Varicose Veins Treatment

Varicose Veins

Varicose veins are enlarged, dilated veins of the body. Usually occurs on the legs and foot.

Causes

Varicose veins occur when veins aren’t functioning properly

When these valves fail, blood begins to collect in the veins rather than continuing toward your heart. The veins then enlarge. Varicose veins often affect the legs. The veins there are the farthest from your heart, and gravity makes it harder for the blood to flow upward.

  • Pregnancy
  • Menopause
  • Age over 50
  • Standing for long periods of time
  • Obesity
  • Family history of varicose veins
  • Symptoms

  • Visible enlarged veins
  • Pain in the legs
  • Heaviness
  • Swelling
  • Itchiness
  • Blackening of the skin
  • Ulcers
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    Diagnosis

    Physical examination in sitting and standing positions to identify the varicose veins.

    Duplex scan:
    It is used to identify the presence of incompetent(allows back flow of blood) veins in the leg. It can identify the presence or absence of
    Saphenofemoral junction incompetence
    Saphenopopliteal junction incompetence
    Perforator incompetence
    Venogram can also be used.

    Prevention

    Avoid standing in the same place for prolonged periods
    Exercises to improve blood flow
    Compression stockings

    Treatment

    Trendelenberg procedure: in this surgert doctors puts an incision in the thigh and ligate and remove the defective vein from the body. Perforators are dealt by ligation.
    Currently, a wide variety of minimally invasive treatment options for varicose veins are available. These include:

  • Sclerotherapy, using a liquid or foam chemical injection to block off a larger vein
  • Microsclerotherapy, using a liquid chemical injection to block off smaller veins
  • Laser surgery, using light energy to block off a vein
  • Endovenous ablation therapy, using heat and radiofrequency waves to block off a vein
  • Endoscopic vein surgery, using a small lighted scope inserted through a small incision to block off a vein.