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hey welcome back dr joseph magnan with a vein specialist q a series and we have another question from the audience um similar to the previous question we answered about you know what should i do with my varicose veins if they donamp;#39;t hurt what do i do with my leg skin discoloration if itamp;#39;s not really hurting iamp;#39;ve had patients come in and they had terrible advanced venous disease with skin changes and thickening and darkening and they tell me that it doesnamp;#39;t hurt so they are convinced that they should leave it alone and i think that not although not all venous disease will progress with time we donamp;#39;t know exactly who is going to progress over time so if you have large varicose veins thatamp;#39;s not the problem thatamp;#39;s a sign of the problem the problem is inside and if you leave that disease uninvestigated and ostensibly untreated then the not just the varicose vein will get larger over time and impose a risk of bleeding or thrombos