Surge in varicose veins cases being diagnosed in men aged 25-45, say experts

Traditionally seen as a condition affecting women, varicose veins are now increasingly being diagnosed in men aged 25-45. Various lifestyle factors such as prolonged standing or sitting, lack of physical activity, obesity, and even genetics are contributing to the growing number of male patients. Just like in women, timely management in men is important to prevent complications like leg ulcers, blood clots. Early symptoms such as leg heaviness, visible veins, and night cramps are often ignored, delaying treatment and worsening the condition.

Dr Javed Sikandar, consultant radiologist and varicose vein expert, Apollo Spectra Hospital in Chembur shedding light on the condition says varicose veins occur when the valves in the veins, usually in the legs, are unable to function properly, leading to poor blood circulation and pooling of blood. This results in veins becoming enlarged, twisted, and visibly swollen.

He explains, “Though women still represent the majority of cases, currently, even men are suffering from it and having difficulty in navigating their daily life. In men, common causes include prolonged standing (especially in jobs like teaching, security, or retail), obesity, sedentary lifestyle, and lifting heavy weights. A family history of vein disorders also raises the risk. Symptoms can range from aching pain, throbbing, muscle cramps, and swelling to visible blue or purple veins under the skin. In a month, approximately 3 in 10 men aged 25-45 come with symptoms such as pain, swollen and twisted veins due to varicose veins. 1 out of 3 people are recommended for the Endovenous Laser Therapy (EVLT) or sclerotherapy. Remember, timely intervention can help one to move freely and manage this problem especially at a time when there is a 30 per cent surge in varicose vein cases in men.”

Dr Ashank Bansal, vascular surgeon & interventional radiologist, Zynova Shalby Hospital in Ghatkopar adds, “Many men tend to dismiss the early signs of varicose veins as temporary fatigue or muscle strain. However, untreated varicose veins can lead to serious complications, including skin discoloration, leg ulcers, and even deep vein thrombosis (DVT) in rare cases. The risk factors include obesity, prolonged standing or sitting, smoking, and a lack of physical exercise. In a month, approximately 2 in 10 men aged 25-45 visit with symptoms such as muscle cramps, pain, fullness, and heaviness in legs, swollen and twisted veins that can indicate varicose veins.” Bansal says there is a 20 per cent spike in varicose vein cases in men and usually in moderate to severe cases, minimally invasive procedures such as EVLT or sclerotherapy offer effective treatment but timely consultation with a vascular specialist can help avoid discomfort and long-term damage.

“Preventive measures include regular movement, leg elevation during rest, avoiding tight clothing, and wearing compression stockings can help. Maintaining a healthy weight and staying active reduces pressure on the veins. Men must start taking leg health seriously, it’s not just a cosmetic issue but a vascular condition that needs timely care,” concludes Dr Sikandar.

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