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What is the best treatment for leg pain due to varicose veins?

Just want to ask what is the most effective and easy ways to ease the so much pain caused by the varicose veins, especially in an old woman who has an age of 80 years old.


Doctors Answers (9)

The quickest treatment is being fitted for compression hose and being evaluated with an ultrasound for vein disease. Treatment with ultrasound guided closure of the diseased veins is safe and done in the office. This treatment can eliminate the pain and can prevent vein ulcers from arising.

One solution is compression hose that help to improve the circulation and reduce pain associated with varicose vein distension (stretching of the vein from over filling). At 80 years of age, I would suggest a compression of 15-20mm/Hg. This is considerably easier to put on and take off daily, no need to wear them in bed. We often treat varicose veins in the office with a fiber-optic laser vein ablation in patients who are in their 70-80's and I would consider this if the patient has good mobility and is still active, especially if they have to stand for long periods during the days activities.

Varicose veins can be treated with different modalities depending on what the source is. She should have an ultrasound to evaluate if there are any deeper veins with backwards blood flow that is causing the varicose veins. The varicose veins can be treated with phlebectomy or sclerotherapy both are minimally invasive. However, if there is a deeper vein that is causing the varicosities such as an incompetent Great saphneous vein then that vein should be closed with either endovenous laser or radiofrequency ablation. A thorough ultrasound and evaluation will answer your question.

The proper treatment can only be determined after a clinical exam and after venous color duplex ultrasound studies have been performed. The size, shape, and location of the underlying veins which are causing the pain determine the procedure to be chosen. Even very elderly patients can tolerate the minimally invasive vein procedures if they are indicated.

This is a difficult question to answer based on the information given. If there is underlying venous reflux of the great saphenous vein or small saphenous vein, then endovascular ablation of these veins is needed before the varicose veins are treated. If the varicose veins are large, then treatment may require a microphlebectomy, or varicose vein removal. Sclerotherapy is another option depending on the varicose veins noted. The best recommendation I have for you is to undergo evaluation by a vein specialist. This would be followed by a discussion with the doctor as to what are the effective, ease and best ways to treat your varicose veins.

Wearing properly fit compression stockings is the safest treatment available to control symptoms from leg veins. Otherwise, consultation with a vein specialist will determine other more definitive treatment methods appropriate for your condition.

My oldest patient is 92 that we successfully treated her veins with an in office procedure that takes about 45 minutes. Insurance covers treatment of this type problem. Otherwise she needs to be evaluated for appropriate graded compression if she can tolerate.

This can be difficult for someone in your age group unless you are able to manage compression hose. You do not need the strongest hose and sometimes 15-20 mmHg strength will help. As long as someone can teach you how to apply the hose and you can reach your feet easily. They should be measured and of good quality for ease of application. However, if you are a fit and active 80 year old, I would advise a full evaluation by a vascular trained surgeon specializing in varicose vein treatment including ultrasound examination. You still may be a candidate for minimally invasive treatments which would go a long way to restoring your health. In the mean time, elevating your legs during the day, drinking plenty of fluids, walking regularly and support therapy of some kind, whether hose or wraps will definitely help. I have treated many people who are 80 years young.

First, leg elevation and compression hose and if this does not work, get an ultrasound and see if she has venous insufficiency and if she does and is otherwise healthy, consider treating the veins.

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