to Dr. Begos
who was selected again as one of of Boston’s top doctors by Boston Magazine in 2015
CSA Vein Center
receives accreditation by the IAC:
CSA is the first vein practice in Northeast Massachusetts to be fully accredited as a Certified Vein Center by the IAC (Intersocietal Accreditation Commission).
What symptoms or problems can varicose veins and reflux cause?
Many people with varicose veins experience no symptoms. However, with time,
the following problems may arise:
or heavy feeling in your legs, sometimes associated with
burning, throbbing, and muscle cramping, especially towards the end of
the day after you have been hanging your legs down for a long time. The
muscle cramping may wake you up at night and is associated with swelling
during the day.
- Leg swelling or skin changes - Brownish or reddish
discoloration may form around your veins, especially in the higher
pressure areas near your ankle.
- The more swollen your leg becomes and the more skin changes you
develop, the more likely you are to form ulcers. Once ulcers form they
are very difficult to heal, require prolonged therapy, and tend to
Superficial phlebitis - As the veins over time
become larger and more “ropey” they tend to fill with stagnant blood,
especially if you stand or hang your legs down for long periods. Clots
can then form, frequently after minor trauma. Although superficial clots
do not embolize (move from the legs to the heart and lungs), they are
associated with deeper clots which sometimes do. Superficial phlebitis
is painful and can lead to permanent skin changes and ulceration
- Cosmetic concerns – many people will feel
self-conscious and uncomfortable about large and unsightly veins in
their legs. They may try to cover them by wearing slacks and pants,
avoid shorts in the summer, and women may wear opaque stockings.
Unattractive veins may become a significant social problem.