Varicose Veins Treatment in Dubai: Expert Vascular Surgeon Care
Varicose veins are dilated, elongated superficial veins caused by venous valve failure, leading to backward blood flow (reflux) and increased venous pressure. This results in enlarged, twisted veins that become visible on the legs and are associated with symptoms such as heaviness, swelling, itching, night cramps, and skin changes. Although commonly perceived as cosmetic, varicose veins represent a medical condition reflecting chronic venous insufficiency and, when untreated, can progress to complications including thrombophlebitis, lipodermatosclerosis, venous ulcers, and bleeding.
This page provides an overview of varicose veins, risk factors, symptoms, diagnostic algorithms, and treatment options.
Clinical insight from Dr. Soroush Sohrabi
Varicose veins are usually a sign of underlying venous reflux (valve failure). The most important step is a duplex ultrasound to map reflux and confirm which veins are causing symptoms. If you have swelling, skin staining, eczema, or a healed/open ulcer, treat this as medical venous disease rather than a cosmetic issue.
Related venous topics:
What are Varicose Veins?
Varicose veins are enlarged superficial veins caused by venous reflux. Varicose veins are often a visible sign of chronic venous insufficiency (CVI), meaning the vein valves are not working effectively.In a healthy venous system, one-way valves maintain upward blood flow from the legs to the heart. When these valves fail, blood flows backward, creating increased hydrostatic pressure that dilates and elongates the vein. The great saphenous vein, small saphenous vein, and their tributaries are the most commonly affected vessels.
Reflux may be segmental or axial and is classified based on duplex ultrasound findings. Varicose veins differ from spider veins, which are superficial telangiectasias that do not typically indicate underlying venous insufficiency.
Recognising Symptoms of Varicose Veins
Common Clinical Features
Aching or heaviness in legs
Swelling around ankles or calves
Burning, throbbing, or cramping sensations
Restless legs, especially at night
Visible dilated veins
Tightness or fatigue after prolonged standing or sitting
Progressive and Advanced Symptoms
Hidden Varicose Veins
Up to 20% of patients have significant reflux without visible varicose veins. Symptoms include heaviness, swelling, itching, and night cramps. Diagnosis requires duplex ultrasound.
Causes and Risk Factors of Varicose Veins
Varicose veins develop when one-way valves inside the leg veins fail to close properly. This valve failure leads to backward blood flow (venous reflux), elevated venous pressure, and progressive dilation of the superficial venous system. Although genetics is the strongest predictor, several biological, hormonal, occupational, and environmental factors increase the likelihood of developing venous insufficiency.
Genetic Predisposition
A family history of varicose veins significantly increases lifetime risk. Individuals with two affected parents have an estimated 80--90% likelihood of developing venous reflux. Genetic factors influence vein wall elasticity, collagen composition, valve durability, and inherited anatomical variations in the venous network. These structural characteristics determine how veins respond to pressure over time, particularly during prolonged standing or pregnancy.
Age-Related Structural Changes
lose elasticity, smooth muscle tone decreases, and valves become less competent. These changes disrupt the venous pumping mechanism, making reflux more likely. The prevalence of venous insufficiency rises sharply after age 40 and continues increasing with each decade. Most individuals diagnosed in clinical practice fall between ages 35 and 75.
Hormonal Factors and Pregnancy
Hormonal fluctuations influence venous structure and function. Progesterone causes relaxation of smooth muscle within vein walls, reducing their ability to maintain shape under pressure. Pregnancy amplifies this effect through three mechanisms: a 40--50% increase in circulating blood volume, hormonal softening of connective tissue, and compression of pelvic veins by the enlarging uterus. Many women first develop varicose veins during the second and third trimesters, and risk increases with each subsequent pregnancy.
Occupational and Lifestyle Factors
Jobs requiring prolonged standing---such as teaching, retail, aviation, healthcare, and security---limit activation of the calf muscle pump. Reduced muscle contraction allows blood to pool in the lower limbs, raising venous pressure. Conversely, prolonged sitting, especially in office-based roles, reduces venous return by maintaining the hips in a flexed position and limiting lower-limb mobility. Both standing and sitting for extended periods contribute to venous hypertension if not interrupted by periodic movement.
Body Weight and Reduced Mobility
Excess body weight increases intra-abdominal pressure, impeding venous return from the legs. This mechanical resistance forces superficial veins to accommodate higher pressures, accelerating valve failure. Additionally, reduced physical activity weakens the calf muscle pump, limiting upward blood flow and encouraging venous pooling. Even a modest reduction in weight has been shown to improve venous symptoms in overweight individuals.
Environmental Factors in Dubai and the UAE
The UAE's climate plays a measurable role in symptom severity and disease progression. High ambient temperatures cause natural vasodilation, increasing blood volume within superficial veins and worsening reflux. Patients frequently report seasonal symptom flares during summer months, particularly swelling, heaviness, and evening discomfort. Dehydration, common in hot climates, increases blood viscosity and further challenges venous return.
History of Deep Vein Thrombosis
A previous deep vein thrombosis (DVT) can permanently damage venous valves and obstruct flow within the deep system. This results in post-thrombotic syndrome, characterised by chronic swelling, pain, hyperpigmentation, and secondary varicose vein formation. Individuals with a DVT history require thorough duplex ultrasound assessment to evaluate both superficial and deep venous competence before planning treatment.
Summary of Key Mechanisms
Varicose veins arise from the interaction of structural weakness, valve dysfunction, environmental stressors, and cumulative venous pressure. Early identification of risk factors enables preventive strategies and timely intervention, reducing the likelihood of complications such as thrombophlebitis, skin changes, and venous ulcers.
Symptoms and Clinical Presentation of Varicose Veins
Varicose veins present with a broad spectrum of symptoms ranging from mild cosmetic concerns to significant functional impairment. Symptoms arise primarily from venous reflux, venous hypertension, and subsequent microcirculatory changes affecting the skin and soft tissues. Early recognition allows appropriate intervention before progression to advanced venous disease.
Visible Signs of Varicose Veins
Varicose veins typically appear as enlarged, twisted, bulging superficial veins, often blue or purple in colour. They most commonly occur along the course of the great saphenous vein on the inner thigh and calf, or the small saphenous vein behind the calf. Patients may notice progressive enlargement over months or years, sometimes accompanied by clusters of spider veins or reticular veins. In some individuals, symptoms are significant despite minimal visible surface changes, a condition known as "hidden varicose veins."
Leg Heaviness, Aching, and Fatigue
The most common functional symptoms include heaviness, aching, and fatigue in the legs, particularly toward the end of the day. These symptoms worsen with prolonged standing or sitting and often improve temporarily with elevation or walking. Venous hypertension contributes to increased tissue pressure, leading to discomfort that may interfere with daily activities, work performance, and exercise tolerance.
Swelling of the Ankles and Lower Legs
Swelling (oedema) around the ankles and lower legs is a hallmark of progressing venous insufficiency. It commonly develops later in the day due to sustained hydrostatic pressure and improves overnight with leg elevation. In advanced stages, swelling may persist throughout the day. Tightness in shoes or indentation marks after removing socks are common patient-reported indicators of venous oedema.
Burning, Throbbing, and Cramping Sensations
Patients frequently report burning or throbbing sensations over affected veins. Night-time leg cramps, particularly in the calves or feet, are common and may disrupt sleep. Cramping arises from the accumulation of metabolic waste products due to impaired venous drainage and reduced oxygen delivery to tissues.
Restless Legs and Discomfort at Night
Venous congestion can mimic or exacerbate restless legs syndrome. Patients describe an urge to move their legs at night, uncomfortable tingling, or crawling sensations that improve temporarily with movement. Treating the underlying venous reflux often alleviates these symptoms.
Skin Itching and Irritation (Venous Eczema)
Chronic venous insufficiency can cause inflammation of the skin known as venous eczema or stasis dermatitis. It presents with itching, redness, dryness, and irritation around the lower legs and ankles. Persistent scratching may result in abrasions or secondary skin infections. This condition signals worsening venous pressure and requires evaluation to prevent further progression.
Skin Discoloration and Tissue Changes
Long-standing venous hypertension leads to deposition of iron-containing pigments, resulting in brown or darkened skin around the ankles. This hyperpigmentation reflects leakage of red blood cells from dilated capillaries into surrounding tissues. Over time, inflammation and fibrosis cause the skin to harden, thicken, and become more prone to injury. This stage, known as lipodermatosclerosis, is a precursor to venous ulceration.
Venous Ulcers and Advanced Skin Breakdown
Venous leg ulcers represent the most severe complication of untreated venous reflux. They typically occur around the medial ankle, where venous pressure is highest and skin is thinnest. Ulcers may begin as small areas of skin breakdown and progress into larger, non-healing wounds. They often produce pain, drainage, and substantial functional limitation. Healing is slow without addressing the underlying venous reflux, and recurrence is common unless treated definitively.
Recurrent Superficial Thrombophlebitis
Superficial thrombophlebitis presents with redness, warmth, tenderness, and firmness along the course of a superficial vein. It results from clot formation within a varicose vein due to sluggish venous flow. While usually not dangerous, recurrent episodes indicate significant venous disease and may increase the risk of deep vein thrombosis.
When to Seek Specialist Evaluation
Early assessment is recommended for individuals experiencing persistent heaviness, swelling, pain, itching, discoloration, or visible varicose veins. Urgent evaluation is advised for sudden calf swelling, suspected DVT, bleeding from a varicose vein, or non-healing wounds. A vascular surgeon can perform duplex ultrasound to determine the source of venous reflux and recommend appropriate minimally invasive treatment.
Diagnosis and Venous Assessment
Accurate diagnosis of varicose veins requires clinical evaluation combined with duplex ultrasound to confirm venous reflux, identify valve incompetence, and map superficial, perforator, and deep venous systems. This ensures treatment targets the true source of symptoms and prevents recurrence.
Can varicose veins cause leg swelling?
Yes. Varicose veins commonly cause leg swelling due to venous reflux. When vein valves fail, blood pools in the lower legs, increasing venous pressure and leading to fluid leakage into surrounding tissues. Swelling usually worsens by evening and improves with elevation.
Are skin changes a sign of advanced varicose vein disease?
Yes. Skin discolouration, eczema, hardening of the skin, or ulceration indicate chronic venous insufficiency. These changes mean prolonged venous hypertension and should be medically assessed rather than treated as cosmetic vein disease.
Do all varicose veins need treatment?
No. Treatment is recommended when varicose veins cause symptoms such as pain, swelling, skin changes, bleeding, or ulcers. Asymptomatic veins may be monitored, but progression is common over time.
Is a Doppler ultrasound necessary before treatment?
Yes. Duplex Doppler ultrasound is essential to identify reflux patterns, map incompetent veins, and plan safe, targeted treatment. Treating veins without ultrasound risks incomplete or ineffective results.
Clinical Assessment and History of Varicose Veins
A vascular specialist begins with a detailed clinical history focusing on symptoms, their duration, and aggravating factors such as prolonged standing, warm environments, exercise, travel, and pregnancy. Additional risk factors reviewed include prior DVT, family history, occupational exposure to long hours of immobility, and any previous vein treatments.
The examination is performed with the patient standing to maximise visibility of venous distension. Visible varicose veins, clusters of spider veins, prominent tributaries, skin thickening, pigmentation, eczema, swelling, or ulceration are assessed. Palpation identifies tenderness, induration, or warmth suggestive of thrombophlebitis. Distal pulses are examined to exclude arterial insufficiency when symptoms overlap.
Duplex Ultrasound: The Gold Standard Test
Duplex ultrasound is the definitive diagnostic test for varicose veins. It provides real-time visualisation of venous anatomy and blood flow, enabling identification of reflux and incompetent valves. A comprehensive ultrasound typically includes:
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Assessment of the great saphenous vein from groin to ankle
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Assessment of the small saphenous vein along the posterior calf
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Evaluation of saphenofemoral and saphenopopliteal junction competence
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Mapping of incompetent perforator veins
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Measurement of reflux duration
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Examination for deep vein thrombosis
Reflux is diagnosed when backward flow exceeds 0.5 seconds in superficial veins. The scan also identifies whether reflux originates from junctional incompetence, segmental valve failure, or perforator insufficiency. This mapping guides personalised treatment planning and ensures high long-term success.
Additional Imaging in Complex Cases
While duplex ultrasound alone is sufficient in most patients, additional imaging may be required when symptoms do not correlate with superficial disease, or when pelvic venous pathology is suspected.
**MR venography** may be used to identify iliac vein compression, pelvic varicosities, or obstruction.
**CT venography** is considered in patients with previous abdominal or pelvic surgery or complex venous anatomy.
**Intravascular ultrasound (IVUS)** is typically reserved for endovascular procedures involving iliac or femoral vein stenosis.
Such imaging is uncommon but crucial in complex venous disease, recurrent varicose veins, or when deep venous obstruction contributes to symptoms.
Diagnostic Challenges: Hidden Venous Reflux
A significant proportion of patients experience classic venous symptoms despite minimal visible varicose veins. These cases involve reflux in deeper segments or tributaries not visible on the surface. Only ultrasound can confirm this diagnosis. Recognising hidden reflux ensures that symptomatic patients receive appropriate and effective treatment even without obvious bulging veins.
Clinical insight from Dr. Soroush Sohrabi
Dr. Soroush Sohrabi, Consultant Vascular & Endovascular Surgeon in Dubai, explains:
“Varicose veins are not only a cosmetic concern. In many patients, they reflect underlying venous valve failure that leads to increased pressure in the leg veins. Over time, this pressure can cause symptoms such as aching, heaviness, swelling, skin changes, and in advanced cases, venous ulcers.
A structured clinical assessment, including duplex ultrasound, is essential to determine whether treatment is needed and which approach is most appropriate.”
“In my practice, symptoms often correlate more with venous reflux patterns than with vein size. Some patients with relatively small varicose veins experience significant discomfort, while others with large veins may remain asymptomatic.”
UK-trained Consultant Vascular & Endovascular Surgeon | Dubai
Specialist in venous disease, duplex ultrasound, and minimally invasive vein treatments
How Doppler Findings Affect Treatment
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If Doppler confirms reflux in a main vein (GSV/SSV), treatment may include EVLA or RFA.
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If side-branch veins are the main issue, foam sclerotherapy or phlebectomy may be used.
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If deep venous disease is present, treatment focuses more on compression and long-term management.
What to Do After Varicose Veins Are Diagnosed
After confirming varicose veins and assessing reflux using doppler ultrasound, treatment options range from conservative measures to minimally invasive vein procedures.
Clinical insight from Dr. Soroush Sohrabi
Dr. Soroush Sohrabi, Consultant Vascular & Endovascular Surgeon in Dubai, explains:
“Varicose veins are not only a cosmetic concern. In many patients, they reflect underlying venous valve failure that leads to increased pressure in the leg veins. Over time, this pressure can cause symptoms such as aching, heaviness, swelling, skin changes, and in advanced cases, venous ulcers.
A structured clinical assessment, including duplex ultrasound, is essential to determine whether treatment is needed and which approach is most appropriate.”
“In my practice, symptoms often correlate more with venous reflux patterns than with vein size. Some patients with relatively small varicose veins experience significant discomfort, while others with large veins may remain asymptomatic.”
UK-trained Consultant Vascular & Endovascular Surgeon | Dubai
Specialist in venous disease, duplex ultrasound, and minimally invasive vein treatments
Modern Treatment Options for Varicose Veins in Dubai
Modern varicose vein treatment focuses on eliminating venous reflux by closing or removing incompetent veins using minimally invasive techniques. These treatments are performed under local anaesthetic, require no hospital stay, and allow patients to walk immediately after the procedure. Selecting the correct technique depends on ultrasound findings, vein anatomy, symptom severity, and patient preference.
Endovenous Laser Ablation (EVLA)
EVLA is one of the most established and effective treatments for saphenous vein reflux. A laser fibre is inserted into the diseased vein under ultrasound guidance. As the fibre is withdrawn, targeted heat causes the vein walls to seal and collapse. Blood reroutes naturally into healthy veins.
Benefits
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Success rates >95% at long-term follow-up
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Local anaesthesia only
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Walk immediately after procedure
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Rapid return to activity
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No surgical scars
Ideal For
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Great or small saphenous vein reflux
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Large or symptomatic varicose veins
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Patients seeking evidence-based first-line treatment
Radiofrequency Ablation (RFA)
RFA uses radiofrequency energy instead of laser heat to achieve controlled vein closure. The mechanism is similar to EVLA, and outcomes are comparable.
Benefits
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Minimal discomfort during and after treatment
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Rapid recovery
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High long-term closure rates
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Local anaesthesia with walk-in walk-out care
Mechanochemical Ablation (ClariVein®)
ClariVein® is a non-thermal, non-tumescent technique that combines mechanical agitation of the vein wall with simultaneous infusion of sclerosant. No heat is used, reducing risk to nearby nerves.
Benefits
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No thermal energy
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No need for tumescent anaesthesia
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Minimal injections
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Excellent option for below-knee veins
Ideal For
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Patients seeking a no-heat treatment
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Reflux near sensory nerves
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Selected saphenous or tributary veins
VenaSeal™ Adhesive Closure
VenaSeal™ uses medical-grade cyanoacrylate adhesive to seal the vein without heat or sclerosant. A small amount of adhesive is deposited along the vein under ultrasound guidance.
Benefits
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No compression stockings needed for most patients
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Immediate return to activity
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No heat-related discomfort
Limitations
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Higher cost
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Long-term evidence still evolving
Ultrasound-Guided Foam Sclerotherapy
Foam sclerosant is injected into refluxing or tributary veins under ultrasound guidance. The foam displaces blood and induces endothelial injury, leading to vein closure.
Best For
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Medium-sized varicose veins
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Residual veins after EVLA or RFA
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Patients unsuitable for heat-based procedures
Advantages
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Quick treatment
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Minimal downtime
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Often used as combination therapy
Bulging surface veins are removed using tiny 1--2 mm incisions. A specialised hook extracts vein segments through these micro-openings.
Benefits
Open Surgery (Now Rare)
Traditional vein stripping is rarely required due to modern endovenous methods.
Indications
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Very large or tortuous veins
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Recurrent varicose veins
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Anatomy not suitable for endovenous access
Varicose Veins and Leg Swelling
Varicose veins commonly cause leg swelling due to failure of the vein valves, allowing blood to pool in the lower limbs. This leads to increased venous pressure and fluid leakage into surrounding tissues. Swelling often worsens by the end of the day and improves with leg elevation, a typical feature of venous-related leg edema.
Skin Changes Caused by Varicose Veins
Long-standing varicose veins can lead to progressive skin changes around the ankles and lower legs. These include discoloration, itching, venous eczema, lipodermatosclerosis, and in advanced cases, skin breakdown or ulcers. These changes indicate chronic venous insufficiency and should prompt specialist evaluation.
Varicose Veins and Risk of Blood Clots
Varicose veins are associated with an increased risk of superficial thrombophlebitis, a condition where a clot forms in a superficial vein causing pain, redness, and tenderness. While this differs from deep vein thrombosis, clinical assessment and duplex ultrasound are important to exclude deeper venous involvement when symptoms are acute or severe.
When Varicose Veins Become a Medical Problem
Varicose veins should be considered a medical condition when they cause persistent pain, swelling, skin changes, bleeding, or recurrent inflammation. Early assessment and treatment reduce the risk of progression to chronic venous disease and long-term complications.
Complications of Untreated Varicose Veins
Most patients with varicose vein disease could have no complications however in some, untreated varicose veins can progress from cosmetic concerns to medically significant complications. These complications arise from sustained venous hypertension, ongoing inflammation, and progressive damage to skin and soft tissues. Early intervention prevents these issues and reduces the need for prolonged treatment.
Skin Pigmentation and Venous Eczema
Persistent venous congestion forces red blood cells into surrounding tissues. When these cells break down, iron (haemosiderin) deposits cause brown discoloration.
Signs to recognise
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Brown or reddish patches around ankles
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Itchy, dry, irritated skin
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Episodes of venous eczema aggravated by heat
These changes indicate moderate-to-advanced venous disease.
Lipodermatosclerosis
Lipodermatosclerosis is a chronic inflammatory condition caused by long-standing venous hypertension. It leads to fibrosis and structural changes in the skin.
Typical features
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Hard, tight, thickened skin
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Pain and tenderness
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Inverted "champagne-bottle" appearance of the lower leg
Once fibrosis develops, full reversal becomes difficult without early treatment of venous reflux.
Venous Leg Ulcers
Venous ulcers are the most serious complication of untreated venous insufficiency. They typically develop near the medial ankle where venous pressure is highest.
Characteristics of venous ulcers
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Shallow, irregular wounds
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Prone to infection
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Slow healing without correction of reflux
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High recurrence if underlying cause is not treated
Patients with ulcers require specialist vascular assessment and multi-layer compression therapy.
This occurs when a clot forms within a superficial varicose vein, causing acute inflammation.
Symptoms
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Painful, cord-like vein
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Localised redness and warmth
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Tender swelling along the vein
Although usually self-limited, recurrent episodes indicate significant reflux requiring treatment.
Increased Risk of DVT
While varicose veins primarily affect superficial veins, advanced reflux is associated with a modestly increased risk of deep vein thrombosis.
Risk factors include
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Long-haul travel (common in UAE residents)
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Immobility
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Obesity
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Previous episodes of thrombophlebitis
DVT requires urgent medical evaluation due to the risk of pulmonary embolism.
Spontaneous Bleeding
Key considerations
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Bleeding may be significant due to venous pressure
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Compression and leg elevation must be applied immediately
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Contact your doctor
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Recurrence risk is high unless the vein is treated
Prevention Strategies for Varicose Veins in Dubai and the UAE
Prevention of varicose veins focuses on reducing venous pressure, improving calf muscle pump function, and minimising exposure to factors that worsen venous congestion. Dubai's hot climate, long working hours, and sedentary or standing-based jobs make prevention especially important for residents.
Exercise and Activity Strategies in the UAE Climate
Regular calf-engaging activity improves venous return and reduces pressure in the superficial veins. Due to high temperatures in Dubai and Abu Dhabi, outdoor training should be modified for safety.
Hydration Protocols for Dubai Residents
Dehydration thickens blood and increases venous pressure. In the UAE, fluid loss occurs quickly due to heat and air-conditioning environments.
Daily hydration recommendations
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Men: 3--4 litres/day
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Women: 2.5--3 litres/day
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Increase intake during summer months (May--October)
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Use electrolyte solutions during exercise or outdoor exposure
Workplace Modifications for Venous Health
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Dubai's workforce largely falls into two high-risk groups: prolonged standing and prolonged sitting.
A. Occupations with Prolonged Standing
Common roles: hospitality, retail, aviation, teaching, healthcare, security.
Strategies
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Calf raises every 20--30 minutes
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Shift weight between legs
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Wear medical-grade compression stockings
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Short breaks with legs elevated
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Maintain hydration during shifts
B. Desk-Based Occupations (Prolonged Sitting)
Common roles: banking, IT, insurance, consulting, government.
Strategies
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Stand or walk every 45--60 minutes
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Use a standing desk when possible
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Perform ankle circles, heel--toe raises, foot pumps
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Avoid crossing legs (increases venous pressure)
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Keep both feet flat on the ground
Compression Stockings for Varicose Veins and Venous Insufficiency: When and Why to Use Them
Compression stockings are one of the most effective preventive tools for varicose veins and venous insufficiency.
Indications for UAE residents
Compression levels
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15--20 mmHg: mild symptoms, travel, prevention
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20--30 mmHg: proven reflux, swelling, pregnancy
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30--40 mmHg: ulcers or severe disease (specialist guidance required)
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Choose breathable, moisture-wicking stockings suitable for UAE heat.
⚠️ Important Warning for Compression Stockings for Varicose Veins: Peripheral Arterial Disease (PAD)
Compression stockings must NOT be used without medical assessment in patients with suspected or confirmed Peripheral Arterial Disease (PAD).
In individuals with reduced arterial blood flow, compression can worsen ischaemia, increase pain, delay wound healing, and in severe cases lead to tissue damage.
Patients with any of the following should undergo vascular assessment (including ABI or duplex ultrasound) before using compression:
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Rest pain in the feet or toes
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Non-healing foot or leg ulcers
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Cold, pale, or numb feet
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Known peripheral artery disease or diabetes with vascular complications
A vascular specialist should always determine whether compression therapy is safe and appropriate, and at what level.
Weight Management and Diet in the UAE
Obesity increases venous pressure and worsens reflux. Lifestyle patterns in Dubai---car travel, high-calorie dining, and limited outdoor exercise---contribute to weight gain.
Recommended dietary approach
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Emphasise vegetables, lean proteins, whole grains
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Reduce sodium to minimise fluid retention
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Limit sugary and processed foods
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Prefer Mediterranean-style diet patterns
Travel Guidance for Frequent Flyers in the UAE for Varicose Veins
Dubai residents often take long-haul flights, increasing risk of DVT and venous congestion.
Travel recommendations
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Wear compression stockings during flights over 4 hours
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Walk the aisle every 60--90 minutes
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Perform ankle pumps and foot exercises
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Maintain good hydration
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Avoid alcohol and excess caffeine
Those with history of DVT, cancer, recent surgery, or pregnancy should seek specialist advice before long flights.
Managing Heat Exposure
Temperatures exceeding 40°C cause venous dilation, worsening symptoms of varicose veins and swelling.
Practical strategies
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Limit prolonged outdoor exposure during summer
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Walk indoors or in shaded areas
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Cool legs with water after outdoor activity
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Wear breathable, loose clothing
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Elevate legs after returning indoors
Footwear, Posture, and Daily Habits
Small daily changes significantly reduce strain on leg veins.
Recommended footwear
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Supportive arch structure
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Avoid flat, unsupportive shoes
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Avoid high heels regularly (reduce calf pump efficiency)
Special Considerations in Pregnancy
Pregnancy creates significant venous strain due to hormonal effects, increased blood volume, and uterine pressure.
Recommendations
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Wear compression stockings daily after discussion with your doctor
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Sleep on the left side
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Avoid prolonged standing
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Elevate legs whenever possible
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Maintain hydration
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Perform gentle calf exercises
Varicose veins arising during pregnancy often improve postpartum but may require assessment if symptoms persist.
When Lifestyle Measures Are Not Enough
Lifestyle interventions improve symptoms but cannot reverse valve failure. Seek specialist assessment if you develop:
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Visible varicose or spider veins
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Persistent swelling
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Skin discoloration
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Restless legs or night cramps
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Leg heaviness at end of day
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Non-healing wounds near the ankle
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Frequent episodes of thrombophlebitis
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Itching or venous eczema
Contact and Consultation: Varicose Vein Specialist in Dubai
Booking a consultation with a vascular surgeon is the most effective step toward diagnosing and treating varicose veins early, preventing complications, and restoring long-term vein health. Whether symptoms are mild or advanced, targeted evaluation ensures accurate diagnosis and personalised treatment selection based on venous anatomy and reflux patterns.
What to Expect During Your Consultation
Your consultation is designed to provide a complete assessment of your venous health using clinical examination and duplex ultrasound mapping. This structured evaluation allows precise identification of reflux sources and disease severity.
Your appointment typically includes
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Comprehensive history and symptom assessment
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Review of risk factors, lifestyle, pregnancy history, and family history
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Standing examination of both legs
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Assessment of visible varicose veins, swelling, skin changes, and tenderness
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Evaluation for signs of venous eczema or lipodermatosclerosis
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Full duplex ultrasound to map reflux in superficial, deep, and perforator veins
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Personalised explanation of findings and treatment options
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Clear discussion of expected outcomes, recovery, and costs
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Insurance pre-authorisation support if medically indicated
Accurate ultrasound mapping performed by an experienced vascular surgeon is crucial for long-term treatment success.
Why Choose Dr. Soroush Sohrabi for Varicose Vein Treatment in Dubai
Dr. Soroush Sohrabi is a UK-trained Consultant Vascular and Endovascular Surgeon with over 20 years experience working in the NHS (UK) and advanced vascular fellowships in the US and Australia. His practice provides evidence-based, minimally invasive solutions tailored to individual patient anatomy.
Key advantages
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Fellowship-trained vascular surgeon with UK, Australia, and US
experience
ClariVein®, VenaSeal, foam sclerotherapy, microphlebectomy)
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Detailed duplex ultrasound performed personally for accuracy
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Minimally invasive walk-in--walk-out procedures under local
anaesthetic
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Fast recovery with return to normal activities within 24--48 hours
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Advanced management of complex venous disease, ulcers, and recurrent
varicose veins
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Patient-centred communication with clear explanations
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Clinic located in Dubai, accessible to patients across the UAE
Conditions Treated
The clinic manages a full spectrum of venous and vascular conditions beyond varicose veins.
Common conditions treated
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Varicose veins (simple and complex)
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Spider/thread veins
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Venous insufficiency and reflux
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Venous eczema and lipodermatosclerosis
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Leg swelling and chronic oedema
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Deep vein thrombosis (DVT)
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Post-thrombotic syndrome
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Venous ulcers and non-healing wounds
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Perforator incompetence
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Recurrent varicose veins after previous treatments
How to Book Your Varicose Vein Appointment in Dubai
Take the First Step Toward Healthier Legs
Varicose veins are progressive, meaning symptoms and complications worsen without treatment. Early diagnosis provides the best long-term outcomes, prevents venous ulcers, and restores comfort and mobility.
If you have visible veins, swelling, heaviness, night cramps, itching, or skin discoloration, now is the ideal time to seek specialist evaluation.
Book your consultation today
Take control of your venous health and begin your personalised treatment journey with a leading vascular surgeon in Dubai.
Frequently Asked Questions About Varicose Veins
What causes varicose veins?
Varicose veins develop when the one-way valves in leg veins fail, allowing blood to flow backward and pool. This increases pressure inside the vein, causing it to enlarge, twist, and become visible under the skin. Genetics, aging, pregnancy, obesity, prolonged standing, and the warm climate in Dubai all increase risk.
Are varicose veins dangerous?
Most varicose veins are not immediately dangerous, but untreated venous reflux can progress to skin damage, venous eczema, lipodermatosclerosis, superficial thrombophlebitis, and venous ulcers. In rare cases, chronic venous insufficiency increases the risk of deep vein thrombosis. Early treatment prevents complications.
What symptoms should I look for?
Common symptoms include visible bulging veins, aching, heaviness, swelling around the ankles, itching, burning, night cramps, and discolouration of the skin. Symptoms typically worsen after long periods of standing or sitting and improve with leg elevation.
Can varicose veins cause foot or ankle pain?
Yes. Increased venous pressure can cause aching, swelling, throbbing, and pressure sensations in the foot and ankle. When swelling becomes chronic, the skin can become tight and painful. Accurate diagnosis with duplex ultrasound is essential.
How are varicose veins diagnosed?
Diagnosis requires a duplex ultrasound, which maps the superficial, deep, and perforator veins and identifies valve failure and reflux patterns. A physical examination while standing helps confirm the presence and severity of visible varicosities.
Skin Itching and Irritation (Venous Eczema)
Chronic venous insufficiency can cause inflammation of the skin known as venous eczema or stasis dermatitis. It presents with itching, redness, dryness, and irritation around the lower legs and ankles. Persistent scratching may result in abrasions or secondary skin infections. This condition signals worsening venous pressure and requires evaluation to prevent further progression.
What is the best treatment for varicose veins?
Gold-standard treatments include EVLA (endovenous laser), RFA (radiofrequency ablation), ClariVein® mechanochemical ablation, VenaSeal adhesive closure, ultrasound-guided foam sclerotherapy, and microphlebectomy. These minimally invasive procedures close or remove refluxing veins with high long-term success rates.
Are varicose vein treatments painful?
Modern treatments are performed under local anaesthetic and are generally well tolerated. Patients usually walk immediately after the procedure and return to normal activities within 24--48 hours. Discomfort is typically mild and short-lived.
Do I need to wear compression stockings?
Compression stockings help manage symptoms before treatment and support recovery afterward. They improve venous return, reduce swelling, and relieve heaviness. They are not a cure, as they do not correct valve failure, but they are an important supportive measure.
Can varicose veins return after treatment?
When treated correctly using ultrasound-guided endovenous techniques, recurrence rates are low. Recurrence may occur due to untreated tributary veins, progressive venous disease, or anatomical variations. Proper duplex mapping and technique significantly reduce recurrence risk.
Are treatments covered by insurance in Dubai?
Insurance may cover varicose vein treatment if there are documented symptoms such as pain, swelling, skin changes, or complications. Cosmetic treatment for spider veins is usually not covered. Clinics provide assistance with insurance approval.
How much do varicose vein treatments cost in Dubai?
Costs may vary depending on the type of procedure, severity of venous reflux, number of veins treated, and whether one or both legs require intervention. Please note that actual costs may fall outside the ranges below depending on the treating provider and clinical complexity. Typical cost ranges include:
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Duplex ultrasound: AED 500--1,200
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Foam sclerotherapy: AED 800--2,500 per session
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Spider vein sclerotherapy: AED 800--1,500 per session
Who is the best specialist to treat varicose veins?
A Consultant Vascular Surgeon is the most qualified professional for diagnosing and treating venous disease. In Dubai, Dr. Soroush Sohrabi provides comprehensive ultrasound mapping, evidence-based treatments, and minimally invasive procedures tailored to each patient's anatomy.
When should I seek medical help for varicose veins?
Seek specialist evaluation if you experience pain, swelling, skin itching, night cramps, discoloration, bulging veins, or skin breakdown. Early treatment prevents progression to ulceration and long-term damage.
Can I prevent varicose veins?
You can't fully prevent varicose veins, however preventive strategies to slow down pregression and manage symptoms include maintaining healthy weight, regular walking or exercise, avoiding prolonged standing or sitting, elevating the legs, staying well-hydrated, and wearing compression stockings during high-risk activities or pregnancies.
Key Facts About Varicose Veins in Dubai
Varicose veins occur when leg vein valves fail, causing blood to flow backward and pool, leading to visible bulging veins, heaviness, swelling, itching, skin discoloration, and night cramps. Common risk factors include genetics, ageing, pregnancy, prolonged standing or sitting, obesity, and Dubai's high temperatures, which dilate superficial veins. A duplex ultrasound is essential to diagnose venous reflux and identify which veins have incompetent valves.
Modern treatments in Dubai include EVLA (laser ablation), RFA (radiofrequency ablation), ClariVein® mechanochemical ablation, VenaSeal adhesive closure, ultrasound-guided foam sclerotherapy, and microphlebectomy. These procedures are minimally invasive, performed under local anaesthetic, and allow walk-in walk-out recovery. Untreated varicose veins can progress to venous eczema, lipodermatosclerosis, superficial thrombophlebitis, recurrent swelling, and in advanced cases, venous ulcers. Early management by a vascular surgeon prevents complications and restores long-term venous function.
Medical Review & Clinical Oversight
This page is written and reviewed by Dr. Soroush Sohrabi, Consultant Vascular & Endovascular Surgeon. Clinical content is based on current vascular guidelines, duplex ultrasound assessment, and evidence-based treatment principles.
