Varicose Veins and Aging: What Changes to Expect Over Time

Varicose veins become more common as we age, but that does not mean worsening leg pain, swelling, or skin changes should simply be accepted as part of getting older. Over time, normal changes in the veins can make it more difficult for blood to return from the legs to the heart. For some patients, this contributes to varicose veins and chronic venous insufficiency, which can gradually progress if left untreated.

At the Vascular Center and Vein Clinic of Southern Indiana, board-certified vascular surgeon Dr. Ricardo Vasquez has over 20 years of experience diagnosing and treating varicose veins, venous insufficiency, and other vascular conditions. His office includes a fully accredited vascular ultrasound lab, allowing patients to receive convenient, in-office evaluation and treatment planning. Dr. Vasquez and Monroe Hospital were recognized as a Top 50 Vascular Surgery Hospital in the Nation by Healthgrades in 2024, the only hospital in Indiana with this distinction.

Why Varicose Veins Become More Common With Age

Veins in the legs contain one-way valves that help push blood upward toward the heart. As we age, vein walls and valves can weaken and become less effective. When the valves no longer close properly, blood can flow backward and pool in the lower legs.

This increased pressure causes veins to enlarge and become more visible. Other factors, including family history, pregnancy, obesity, and spending long periods standing or sitting, can further increase the likelihood of developing varicose veins.

How Symptoms Can Change Over Time

In the early stages, varicose veins may cause few symptoms beyond their visible appearance. As venous disease progresses, however, patients may begin to notice aching, heaviness, fatigue, nighttime cramping, or swelling around the ankles.

Over time, persistent venous pressure can begin to affect the skin. Brown or reddish discoloration may develop around the ankles, and the skin may become itchy, inflamed, thickened, or hardened.

More advanced venous insufficiency can eventually lead to venous ulcers, particularly around the lower leg and ankle. These wounds can be difficult to heal if the underlying circulation problem is not addressed.

Don’t Assume It’s Just Aging

Leg swelling and discomfort may become more common with age, but persistent symptoms deserve medical attention. New or worsening varicose veins, daily swelling, skin discoloration, or wounds that heal slowly can indicate an underlying vascular condition rather than normal aging.

Sudden pain and swelling in one leg should be evaluated promptly because these symptoms can also occur with a blood clot.

Why Early Evaluation Matters

A vascular ultrasound can determine whether malfunctioning vein valves are contributing to your symptoms. At Dr. Vasquez’s office, this testing is performed in a fully accredited vascular lab within the office.

Patients can be evaluated directly by a vascular surgeon who can assess their symptoms, review the ultrasound findings, and determine whether treatment is necessary. There is no need for an additional specialist referral or separate hospital ultrasound. This provides greater convenience and can offer significant cost savings compared with hospital-based testing.

Healthy Veins at Every Age

Aging may increase your risk of varicose veins, but effective treatments are available. Walking regularly, maintaining a healthy weight, avoiding prolonged periods of inactivity, and following appropriate compression recommendations can support circulation. When vein disease has progressed, minimally invasive treatments can address the underlying problem and help relieve symptoms.

If your varicose veins are becoming more noticeable or you are experiencing swelling, aching, or skin changes, consider a vascular evaluation.

You do not need a referral to schedule an appointment.

Call 812-336-6008 to schedule an evaluation with Dr. Ricardo Vasquez at the Vascular Center and Vein Clinic of Southern Indiana. Identifying venous disease early can help prevent progression and keep your legs healthier as you age.