Non-Surgical Treatment of Varicose Veins
Not everyone with varicose veins will require treatment for their condition. If you have no symptoms and your varicose veins do not cause you discomfort, then you do not necessarily need to have treatment. There are some instances when treatment may be necessary such as to ease symptoms or when complications occur – and for cosmetic reasons.
If your varicose veins do require treatment, the type of treatment you will receive will depend on your general health, and the size, position and severity of your varicose veins. Some of the available treatments for varicose veins are outlined below. Your doctor will be able to advise you about the most suitable form of treatment for you.
Compression stockings are specially designed stockings which steadily squeeze your legs to help improve your circulation. They may help to relieve pain, discomfort or swelling in your legs which is being caused by your varicose veins. It is not yet known whether compression stockings can help to prevent your varicose veins from getting worse, or if they prevent new varicose veins from appearing.
Compression stockings are available in a variety of different sizes and pressures They are available in different colors.
It is important that your compression stockings fit you properly otherwise they may not be effective. Your doctor will need to measure your legs in several places to make sure that your stockings will be the right size. If your legs are often swollen, they will usually need to be measured first thing in the morning, when any swelling is likely to be minimal. Compression stockings usually have to be replaced every three to six months.
You will normally have to put your compression stockings on as soon as you get up in the morning. You can then take them off when you go to bed. Compression stockings are often tightest at the ankle and get gradually looser as they go further up your leg to encourage your blood to flow upwards towards your heart.
Sclerotherapy is usually suitable for people who have small to medium-sized varicose veins. This treatment involves a special chemical being injected into your veins. The chemical works by scarring the veins, which then seals them closed.
Larger veins may require foam sclerotherapy. Instead of the liquid chemical, a special type of foam is injected into the affected vein. The injection is guided to the vein using an ultrasound scan. Although this treatment has been proven to be effective, it can cause side effects, including:
• blood clots in other leg veins,
• headaches,
• fainting, and
• temporary vision problems.
Your doctor will advise you whether foam sclerotherapy is a suitable form of treatment for you.
Following your sclerotherapy treatment, your varicose vein should begin to fade after a few weeks. This is because stronger veins take over the role of the damaged vein, which is no longer filled with blood.
You may require sclerotherapy more than once before the vein fades. However, sclerotherapy is not always permanent, and there is a chance that the vein may reappear. Both standard sclerotherapy and foam sclerotherapy are usually carried out under local anesthetic.