Varicose veins are enlarged, twisted veins that often appear in the legs. They result from weakened or damaged vein walls and valves, which cause blood to pool instead of flowing properly. Treatment depends on the severity of the condition and may include both conservative measures and medical treatment and/or endovascular procedures. Here’s an overview:
Conservative Medical Treatments
- Lifestyle Changes:
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- Exercise: Regular physical activity, especially walking or swimming, improves blood circulation.
- Weight Management: Maintaining a healthy weight reduces pressure on veins.
- Elevating Legs: Periodically raising legs above heart level helps blood flow back to the heart.
- Avoiding Prolonged Standing or Sitting: Taking breaks to move helps prevent blood pooling.
- Compression Therapy:
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- Compression Stockings: These exert gentle pressure on the legs to improve blood flow and reduce swelling and symptoms.
- Medications:
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- Over-the-counter anti-inflammatory medications (e.g., ibuprofen) can reduce discomfort or swelling.
- In some cases, medications to improve venous tone may be recommended,called venotonics with quality research supporting their usage,mainly natural substances called Flavonoids.
Endovascular Treatments
- Minimally Invasive Procedures:exclusively done in-office with very short dawn time, little pain ,excellent result and very safe
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- Sclerotherapy: Injection of a solution into the vein to scar and close it using ultrasound guidance or just injecting visible veins over skin surface exclusively for spider veins .
- Catheter based Therapy: Non-invasive treatments using heat, ,chemicals ,mechanical trauma or glue to cause primarily wall damage in larger veins and close them under ultrasound guidance.
- a]Radiofrequency Ablation (RFA)
- b] Endovenous Laser Therapy (EVLT):
- c]medical glue to seal off veins.
- d]combined chemical and mechanical traumatic ablation
- Surgical Treatments:
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- Vein Stripping and Ligation: Removal or tying off of affected veins.However outdated,painful and used rarely.
- Ambulatory Phlebectomy: Removing smaller veins through tiny skin incisions.Also used less frequently due to discomfort.
When to Seek Medical Attention
- Persistent pain, swelling, skin changes or ulcers near varicose veins.
- Sudden swelling, redness, or warmth in the leg (possible signs of superficial or deep vein thrombosis).
Prevention Tips
- Maintain a healthy lifestyle with regular exercise ,a balanced diet with the goal to keep weight as close as possible to normal BMI.
- Avoid tight clothing that restricts blood flow.
- Use compression stockings if you already have bothersome symptoms.
Consulting a vascular specialist for an evaluation and tailored treatment plan is the first step.