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What are the best varicose vein treatments?

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Video Overview

What are the best varicose vein treatments? Years ago, you had two unhappy choices - invasive and often painful vein surgery or choosing to suffer in silence, grudgingly enduring pain and limitations. The key to optimal clinical outcomes begins with a thorough history and physical examination. The examination of the patient must include a duplex ultrasound with the patient standing. The ideal treatment would meet two criteria. First, it would be painless both during and after the procedure and the outcomes would be perfect with the recurrence rate of zero. Thankfully, we are very close to achieving these goals with endovenous laser ablation. Endovenous laser ablation has revolutionized the treatment of varicose vein disease. The procedure involves applying heat to a distended malfunctioning vein causing it to seal and close. This then allows the venous blood to be redirected to the normal veins. Additional treatments may be necessary to treat the remaining medium and small vessel disease. The choice of which treatment is the best is dependent upon patient preference and physician experience. I prefer injection sclerotherapy, which can be performed with or without ultrasound guidance depending on the location of the veins to be treated.

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