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What is the best treatment for varicose veins?

This question was asked in Irvine, California and has 6 answer(s) as of 11/07/2012.
I am interested in getting a consultation for varicose veins removal. What are the best treatment options available for varicose veins removal?


Doctors Answers (6)

Proper treatment of varicose vein depends on the source of the damaged vessels. Providers should use an ultrasound to see exactly where vein valves are leaking. Leaking valves allowing backwards blood flow (reflux) are what causes vessels to enlarge and bulge resulting in varicose veins. If superficial vessels are the only ones with leaky valves then sclerotherapy is the treatment of choice. Unfortunately superficial varicose vein are many times a sign of bad valves in larger vessels within the system. If these deeper vessels have valves that do not close properly then an endovenous procedure in necessary. During this minimally invasive, in office treatment, a 0.5mm laser is placed inside the vessel and used to close it from the inside. We prefer the 1320nm CoolTouch laser because the procedure is very consistent and it causes less discomfort and bruising than other lasers. This procedure has about a 94% success rate after four year which is much higher than traditional surgical vein stripping (about 60-70% success rate).

Treatment begins with thorough evaluation including physical exam and venous duplex ultrasound, particularly when dealing with varicose veins. If there is an underlying problem, this should be addressed prior to removing varicose veins. The most frequently identified problem contributing to varicose veins is that the valves of the greater saphenous vein are not functioning properly, thus allowing blood to flow in two directions instead to one, thus the blood in this vein backs up into tributary veins causing the varicose veins. If the greater saphenous vein is abnormal, treatment involves closing this vein with a laser. After this vein is closed the varicose veins will or some may even disappear. Residual veins are removed, by making 2 mm incisions and removing them in segments. All procedures are performed in an office setting, utilizing local anesthesia.

The best treatment for varicose veins depends on your specific condition, so there is no single correct answer. Find a good specialist, let them figure out what's wrong and recommend a course of therapy. However, a therapy I would avoid is a surgical vein stripping. Laser abation, radiofrequency ablation and certain kinds of chemical therapies are all less invasive, have a faster recovery time, and generally provide better outcomes.

The answer to this question depends the doctor you seek in consultation and also depends on several factors about the size and source of the varicose vein(s) you are concerned about. In short, visible, large varicose veins can be treated several ways. Compression stockings are the simplest treatment. For definitive treatment to remove the varicose vein(s), usually either sclerotherapy (injections) or phlebectomy (mini extractions) are performed. While nearly all vein specialists perform injection sclerotherapy, not all perform the extraction phlebectomy. It usually depends on the vein specialist's training and preference, as both are effective treatments for varicose veins. It must also be mentioned that large visible varicose veins can be caused from abnormal veins under the skin and remote from view. These veins/ sources would be identified with ultrasound. If these sources are found, the source is usually treated along with the visible varicose vein.

If you need your saphenous vein treated in order to eliminate the surface varicosities, therrmal ablation is by far the best bet for most people. If your saphenous vein is not involved, either foam sclerotherapy or phlebectomy are good choices; the former is less expensive, does not require recovery, and leaves no scars while the latter eiiminates the vein more quickly.

Varicose Vein treatment has many aspects to consider and varicose veins and unsightly veins can appear on many areas of the body but primarily they appear on the legs. Varicose Vein Disease is found in a large population of adults and left untreated, can lead to complicated venous circulation difficulties including and up to lower extremity ulcers. Multiple symptoms are associated with Varicose Vein Disease including restless legs, lower extremity pain and fatigue, itching, swelling, ulceration and skin discoloration.

Some Varicose Veins can be treated purely for cosmetic reasons including spider veins. The best treatment for varicose veins is to make an appointment to be evaluated by a vein specialist physician, (Plebologist), who can determine what is needed and work a plan of care with you that meets your needs.

Treatment modalities for Varicose Veins include: EVLT - Endovenous Laser Treatment Foam and Standard Sclero Therapy - Vein injections with special solutions Ultrasound Guided Sclero Therapy Vein Gogh Ohmic Thermolysis System Laser Therapy - (usually not optimal)

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