By evening, do your legs feel tired, heavy, or swollen?
Do you feel a dragging sensation when you walk back home after work?
Do your feet swell inside your shoes by night?

Most people think this is “normal tiredness.”
But in many cases, this is the first warning sign of varicose veins or venous insufficiency — a condition that silently affects thousands in Bangalore.

Ignoring this early stage is what leads to:

skin darkening
restless legs at night
throbbing pain
visible veins
and later, non-healing ulcers

Let’s understand what’s really happening inside your legs — in simple words.

What Causes “Heavy Legs” in the Evening? (The Real Reason)

Your leg veins carry blood upward – against gravity.
They use small valves that open and close with every step.

When these valves become weak:

blood starts pooling in the legs
pressure increases
swelling begins
heaviness gets worse by evening
and veins start getting damaged

This condition is called chronic venous insufficiency.

You may not see any visible veins yet…

…but your legs are already signaling distress.

Early Symptoms You Should Never Ignore

1. Heaviness that increases by evening

This is the earliest and most common sign.

2. Swelling around ankles or feet

Often mistaken for “water retention.”

3. Burning, tingling, or throbbing in legs

Especially after a long day of standing or sitting.

4. Pain that reduces after lying down

Because blood finally flows back.

5. Restless legs at night

Constant movement due to discomfort.

6. Skin changes

Dryness, itching, brown discoloration.

If you notice two or more of these, it’s time to get evaluated by a vascular surgeon.

Why Is This Happening More in Bangalore?

Because our lifestyle is built around risk factors:

long hours at IT desks
prolonged standing (teachers, bankers, retail staff)
sitting cross-legged long hours
lack of leg movement
hot climate → vein dilation
sudden weight gain
pregnancy-related vein strain

Bangalore’s working population is showing a 50% rise in early-stage venous issues.

Is It Varicose Veins? Here’s How to Know.

You may have varicose veins if:

heaviness improves when you elevate the leg
pain increases after long standing
you see bluish/greenish lines on your legs
your legs feel “tight” by night
skin around your ankle is darker
you have cramps at night
veins look twisted or bulging

Only a vascular specialist can confirm this with:

clinical assessment
venous Doppler ultrasound

What Happens If You Ignore It?

Early-stage vein disease is easily treatable.

But ignoring it leads to:

⚠ Advanced varicose veins

Bulging, rope-like veins.

⚠ Skin darkening around ankle (venous eczema)

Permanent color changes.

⚠ Restless leg syndrome

Sleep disturbance.

⚠ Hardening of the skin (lipodermatosclerosis)

Painful and irreversible.

⚠ Non-healing leg ulcers

Extremely painful and difficult to treat.

⚠ Bleeding from veins

A medical emergency.

Early treatment prevents all of this.

Modern Treatment Options

1. Lifestyle & Compression Stockings

Works only in early stages.

2. Medicines

Reduces symptoms, does NOT fix the valve problem.

3. Laser Treatment (EVLT / RFA)

The most advanced and preferred method today.

30-minute procedure
No cuts, no stitches
Done under local anesthesia
Walk immediately
Back to routine in 24 hours
Very low recurrence

4. Surgical Removal (Old Method)

Rarely needed today except in long-neglected cases.

Laser Treatment vs Surgery – The Clear Difference

Feature	Laser	Surgery
Cuts/stitches	No	Yes
Pain	Minimal	Moderate
Recovery	24 hours	7–10 days
Procedure time	30 min	2–3 hours
Recurrence	Very low	Higher
Scars	None	Visible
Return to work	Next day	1–2 weeks

This is why laser treatment is now the global standard.

Why Choose a Vascular Surgeon

Most people don’t know this:

Varicose veins = blood circulation problem

NOT just a skin problem.

General surgeons and cosmetic clinics often:

treat only visible veins
miss deep vein issues
use outdated methods
or treat symptoms, not the root cause

A vascular surgeon specializes in:

veins
arteries
circulation systems
Doppler-guided mapping
laser ablation
endovascular procedures

This ensures:

accurate diagnosis
complete treatment
minimal recurrence
safe outcomes

Why Patients Prefer Dr. Sravan C.P.S

Vascular & Endovascular Specialist
Fellowship-trained
Expert in laser-based varicose veins treatment
1000+ procedures experience
Uses latest USFDA-approved laser systems
Zero unnecessary tests or surgery
Personalized treatment plan
Located centrally in Basavanagudi
Patients from Jayanagar, Banashankari, and JP Nagar choose him specifically for vascular care

Patients report:

fast recovery
relief from heaviness
better sleep
improved confidence
ability to walk long distances again

When Should You See Dr. Sravan?

If you have:

heaviness every evening
swelling around ankles
visible veins
cramps at night
throbbing or burning legs
skin color changes
pain after standing

Even early signs deserve evaluation.

Frequently Asked Questions

1. Are heavy legs a sign of varicose veins?

Yes. Especially when heaviness worsens by evening and improves after elevation.

2. Can laser cure varicose veins permanently?

Laser closes the faulty vein permanently. Recurrence is extremely low when done by a vascular surgeon.

3. Is laser painful?

Only mild discomfort. Most patients resume work the next day.

4. What is the cost of varicose vein treatment in Bangalore?

It depends on severity and number of veins. Laser is more cost-effective long-term because recovery is fast.

5. Is varicose vein treatment urgent?

Early treatment prevents complications like ulcers and skin changes.

Book a Consultation

If your legs feel heavy every evening, don’t ignore the signal.
Early diagnosis helps you avoid complications and return to comfortable, pain-free movement.

Consult Dr. Sravan C.P.S – Vascular & Endovascular Surgeon

Location: Basavanagudi, Bangalore
Specialty: Varicose veins & advanced laser treatment

Call / Book Appointment:
(9353384953/ booking link)