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About twenty-five million people have varicose veins. Varicose veins are an unattractive ailment that is caused by poor circulation in the legs and feet mainly because that is where pressure on the veins is most likely. The causes for this condition can be pregnancy, obesity, diabetes and just standing over extended periods of time. Varicose veins can be painful for some people but not for everyone. They appear as bluish coloured gnarled veins just under the surface of the skin. The blood that is returning to the heart is not being pumped properly, usually due to poor elasticity of the tissue. The blood then goes backwards and settles into pools of blood causing the varicose vein. Traditionally varicose vein removal involved stripping the veins. This means that the doctor would remove veins by making an incision and pulling it out. This was painful and caused bruising. The downtime too was not quick. Today, with modern technology, there are other options for the person who would like to improve the appearance of their legs. An alternative for varicose vein removal is called ambulatory phlebectomy where the veins are removed via small skin perforations. This is a procedure for smaller veins and is done quickly. For the more serious varicose vein condition there is also an option called the VNUS Closure Procedure. It is an alternative to totally removing the vein and results in less bruising than eve laser treatments. The vein is first located by using ultrasound. The diseased vein is closed off by inserting a catheter into it. The vein wall is heated and this allows the wall to shrink and the vein to close. Blood then will take its own course and find its way to healthy veins. Local anaesthesia is used and this is done usually in the doctor's office. Recovery time for the patient choosing to use this system of varicose vein removal is half of what it usually has taken and with much less pain. The VNUS closure procedure is also referred to as the "lunch break surgery" because of its non-invasive approach. It is done usually in less than an hour. Patients are advised to keep their activity to a minimum the first day to avoid bleeding. Since varicose veins is a progressive disease the sooner the sufferer takes a proactive step to find the cure the sooner they will be able to find relief.