Varicose Veins

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Varicose Veins


Varicose veins are visible, bulging unsightly veins in legs causing pain, leg heaviness, night cramps, itching or swelling. If ignored, varicose veins can compromise the nutrition of skin and lead to pigmentation, skin thickening or ulceration and bleeding. Patients with varicose veins are also at a higher risk of Deep Vein Thrombosis (DVT).
The primary reason for development of varicose veins is reversal of blood flow due to vein wall weakness and impaired valve function. This reverse flow of impure blood is responsible for majority of complications of this disease.

Causes of varicose veins

  • Heredity
  • Hormonal – more common after pregnancy
  • Dysfunctional vein valves
  • Obesity and aging also play a role

Complications of varicose veins

  • Eczema
  • Skin ulcers
  • Bleeding
  • Thrombosis


Varicose Veins


1. Medicines & Stockings: Good symptomatic relief, but they cannot cure large varicose veins.
2. Surgery: Surgical ligation of the problem vein and removal of associated varicose veins is a gold standard treatment method in use for many years. The removal of these damaged veins does not harm the normal blood circulation of the leg.
3. Endovenous Laser or RFA (Radio Frequency Ablation) Treatment: A minimally invasive option in which the damaged veins are treated by needle puncture and passage of thin laser fiber which heats and seals the vein from inside. The advantages are better cosmetic result and rapid recovery with minimal side effects.
4. Doppler Guided Foam Sclerotherapy: This involves injection of a special chemical in the veins to block them. This can be used for recurrent varicose veins also. This procedure can leave behind a mild pigmentation mark.
5. Hook Phlebectomy: A minimally invasive surgical alternative useful for removal of large bunches of veins through minute holes by special hooks. This is used as an adjuvant method along with Laser or RFA of the main vein.
If you are suffering from varicose veins, seek advice from a vascular specialist who is an expert in treating varicose veins by all methods. Remember, not all patients with varicose veins are identical. Vascular specialists may vary in their preferred methods for investigations, treatment and aftercare.


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