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Aspirus Surgeon Shares Early Warning Signs and Treatment Options for Varicose Veins

8/22/2025

Dr. Joshua Pogorelec, Aspirus General Surgeon

Aspirus Health is raising awareness about the warning signs and health risks of varicose veins, a condition that affects millions of Americans, especially women. Varicose veins are more than a visual issue. If ignored, they can lead to significant complications, including leg swelling, skin changes, and even ulcerations.

 

According to Dr. Joshua Pogorelec, a general surgeon with Aspirus Health, varicose veins form when the valves in veins break down, allowing blood to collect in the legs. This causes the veins to stretch and can lead to irritation and swelling of the lower extremities.

 

“Varicose veins are a dilation of our veins that occur when the valves fail and blood pools in the leg,” Dr. Pogorelec explained. “Over time, this pressure can lead to thinning of the leg tissue and skin breakdown, which makes early detection and treatment important.”

 

The first sign of trouble is often swelling in the legs, which can progress to symptoms like numbness, tingling, brown discoloration, and sensations similar to restless leg syndrome. In more advanced cases, patients may notice skin thinning or spontaneous bleeding, warning signs that require medical evaluation. While genetics and family history are major contributors, prolonged standing and pregnancy also increase risk, particularly in women.

 

Treatment options range from conservative to surgical. For early-stage symptoms, Dr. Pogorelec recommends lifestyle changes like wearing compression stockings, elevating the legs, and avoiding prolonged standing. For more advanced cases, minimally invasive procedures like sclerotherapy or vein ablation may be necessary.

 

“Prevention plays a key role, especially for people who are on their feet all day,” Dr. Pogorelec said. “Even simple steps like wearing compression stockings and elevating your feet at night can relieve pressure and reduce risk.”

 

Aspirus encourages individuals experiencing leg discomfort or changes in skin appearance to consult with their provider. Timely intervention can prevent progression and improve overall leg health.

 

For more information on vein health and treatment options, visit aspirus.org or call your local Aspirus clinic to schedule an evaluation.

 


 

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