Varicose veins are a common condition among adults and older individuals. They are large, twisted, and often bulging veins that can cause discomfort, including swelling, aching, and a sensation of leg heaviness. While generally not a serious health threat, treating them can help improve physical comfort. Here’s more information on modern treatment options:
Treatment Options for Varicose Veins
Varicose veins form when vein valves are defective. Instead of closing as blood passes through, the weakened or damaged veins are unable to stop blood backflow, which causes blood to collect. The collected extra blood stretches the vein walls, creating varicose veins. Certain risk factors may make you more susceptible to this condition, including being overweight, being aged 50 or older, having a sedentary lifestyle, and hormone fluctuations. You may also be at a higher risk if you have a history of vascular issues.
An endovascular specialist may offer various treatment options to treat this painful condition. Here is more information on available treatments:
1. Endovenous Laser Therapy (EVLT)
Endovenous laser therapy (EVLT) is a minimally invasive treatment that utilizes laser energy to close abnormal veins. It is an outpatient procedure with minimal recovery time. The procedure involves creating a small nick in the skin through which a thin fiber is inserted into the vein. Using targeted laser energy, the vein walls collapse and eventually seal shut. This procedure allows blood to flow through healthier veins, relieving symptoms such as pain and swelling.
2. Radiofrequency Vein Ablation
Radiofrequency vein ablation (RFA) uses heat generated by radiofrequency energy to damage the vein walls, creating scar tissue that closes the vein. The blood is redirected to other healthy veins, improving circulation and reducing symptoms. RFA typically causes minimal discomfort and is performed with a small incision under local anesthesia.
3. Sclerotherapy
Sclerotherapy treats smaller or medium-sized veins. During this procedure, an endovascular specialist injects a solution or foam into the affected veins, irritating their walls and causing them to collapse. Over time, the veins are reabsorbed by the body and fade from view.
Sclerotherapy is relatively quick and typically requires no anesthesia. It may be used as a standalone treatment or as a follow-up solution for residual veins after procedures like ablation. Beyond cosmetic improvement, it offers relief from symptoms like swelling and aching.
4. Phlebectomy
Phlebectomy is a procedure in which varicose veins are physically removed through tiny punctures in the skin. This method treats veins that are close to the skin’s surface. Because the incisions are small, this treatment may leave minimal scarring and doesn’t require stitches. Phlebectomy is frequently performed under minimal or conscious sedation and may be done on varicose veins that have not responded to other treatments.
Find Relief at an Endovascular Clinic
If varicose veins are affecting your quality of life, several minimally invasive treatments are available to alleviate discomfort and improve appearance. Options include laser therapy, radiofrequency ablation, sclerotherapy, or phlebectomy. The right treatment will depend on the severity, location, and frequency of the affected veins. A consultation with a vascular specialist can help determine the best approach for your needs.
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