Not everyone with varicose veins will require treatment for their condition, although there are some instances when treatment may be necessary:
If your varicose veins do require treatment, the type of treatment you will receive will depend on your general health, and the size, position and severity of your varicose veins. Some of the available treatments for varicose veins are outlined below.
Your specialist will be able to advise you about the most suitable form of treatment for you.
Treatments
Conservative treatment
If the condition exists but not developed to the extent that requires operative approach, conservative treatment is carried-out in form of:
- Compression stockings
Compression stockings are specially designed stockings, which steadily squeeze your legs to help improve your circulation. They may help to relieve pain, discomfort or swelling in your legs, which is being caused by your varicose veins. It is important that your compression stocking fits you properly otherwise they may not be effective. Your physician will need to measure your legs in several areas to make sure that your stockings are the right size.
Medication – The specialist will give you medication that will reduce the symptoms and improve the general venous condition.
Ablation technique
Ablation technique
Endo-Venous Laser Treatment (EVLT)This technique is suitable for people who have smallsized varicose veins. This treatment involves a special chemical being injected into your veins using a small sized needle to scar the veins, which then seals them closed local anaesthesia with the following key benefits:
- Maximum patient comfort
- Less post-operative pain, bruising and swelling
- Proven medical and aesthetic results
- Quick resumption of normal activities
- Short treatment period
Under local anaesthesia vein is punctured and laser fiber is inserted in the vein
Surgical approach
Miniphlebectomy
This procedure is a treatment option that is less invasive This technique is suitable for people who have larger veins than usual vein surgeries. It is an in-office surgical technique performed under local anaesthesia. This involves removing the faulty vein or perforator through minute incisions (1-2 mm) that do not require stitches. This technique can be done separately or in combination with EVLT.
Cosmetic treatmant
- Liquid Injection Sclerotherapy – This technique is suitable for people who have small-sized varicose veins. This treatment involves a special chemical being injected into your veins using a small sized needle to scar the veins, which then seals them closed
- Foam Injection Sclerotherapy – This technique is suitable for people who have larger veins
- Skin-type Laser Treatment – This procedure uses very strong bursts of light that go through the skin and target the vein. This causes the vein to slowly fade and disappear
- Vein ligation and stripping – Large varicose veins may sometimes have to be surgically removed. This approach involves tying-off and then removing the affected veins and is usually carried- out under spinal or general anesthesia and requires one-day of hospitalization.
If you have any query or you want to be examined for your leg problems please ask for our vascular surgeon.
Skin-type Laser Treatment
CLaCS (Cryo Laser Cryo Sclerotherapy)
a revolutionary treatment for spider veins and prominent veins of the leg. CLaCS procedure combines technologies of laser, sclerotherapy, augmented reality, and skin cooling for anesthesia. The augmented reality is provided by the VeinViewer, a device that images veins up to 1.0 centimeter beneath the skin using infrared sensing. The image is then projected back on to the skin in real time. This enables the physician to see the feeder veins that would not be visible without the VeinViewer. The feeder veins are then treated with a trans-dermal laser, which causes a visible heat injury to the veins. Because of the wavelength of the laser, the energy is absorbed more by blood than skin.
This allows selective damage to the vein (photothermolysis) without damage to the skin. These feeder veins, after being damaged by the laser, are then injected with a chemical sclerosant, again using the Vein Viewer images to guide the sclerotherapy injections. Following this the overlying spider veins of the skin are also treated with laser and injected. The whole procedure is done using a cryo unit that produces a continuous flow of cold air to the sites of application of the
trans-dermal laser and sclerotherapy injections. The skin cooling serves to provide surface numbness during the procedure. The results using the CLACS procedure are far superior to conventional sclerotherapy for feeder veins and spider veins.
