Patient was instructed regarding signs and symptoms of varicose veins as follows:

  1. Aching pain in the legs, secondary to increased accumulation of blood in the veins
  2. Worsening pain and muscle cramps in the legs with activity and exercise, secondary to reduced oxygen supply to the working muscles
  3. Dark blue or purple colored cord like veins in the lower limbs, secondary to accumulation of deoxygenated blood in the veins
  4. Swelling of the limbs, secondary to venous distention
  5. Redness and itching of skin at the site of distended veins, secondary to inflammation
  6. The inflamed veins can occasionally lead to sites of bleeding on the lower extremities
  7. Poor healing at these sites of bleeding, secondary to poor oxygenation of blood, can result in venous ulcer formation.