Do you have small clusters of visible veins on your legs?

Visible veins are just embarrassing, they are often a sign of vein disease caused by poor circulation in your legs.

Yes

No

Do you have enlarged, bulging or rope like veins on your legs?

Varicosed veins can bulge out as a result of blood pooling in the vein. This happens when the one-way valves inside your veins are damaged or weak.

Yes

No

Do you have a family history of varicose veins?

Heredity is a factor when it comes to vein disease.

Yes

No

What is your gender?

Research suggests that vein disease slightly affects women more than men.

Male

Female

Prefer Not to Say

Have you ever been pregnant?

Pregnancy increases the risk of vein disease.

Yes

No

Do you sit or stand for long periods of time?Do you sit or stand for long periods of time?

While you are sitting or standing, blood does not flow as easily from the extremities (your legs) to your heart.

Yes

No

Do you experience any of the following symptoms?

Please select all that apply.

Leg pain, aching, cramping

Swelling in your legs/ankles

Fatigued, tired legs

Feeling of heaviness in your legs

Restless legs

Tingling or numbness in your legs

Leg itching and/or burning

Skin discoloration or thickening

Sores and ulcers on your legs

Blood clots/DVT

If you have any of these symptoms, risk factors or answered yes to any question, it is likely you have vein disease. Don’t worry! Vein disease is treatable with minimally invasive procedures and Dr. Mehta is an expert in the treatment of spider and varicose veins!

Just one more question: Are you ready to take the next step to regain comfort and confidence in your legs? The team at Oasis Vein and Vitality would love to help you achieve this.

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