Why do I have varicose veins?

Varicose veins or reflux disease of the superficial venous system is a very common situation, when ugly distended veins are seen especially on lower extremities. Unfortunately varicose veins are one of the most often occurring forms of connective tissue weakness, affecting 30-50% of population.

Is it dangerous?

The end stage of varicose vein disease is a trophic ulcer that heals very poorly. Most of the patients with varicose veins never reach the ulcer stage, but also the earlier stages of the disease are disturbing – starting with visible varicose veins to subjective restless feet symptoms.

What can ETCH offer in case of varicose veins?


In ETCH the approach starts with thorough consultation together with ultrasound investigation. As our specialists are not fortune-tellers, they need a definite assessment of the disease’s extent and if this is only a damage involving the superficial venous system or if the deep venous system is also involved.

When should something be done?

Although there is an abstract boundary between aesthetic activities and medical activities, it is still the easiest to try to control the disease in the beginning stages of it – when only varicose veins are visible and there are no other complaints.


This is an easily tolerated outpatient procedure, during which a medicine is injected into the diseased vein. The medicine damages the wall of the diseased vein and as a result the vein sticks together and is not visible any more. The problem is solved!


If the varicose veins are more prominent, surgical removal may be a better result. Large and ugly operation wounds for the removal of varicose vein are a thing of past! The modern approach is varicose veins removed through needle hole and 2-3 months later a bystander doesn’t realise that something was bulging somewhere.

Comment of Veronika Palmiste:

The world of varicose vein has become very exciting during the last 10 years – this disease is no more seen as an irrelevant and harmless condition. 80% of trophic ulcers in the population have all originated decades ago from a harmless varicose vein. There is no need to wait until the disease reaches its final stage or the ulcer – it is much easier and quicker to prevent the disease. In the East Tallinn Central Hospital we apply the so-called a la carte approach – we try to find a suitable solution for each patient personally. The basis of this approach is a thorough ultrasound investigation, which is used to give the patient recommendations for possible correction. The basis of a good result is an informed and secure patient. This is something that the ETCH team is able to offer to foreign patients as well.

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