Category: Varicose Vein Treatment

You don’t necessarily need to treat your varicose veins if they aren’t causing any discomfort. However, you may choose to remove varicose veins on your legs:

• To ease associated symptoms such as fatigue, pain, and discomfort
• To treat complications like swelling, skin discoloration, and leg ulcers
• For cosmetic purposes if you’re self-conscious and feel the need to keep your legs covered

If your doctor determines that you need treatment, 12 weeks of self-care may be recommended before the veins can be treated through minimally invasive procedures. Home care involves:

• Exercising regularly
• Managing your weight
• Use of compression stockings
• Elevating your legs when resting – sitting or lying down
• Avoid standing for prolonged periods

In the event that your varicose veins require further treatment, or if the symptoms are making you uncomfortable, your doctor can help you find the right treatment depending on your overall health, as well as the position, size, and severity of your varicose veins.

The Best Treatment for Varicose Veins

Lifestyle changes are arguably the best treatment for varicose veins. This is because varicose veins are likely to appear for the rest of your life. Even if you treat the troublesome ones, others will likely appear in future if you don’t make an effort to suppress them with proper at-home care.

For immediate results, your doctor may recommend endovenous laser treatment. According to a 2014 publication in the New England Journal of Medicine, endovenous treatment is the best way to treat varicose veins. It is not only minimally invasive, but the procedure is also very fast (less than one hour), has reduced downtime, and is unlikely to lead to complications compared to other treatments.

It is best to discuss your options for your specific case with your surgeon.

Compression stockings allow you to manage varicose veins without having to go to a surgeon. But they are not suitable for everyone and they do not correct the underlying problem. Your surgeon may recommend a minimally invasive procedure such as endothermal ablation to treat the leaky veins.

Endothermal Ablation

In most cases, your doctor or surgeon will recommend endothermal ablation for treating leaky veins. The procedure involves the use of:

• energy from lasers (endovenous laser treatment) or
• high-frequency radio waves (radiofrequency ablation) to seal the leaky veins.

Here’s what to expect:

• Radiofrequency ablation – The surgeon makes a tiny incision on the lowest point of the leaky vein, inserts a thin tube into the affected area using an ultrasound scan, and then inserts a catheter into that narrow tube. The catheter sends radiofrequency energy to heat the vein. This causes the walls to collapse and close and seal the vein shut. After this, blood is naturally redirected to other healthy veins.
• Endovenous laser treatment – The procedure is similar to RF ablation, except that a laser catheter is inserted in the vein. It is then slowly guided downwards as it emits laser energy to seal the vein.

Both procedures are performed under local anesthesia.

Sclerotherapy

If you are not a good candidate for endothermal ablation treatment, your doctor may recommend sclerotherapy. Here, the surgeon injects special foam into the veins to initiate scarring and sealing. The results take a few weeks to show, and you may need multiple treatments if the veins reappear.

Ligation and Stripping

If none of the other treatments are suitable for you, then a surgical procedure known as vein ligation and stripping may be your only option to remove the affected veins.