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What varicose vein treatments are best for older patients?

I am in my 60s and fairly overweight. I have waited a really long time, but finally want the varicose veins on my legs removed. I know most treatments are supposed to be safe, but is that true even in older, heavier patients? Will I face an increased risk of complications? What varicose vein treatment would be best for an older patient like me?

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Doctors Answers (5)

Treatment of varicose veins can be safely and easily done at any age, in an office setting. It is recommended that you are currently in stable health with good control of any hypertension, diabetes, or other chronic conditions. Varicose veins are best evaluated by a duplex ultrasound exam and then treated by some combination of an ultrasound guided endovenous ablation for the large venous trunks (greater saphenous and small saphenous veins), and micro-phlebectomy or foam sclerotherapy for branch varicose veins. Following the treatment, you can resume normal activities. If you are in good health, your risks of complications are not substantially different at age 60 or if you are moderately overweight.

My oldest patient for laser vein treatment to-date is 93. If you are active and can walk, you will be a possible candidate for thermal or chemical closures. Your body mass index must be less than 36.

It is impossible to say for sure without examining your problem, but both phlebotomy under general anesthesia and venous closure with local are very very safe. The type of vein operation depends on the anatomy, and that is determined by an ultrasound examination.

The treatment options are the same as long as you have no mobility restrictions. Endovenous catheter ablation, sclerotherapy or microphlebectomy. There should not be an increased risk of complications because of your weight or age.

You really should see a vein care professional and they can determine what treatment is best. You may need an ultrasound to determine the best treatment and the source of your problems. Most treatments are safe and done in the office under local anesthetic and you can resume most activities immediately.

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