reached an advanced stage. They are extremely painful, itchy, and require constant care and dressing, signifcantly impacting quality of life.

Why do I have varicose veins?

Some potential causes for varicose veins include:



Age over 50

Standing for long periods of time


Family history of varicose veins

How are varicose veins diagnosed?

Your doctor will examine your legs and visible veins while you’re standing to diagnose varicose veins.

Your doctor may also want to do an Doppler / ultrasound to check your blood flow. This is a non-invasive test that uses high-frequency sound waves. It allows your doctor to see how blood is flowing in your veins.

What are the treatment options for varicose veins?

(vein stripping surgery)
Non-surgical laser (EVLT) treatment
General anesthesia may be required Done with local anaesthesia
Series of incisions are made in the legs to strip the veins out of the body Pulses of laser light are delivered inside the vein, which causes the vein to collapse and seal shut within the body itself
Surgery leaves incision scars No scars, done via a catheter inserted into a needle stuck into the skin
Healing time of a week is required due to the incisions done in the body for the surgery Patient can walk immediately after the procedure
Success rate is much lower than EVLT Success rate is close to 98%

What is EVLT

Endovenous laser treatment

  • A tiny laser fiber is inserted into the vein, with ultrasound guidance, to the exact source of the venous problem.
  • Laser pulses are then used to close the vein.
  • It requires a small non-scarring incision in the skin, local anesthesia, no hospitalization and short recovery.

Benefits of (EVLT) Procedure

Takes less than an hour to perform.

EVLT doesn't leave visible scars.

There is minimal discomfort.

The procedure is done under local anaesthetic.

Offers immediate relief from symptoms.

Up to a 90% success rate.

Dangers of not treating varicose veins

While varicose veins can range from mild to severe, those that suffer from the condition should contact a vascular surgeon. If neglected, varicose veins can have major implications for the patient’s health like:

01. Hyperpigmentation :

If left untreated, varicose veins usually result in excess blood leaking into the tissues of the leg. The patient will experience painful swelling and inflammation as parts of their skin become dark and discolored. This condition is known as hyperpigmentation.

02. Lipodermosclerosis :

When the tissues of the leg are left inflamed for a long period of time, the tissues become firm and heavy. The patient might feel that their legs are becoming increasingly tender, making it more difficult to move or relax. Lipodermatosclerosis is the term used to define the stiffening or hardening of the leg tissues.

03. Venous leg ulcers :

Varicose veins usually result in a condition known as chronic venous insufficiency or CVI. Over time, CVI can result in what’s known as a venous leg ulcer. This is when an area of the skin breaks down to reveal the flesh underneath. Venous leg ulcers tend to get larger over time, leading to increasing discomfort and irritation in the legs.

04. Spontaneous bleeding :

Varicose veins tend to break down the walls of the skin over time. This brings the varicose veins closer to the surface of the skin. In some cases, the slightest scratch or scrape can lead to excess blood loss. While the bleeding is usually painless, patients may experience significant blood loss if the condition goes untreated.

05. Deep vein thrombosis / blood clots :

Superficial thrombophlebitis is a condition that involves the inflammation of the veins just beneath the surface of the skin. This results from the weakening of the veins and decreased blood flow. The patient may experience redness of the skin, an increasing tenderness of the vein, as well as ongoing pain or swelling of the legs.

06. Deep Vein Thrombosis

Deep Vein Thrombosis is the most serious condition related to varicose veins. DVT usually results in what’s known as a pulling sensation in the legs, stemming from a blood clot. The patient may feel as if their nerves are being pinched with increased redness and swelling in the legs. If the blood clot travels further up the body, the condition could be life-threatening.

While varicose veins can range from mild to severe, those that suffer from the condition should contact a board certified vascular surgeon. If neglected, varicose veins can have major implications for the patient’s health.

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