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These measures may help you avoid surgery or other medical treatment for your varicose veins. But you may still want surgery or a procedure if you are not satisfied with their appearance or your symptoms are not well controlled.
Jump up ^ Rutherford EE, Kianifard B, Cook SJ, Holdstock JM, Whiteley MS (May 2001). “Incompetent perforating veins are associated with recurrent varicose veins”. European Journal of Vascular and Endovascular Surgery. 21 (5): 458–60. doi:10.1053/ejvs.2001.1347. PMID 11352523.
If you have ropy, blue blood vessels in your legs, you may think that they’re unsightly but don’t cause any overt symptoms. Yet for some people, varicose veins can cause skin damage and, even worse, lead to dangerous blood clots.
There is tentative evidence that conservative hemodynamic correction of venous insufficiency method (CHIVA) which works to save the veins, decreases varicose veins and is safer than vein stripping in those with chronic venous insufficiency.
Jump up ^ Rigby KA, Palfreyman SJ, Beverley C, Michaels JA (2004). Rigby, Kathryn A, ed. “Surgery versus sclerotherapy for the treatment of varicose veins”. Cochrane Database Syst Rev (4): CD004980. doi:10.1002/14651858.CD004980. PMID 15495134.
As for the varicose veins returning, yes, there is a chance. “If you have the genetic susceptibility, smaller ones could form,” Weiss says. “You should be relatively disease-free, though.” And you can always do another procedure.
For sclerotherapy, the side effects can depend on the substance used for the injection. People with allergies may want to be cautious. For example, sodium tetradecyl sulfate (Sotradecol) may cause allergic reactions, which can occasionally be severe. Hypertonic saline solution is unlikely to cause allergic reactions. Either substance may burn the skin (if the needle is not properly inserted) or permanently mark or “stain” the skin (these brownish marks are caused by the scattering of blood cells throughout the tissue after the vein has been injected and may fade over time). Occasionally, sclerotherapy can lead to the formation of blood clots.
Your primary care doctor may recommend that you see a doctor who specializes in vein conditions (phlebologist), a vascular surgeon or a doctor who treats skin conditions (dermatologist or dermatology surgeon). In the meantime, there are some steps you can take to prepare for your appointment and begin your self-care.
People who are overweight are more likely to develop varicose veins, especially overweight women and elderly people. Carrying excess body weight puts higher amounts of pressure on your veins and can contribute to inflammation or reflux, especially in the largest superficial veins, such as the saphenous vein in the legs.
As noted above, small spider veins cannot be surgically removed and can only be treated with sclerotherapy. On the other hand, larger varicose veins may, according to many studies, be more likely to recur if treated with sclerotherapy.
Slerotherapy. This treatment involves injecting a chemical agent or foam into the varicose vein, causing it to go into spasm and causing inflammation, with the aim of scaring and sealing the vein. A number of injections into several parts of the vein are usually required at each treatment, which may need to be repeated after a year or so. After the injection treatment has been carried out, the leg needs to be bandaged for a few days, followed by the use of compression stockings for a few weeks. Treatment does not usually require an overnight stay in hospital
Women tend to get varicose veins more often than men. Hormonal changes that occur during puberty, pregnancy, and menopause (or with the use of birth control pills) may raise a woman’s risk for varicose veins.
Often doctors will recommend that you elevate your leg and apply heat with a warm, damp cloth or a heating pad set on low (to prevent burns, put a towel or cloth between your leg and the heating pad).
Uncomplicated varicose veins are usually treated by either surgically removing them or destroying them with lasers or injection of chemicals. But these harsh treatments can be avoided by using some of these effective home remedies. The main focus of these remedies is to strengthen the walls of the blood vessels and improve blood circulation.
Although treatment for varicose veins means losing some veins, you have plenty of others in your body that can take up the slack, explains Gibson. “The majority of the blood flow in veins in the leg is not on the surface at all; it’s in the deep veins within the muscle,” she says. “Those deep veins … are easily able to take over for any veins that we remove on the surface.”
Stripping consists of removal of all or part the saphenous vein (great/long or lesser/short) main trunk. The complications include deep vein thrombosis (5.3%), pulmonary embolism (0.06%), and wound complications including infection (2.2%). There is evidence for the great saphenous vein regrowing after stripping. For traditional surgery, reported recurrence rates, which have been tracked for 10 years, range from 5–60%. In addition, since stripping removes the saphenous main trunks, they are no longer available for use as venous bypass grafts in the future (coronary or leg artery vital disease).
Steve Hahn, 51, of Kirkland, Washington, first noticed in his twenties that he had varicose veins in his left leg after he sprained his ankle playing basketball. When he injured his knee about 10 years ago, he noticed that the varicose veins had become more extensive.
The deep veins are encased by muscle and connective tissue, which help to pump the blood in the veins and back to the heart. The veins have one-way valves to prevent them from developing varicosities.
Interventions and treatments such as surgery, “ablation” by laser, radiofrequency or other technology is necessary in settings where veins cause significant symptoms that do not respond to non-interventional treatment.
Varicose Veins Treatment
Varicose Veins Natural Treatment
An endoscopic transilluminator (special light) is threaded through an incision under the skin so that the doctor can see which veins need to be taken out. The target veins are cut and removed with a suction device through the incision.
hormonal changes, such as pregnancy or menopause: Studies suggest that women are more likely to develop varicose veins than men due to hormonal effects. The belief is that female-dominant hormones tend to relax the veins more often and increase the likelihood of blood leakage, especially during pregnancy, puberty, when taking birth control pills or during the transition into menopause. Pregnant women also produce an increased amount of blood to support the growing baby and are therefore susceptible to blood pooling in the legs or near the stomach as it tries to fight against the force of gravity and pressure.
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Compression stockings work simply by squeezing the leg, thereby reducing the amount of blood and pressure in the veins. There are various brands, styles, and colors of stockings available. The degree of pressure applied around the leg should be guided by a health care professional. Ideally, they should be fitted when the leg is not swollen, and they can be made-to-order for each patient. Older or obese individuals often have difficulty putting on the stockings, which must be worn when the patient is standing. These stockings typically lose some degree of the compression over time so they may need to be replaced regularly.
Dietary fiber helps with healthy bowel function. It’s especially important to eat fiber if you tend to have constipation. The physical effort used to pass stool can create a strong internal abdominal pressure, which can aggravate the damaged vein valves.
They’re a common problem among older or pregnant women due to hormonal influences, and they tend to develop over time as someone ages and veins lose their natural elasticity due to rising levels of inflammation.
If, at any time, the patient feels chest pain or have trouble breathing, this may indicate the presence of a blood clot in the blood vessels of the heart or lungs. The patient should go to a hospital emergency department immediately.
4. Endovenous laser treatment is a procedure in which a small laser fiber is inserted into the vein. Pulses of laser light are delivered inside the vein, which causes the vein to collapse. The procedure is done as an outpatient under local anesthesia.
For this reason, the patient should see a health care professional if the leg is swollen or if the patient experiences worsening pain in the leg, or if he or she should suddenly develops varicose veins and do not have any of the common risk factors such as pregnancy.
Veins are blood vessels that return blood from all the organs in the body toward the heart. When the different organs use oxygen from the blood to perform their functions, they release the used blood containing waste products (such as carbon dioxide) into the veins. Blood in the veins is then transported to the heart and returned to the lungs, where the waste carbon dioxide is released and more oxygen is loaded by the blood and taken back to the rest of the body by the arteries.
The Australian Medical Services Advisory Committee (MSAC) in 2008 determined that endovenous laser treatment/ablation (ELA) for varicose veins “appears to be more effective in the short term, and at least as effective overall, as the comparative procedure of junction ligation and vein stripping for the treatment of varicose veins.” It also found in its assessment of available literature, that “occurrence rates of more severe complications such as DVT, nerve injury, and paraesthesia, post-operative infections, and haematomas, appears to be greater after ligation and stripping than after EVLT”. Complications for ELA include minor skin burns (0.4%) and temporary paresthesia (2.1%). The longest study of endovenous laser ablation is 39 months.
Sometimes varicose veins cause pain, blood clots, skin ulcers, or other problems. If this happens, your doctor may recommend one or more medical procedures. Some people choose to have these procedures to improve the way their veins look or to relieve pain.