Singapore & Southeast AsiaEvidence-based · Plain English · Free to read
A patient's guide to vein health The Vein GuideVein health, explained clearly 95 guides · Free to read

Section 01 of 06

Understanding Conditions

Clear explanations of varicose veins, spider veins, chronic venous insufficiency, blood clots and other vein conditions — what causes them, how they feel and when they need a doctor.

Articles in Understanding Conditions

A finger pressing into a swollen lower leg, leaving a visible dent in the skin

Edema (Oedema) Explained: Meaning, Types and Causes

What is edema? A plain-English guide to oedema meaning, pitting and pedal edema, peripheral edema in the legs, common causes and when swelling points to a vein, heart, kidney or liver problem.

6 min read

How healthy veins work

Arteries carry blood from your heart to your legs. Veins carry it back up — against gravity. To do that, leg veins rely on two things: the calf muscle pump, which squeezes the veins every time you walk, and tiny one-way valves inside the veins that stop blood falling back down between beats.

Most vein conditions start when those valves stop closing properly. Blood pools in the lower leg (doctors call this venous reflux), pressure in the veins rises, and over months or years the veins stretch, bulge and leak fluid into the surrounding tissue.

The conditions we cover

  • Varicose veins — enlarged, twisted veins usually 3 mm or wider, often on the calves or inner thighs.
  • Spider veins (thread veins) — small red, blue or purple veins close to the skin surface. Usually a cosmetic concern, but sometimes a sign of deeper reflux.
  • Chronic venous insufficiency (CVI) — the long-term result of venous reflux: swelling, skin darkening, eczema and, eventually, leg ulcers.
  • Deep vein thrombosis (DVT) — a blood clot in a deep vein. This is a medical emergency risk because a clot can travel to the lungs.
  • Venous leg ulcers — slow-healing wounds near the ankle caused by high vein pressure.
  • Pelvic congestion syndrome and May-Thurner syndrome — less common conditions involving veins in the pelvis and abdomen.

When is it more than cosmetic?

Visible veins on their own are common and often harmless. But it is worth seeing a doctor if you have aching, heaviness or swelling that gets worse through the day, skin changes around the ankle, bleeding from a vein, or a wound that is not healing. Our free vein symptom check can help you think through your symptoms.