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Varicose Veins Treatment  

Treatments vary depending on the severity of the varicose veins. In moderate varicose veins, the basic treatment includes the following components: compression stockings, sclerotherapy, elevation of your legs and other preventive measures (exercising, losing weight, not wearing tight clothes, avoiding long periods of standing or sitting, etc.) aiming at avoiding more damages to your veins. In severe varicose veins, surgery can be necessary:  

Compression stockings - compression stockings can be the first option your phlebologist will consider to treat your varicose veins and prevent appearance of new ones. They work by compressing the veins and prevent the accumulation of blood in them. Compression stockings can be used in painful varicose veins and those accompanied with complications such as ulcers.  

However, it is important that you buy Compression stockings that are strong and fit your legs; too tight are not recommended. To wear them in all comfort, it is better to put them in the morning before getting up, in threading them in supine position. As long as possible, they should be worn all day. 

Anti-inflammatory drugs – along with wearing compression stockings, your physician can prescribe you antiinflammatory medications to reduce the inflammation of your legs. Usually, they are used to relieve inflammation of superficial phlebitis. 

Sclerotherapy – usually, sclerotherapy is performed without anesthesia or recovery time; it is an ideal option for minor and moderate varicose veins.  Your doctor injects an irritant solution in your veins (small or medium-sized varicose veins) causing them to fade. The injection forces the blood to flow to other non-varicose veins, which render the varicose veins useless and become normal gradually. This procedure usually leaves no scars.  

The results of sclerotherapy are usually satisfying; however, it may require several treatments over the same vein. In addition, sclerotherapy does prevent formation of new varicose veins.  


Surgical Treatment  


Ambulatory phlebectomy - During this procedure, your doctor uses a phlebectomy hook to do some tiny skin incisions (usually 1-2 millimeter) to extract small-size varioses veins on the surface of your legs.  

Laser surgery - A variety of laser treatments are offered now days to treat varicose veins and spider veins. During the laser surgy, a laser fiber is inserted into the infected vein, forcing it to close in on itself. This treatment is usually used in smal varicose veins and spider veins.  

Ambulatory and hemodynamic treatment of venous insufficiency (CHIVA cure) - Still under consideration, this surgery reduces the venous pressure without removing the veins. The superficial veins are tied, which forces the blood flow to pass through the deep veins. Once tied, they deflate themselves and become less visible and less painful. This intervention is aimed at treating moderate varicose vein and spider veins. 

Endoscopic vein surgery – this surgical intervention is performed in serious cases where complications of the varioses veins lead to ulcers. During the procedure, your surgeon inserts a tiny video camera into your leg through a small incision so that he/she can visuliaze and treat the affected veins. Endoscopic vein surgery may require a short term hospitalization. 

Vein stripping - this intervention is reserved for serious cases of varicoses veins. It consists of removing a long vein through a small incision. Depending on the severity of the problem, treatment may require hospitalization from one to five days followed by a recovery ranging from 3 to 21 days.




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