Varicose Veins

Varicose Vein Treatment

Varicose veins are not attractive, but more than that, they can be a warning sign of conditions that can endanger your health.

These veins are conspicuous because of the way they bulge, swell, and have a bluish tint. Varicose veins also have a twisted “ropy” appearance. And although varicose veins are common, no one wants them, even when they aren’t particularly painful.

Are Varicose Veins Dangerous?

For the most part varicose veins are not dangerous but having them may point to conditions that could be serious. Varicose veins are caused by weak or damaged vein walls and valves. These damaged valves cause blood to pool and even flow backwards. This improper flow causes the swelling veins and the distortion we see and call varicose veins.

When are Varicose Veins Concerning?

If your legs have a dull, achy feeling or if your legs feel heavy and you just can’t get around the way you used to, it could be varicose veins. Also, if you have frequent leg cramps, it could be caused by varicose veins. Any time you have frequent pain or discomfort because of these veins, you should consult a physician.

The Causes of Varicose Veins

Varicose veins can be traced back to age, weight, pregnancy, occupations that require long periods standing, or even simple heredity.

Can you have Varicose Veins in places other than your legs?

Varicose veins can occur in many parts of the body. While most common in the legs, varicose veins can also be found in the esophagus, stomach, liver, testicles, and other places. In fact, hemorrhoids are a type of varicose vein.

Diagnosing Varicose Veins

Diagnosing varicose veins starts with a physical exam and a talk with your doctor about your symptoms, family history, activity levels, and your lifestyle practices. From there, your doctor may assess the health of your leg veins through ultrasound or other imaging tests including X-rays or computed tomography (CT) scans.

Treating Varicose Veins

Caring for your varicose veins will depend on the severity of the condition and how much it bothers you and interferes with your daily life. You may be able to treat the varicose veins with compression stockings and lifestyle changes or you may have to have a procedure to eliminate the painful veins. The ultimate goal is to improve your quality of live and avoid further complications like skin ulcers or sores, deep vein thrombosis (blood clots), skin color changes, and bleeding. Bleeding from varicose veins is a medical emergency. Seek immediate help if this happens.

Varicose Vein Procedures

Sclerotherapy
A "sclerosing" solution is injected into the vein that causes the vein wall to swell, stick together and seal shut. This process stops the flow of blood, and the vein turns into scar tissue. In a few weeks, the vein should fade. The same vein may need to be treated more than once. Most patients can expect improvement after treatment. Sclerotherapy treatments do not eliminate diseased veins after on single treatment. Patients need to be compliant with the number of sessions that are recommended to obtain the best results.

Endovenous Therapy
The minimally-invasive endovenous approach constitutes a great advance for treating the deeper veining of the leg, the saphenous vein, when it does not function normally and causes varicose veins. This new method has replaced traditional stripping surgery for the vast majority of patients with severe varicose veins in the leg.

The therapy is called endovenous because it is performed within the vein itself, by the means of a catheter - a very thin, flexible tube. Once inside, the catheter sends out radiofrequency or laser energy that damages, shrinks, or seals the vein wall.

Veins on the surface of the skin that are connected to the treated saphenous vein are then removed with a technique called microphlebectomy. Healthy veins around the closed vein restored the normal flow of blood in the leg. As this happens, symptoms from the varicose vein improve. The procedure is done in our office with local anesthesia. Patients are able to walk immediately after it is done, and general return to normal activity in a couple of days. Endovenous treatment of varicose veins has been used for several years with positive results.