passinthru. . .my experience with varicose veins started out much like yours. one leg. it was a concentration of them in one area on the medial side of my lower leg a few inches above my ankle. i was always worried about them. as i started out in nursing they started to get larger. doctors told me that the danger was of developing status ulcers. i was fitted and wore jobst stockings for many years. it was an internal medicine physician that prescribed them.
however, there is more to my story and should serve as a warning to others. i had a patient who i noticed when i was doing my admission assessment had some real garden hoses in his lower legs. he, too, was in a business where he stood on his feet for long hours. his problem, however, was that he had developed spontaneous bleeding from some of these veins. a new worry to think about! and, i obsessed over this all the time. it eventually happened to me, but not because of a spontaneous rupture, but because of my cats. i've had cats since i was a child. one of the cats one day managed to get a claw smack dab in the middle of one of my own garden hoses. it wasn't the cat's fault. the cat was only trying to steady themselves as they climbed out of my lap, which i should have protected better. you should have seen the fountain of blood that shot up and into the air from the little puncture. and, unlike arterial blood, it doesn't spurt. the fountain just keeps on flowing. i slapped my hand over it and applied pressure. every time i removed pressure, the thing started bleeding like a fountain again. after a half hour i hobbled to my portable iv kit that i took back and forth to work with me (i was a supervisor at the time, but often had to do iv restarts for the nursing staff) and folded up a piece of sterile 2 x 2 and kept it in place with a small piece of tegaderm. that stopped the bleeding. about 2 weeks after this i noticed a white flake of skin over the puncture when i was changing these tegaderm dressings. thinking it was probably all healed at this point, i carefully worked the flake of skin off (nurses!). there was an immediate fountain of bleeding from the puncture wound! it took a total of 3 months for that puncture to heal. after that i was insisting that the doctors do something about these things.
i was sent to a general surgeon who did selective phlebectomies on that leg with a high ligation of the saphenous vein at the groin. this was in the early 1990's. the varicose veins in my legs reduced nicely almost right away. however, there have been long-term complications as a result of this surgery. first of all, the circulation has been compromised somewhat. i get edema in that leg upon standing all the time all the way to the top of my thigh. and, a huge area of skin discoloration has developed on my lower leg. unless it can be hidden, i'd never wear a knee-length dress again. and, i've developed 3 stasis ulcers since then. one took over a year to heal. two were the result of cat scratches (my carelessness again). however, worse was that i had to be off work for weeks and weeks because i had to be off my leg with it elevated. the jobst stockings weren't going to help the healing of the stasis ulcers, i was told. it was a horrible situation because it put me in a real financial bind and put my job security in jeopardy. the third and final stasis ulcer developed in an odd place on the lateral side of that lower leg just 4 years ago and i still have no clue as to how it happened. there is a horrid looking discoloration, not really a scar, marking it's spot that still persists. healing was made complicated when they found my blood sugars were elevated at the time as well--type ii diabetes.
i am currently on a diuretic to help keep the swelling down in this leg, and i will often wear my jobst stockings if i am going to be up and moving around. however, most of the time i spend with my leg elevated or in bed where my legs are at my waist level to keep the swelling to a minimum.
i'm really not sure what the treatment is today. however, i wouldn't be surprised to hear that jobst stockings are involved. i've been told by other doctors since that the phlebectomies should not have been done to the extent that they were. worse, i've now seen varicosities developing, get this, on the sole of my foot on the involved leg. i think the doctor's who deal with this are the general surgeons. i would recommend that you investigate the subject of the treatment of these. this is way beyond spider vein treatment. good luck.