Varicose veins are a widespread vascular condition that affects a large portion of the population. Varicose veins are, a critical sign that the circulatory system may not be functioning properly. Fortunately, thanks to advancements in modern medicine, several varicose vein treatment methods have been developed. These methods significantly reduce symptoms and, in many cases, completely eliminate the underlying issue. The choice of treatment varies depending on the stage of the disease, the diameter of the veins, and the overall health condition of the patient. Below, the most commonly applied varicose vein treatment methods are outlined and explained in detail. Importantly, many of these techniques are non-invasive, do not require hospitalization, and offer satisfactory cosmetic outcomes.
First-Line Defense: Compression Stockings
Compression stockings may appear simple, yet they serve as an effective first line of defense, especially for early-stage varicose veins. These stockings apply gentle external pressure to the legs, promoting upward blood flow and helping stabilize internal venous pressure.
However, it must be emphasized: these stockings are supportive, not curative. They temporarily alleviate symptoms and are particularly useful in professions that require prolonged standing.
Foam Sclerotherapy: Effective and Aesthetic
This is one of the most efficient treatment methods, boasting up to 80% success rates. Especially for small and medium-sized varicose veins. During the procedure, a vein-constricting agent is mixed with carbon dioxide and oxygen to form a foam. Then injected into the affected vein through a fine needle.
Notably, the procedure typically does not require local anesthesia. Additionally provides both comfort and aesthetic benefits. Patients are encouraged to take a brief walk afterward to support blood flow. Usually, multiple sessions yield visible results.
Click here for a comprehensive overview of Foam Sclerotherapy.
Ambulatory Phlebectomy: Major Relief via Minor Intervention
Veins that resemble spaghetti strands are marked first and then removed through 1 mm incisions using a small crochet-like instrument. Compared to classical surgery, this technique leaves minimal scarring and requires no stitches.
Thanks to the rapid cosmetic recovery, patients can typically return to their normal daily activities right after the procedure. Conducted under local anesthesia, this method is ideal for patients particularly concerned about visible veins.
Learn more about Ambulatory Phlebectomy here.
Endovenous Truncal Ablation: The Gold Standard of Modern Surgery
Another groundbreaking method in varicose vein treatment is Endovenous Truncal Ablation (EVTA). This technique has largely replaced traditional varicose surgery. A catheter is guided through the affected vein, and either thermal or chemical energy is applied to seal it.
Its greatest advantage is a long-term success rate of up to 86% within five years. Furthermore, it requires neither stitches nor incisions, which ensures maximum patient comfort.
Click here to explore more about Endovenous Truncal Ablation.
Chemical Ablation/Blockade Under Doppler Guidance
Especially in patients who undergo EVTA, Doppler-guided chemical ablation is often used as a complementary therapy. Within approximately 15 minutes, the procedure is carried out under local anesthesia.
The vein’s location is precisely identified using ultrasound imaging, and a chemical solution is injected into the target area to close the vein. Because it can be repeated during follow-up visits, this technique is considered highly flexible and adaptive.
Read more about Blockade Under Doppler Guidance
Laser Therapy: Effective on the Face, Risky on the Legs
Laser therapy is particularly successful in treating fine capillaries on the face. However, its application on thicker leg veins carries risks. In beauty centers lacking medical supervision, permanent burn scars have been reported, especially when laser is applied to veins thicker than 2 mm.
Therefore, laser therapy should only be considered for suitable vein types and treated areas. If misapplied, it may do more harm than good.
Medication: Symptom Relief Without Cure
In advanced cases involving deep venous insufficiency, certain medications may be prescribed. However, it is important to note that these drugs do not cure the disease; they merely alleviate symptoms such as pain, burning, and heaviness.
Such medications are generally used in conjunction with other therapeutic methods and act as supplementary support.
Classical Surgical Treatment: An Outdated Option
Once among the most common treatments, classical surgery (stripping technique) has become increasingly obsolete due to its invasive nature. In this method, incisions are made in the groin and below the knee to remove or ligate the faulty vein.
However, it comes with drawbacks such as a long recovery period, a relapse rate of 40–70%, and side effects like numbness, bruising, or scarring. As a result, it is now only recommended in rare and specific cases where modern techniques are not viable.
Frequently Asked Questions About Varicose Vein Treatments
Can varicose vein treatments provide a permanent solution?
Yes. When modern techniques are properly applied, long-lasting results are achievable. However, sustaining these outcomes requires lifestyle changes.
When can daily activities be resumed after sclerotherapy?
In most cases, patients can return to their normal routines immediately. Nonetheless, resting for one day is generally advised.
Why is laser treatment not always recommended?
Laser is ineffective on thicker veins and, when conducted outside a doctor’s supervision, may result in serious burns or scarring.
Is varicose vein treatment painful?
Most contemporary procedures are carried out under local anesthesia, making them virtually painless.
Do all varicose vein patients receive the same treatment?
No. Each treatment is tailored to the individual, taking into account vein structure, severity, and overall health.
Can varicose veins be completely prevented?
If there’s a genetic predisposition, complete prevention may not be possible. However, regular exercise, a healthy diet, and avoiding prolonged standing can significantly reduce the risk.
Conclusion
The sedentary lifestyles and genetic factors prevalent today have made varicose veins more common than ever. Nevertheless, this condition is far from untreatable. The varicose vein treatment methods detailed above offer effective solutions from both medical and cosmetic perspectives.
Early diagnosis combined with the right intervention can greatly enhance quality of life and prevent future complications. Always remember: each person’s needs are unique. Therefore, treatment must be customized following a professional medical evaluation.
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Suggested Internal Links
Comprehensive overview of Foam Sclerotherapy.
more about Ambulatory Phlebectomy here.
Blockade Under Doppler Guidance
Suggested External Links
To explore more in-depth information on varicose veins treatment methors watch video
https://www.centerforvein.com/blog/how-to-treat-varicose-veins-without-surgery