A 45-year-old woman presents with complaints of burning and cramping in her lower legs. She also notices visible, enlarged veins on her legs. On examination, there are bluish, dilated veins on her lower legs. What could be the potential cause, and what are the next steps?
The patient's symptoms of leg discomfort along with the physical findings of dilated, bluish veins suggest varicose veins. Next steps would include a Doppler ultrasound to assess for venous reflux and confirm the diagnosis. Conservative treatment measures like compression stockings, leg elevation, and regular exercise can help relieve symptoms. In severe cases, or when symptoms are not relieved with conservative management, procedural options such as sclerotherapy, endovenous laser ablation, or surgical stripping may be considered.