What are Varicose Veins?

Varicose veins refer to the swelling, twisting, and bulging of veins beneath the skin, commonly observed in the legs and feet. While they are generally common and often asymptomatic, they can be aesthetically concerning, especially for females.

The lower limb veins possess one-way valves that facilitate blood movement towards the heart, preventing backflow. When these valves weaken or sustain damage, blood can accumulate, leading to vein stretching, swelling, and a twisted appearance over time. Elevated pressure in these veins can also result in the formation of spider veins and discolored areas resembling bruises.

what is variocse veins? causes and treatment of varicose veins
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A Few Interesting Facts

  • Women are more susceptible to this condition compared to men.
  • Pregnancy increases the likelihood of varicose veins due to the pressure exerted by the enlarged uterus on the veins.
  • Varicose veins and spider veins are distinct entities.
  • These veins exhibit defective valves; typically, valves ensure blood moves toward the heart and prevent backflow.
  • Occupations that involve prolonged standing or sitting can contribute to the development of varicose veins as it leads to blood pooling.
  • The trapped blood inside varicose veins may appear bluish/greenish, despite being the usual red, due to a change in the wavelength of light passing through the skin.
  • Varicose veins may present more than just an aesthetic concern; in advanced stages, complications such as thrombophlebitis, eczema, or lipodermatosclerosis may arise.
  • In rare instances, varicose veins may be the sole indicator of an underlying condition, necessitating thorough investigation.

How are Varicose Veins diagnosed?

Diagnosing varicose veins typically involves a straightforward physical examination. However, additional tests are required to evaluate the severity of the issue and exclude other potential conditions. In many cases, your doctor may recommend a Venous Colour Doppler as the most common diagnostic procedure.

Should Varicose Veins be treated ? How ?

Active intervention for Varicose Veins may not always be medically imperative, particularly in the initial stages. During this phase, lifestyle adjustments, exercises, compression stockings, and medications can effectively manage the condition and potentially impede its progression. However, many patients, particularly women, may opt for treatment primarily for cosmetic reasons. If the disease advances or complications arise, surgical intervention becomes unavoidable. Various treatment options are available for varicose veins, with Endovenous Laser Ablation (EVLA) being one of the most advanced surgical choices outlined below. This information is provided to guide and inform, but it's crucial to note that a detailed consultation with a Vein Specialist is essential for making an informed decision tailored to your individual needs.

lifestyle Modifications

You can implement specific self-care measures to alleviate your symptoms. These include shedding any excess weight and engaging in light to moderate physical activities, such as swimming or walking. Refrain from prolonged standing, as it can lead to blood pooling in the veins and potentially worsen your symptoms. During sleep, elevate your legs by placing two pillows under your feet. This aids in the drainage of pooled blood from the veins.

Venous Stockings / Compression Stockings

Compression stockings contribute to sustaining blood flow in the leg veins and minimizing leg swelling. They also play a role in diminishing the risk of blood clot formation within the veins. By augmenting the natural pumping mechanism of the leg muscles, these stockings facilitate an increased blood flow toward the heart. Typically, they are worn throughout the day and removed before bedtime, to be put on again first thing in the morning.

Endovenous Laser Ablation ( EVLA )

The LEONARDO® laser, featuring dual wavelengths (980nm and 1470 nm) and a compact diode design, is a versatile tool. This highly advanced laser, initially introduced at Healing Hands Clinic, utilizes ELVeS Radial™ fibers to enhance precision in the procedure. Varicose vein surgeries with ELVeS Radial™ fibers prove remarkably effective. The ELVeS® fiber, equipped with an atraumatic tip, is inserted into the affected vein through a small puncture. The 2-phase radial energy emission ensures homogeneous application to the vessel wall, accurately sealing the vein. Ultrasound monitoring allows for perfect fiber placement, minimizing the risk of vein wall perforation and reducing typical varicose vein treatment side effects.

The entire treatment duration is approximately 30-45 minutes, and patients experience minimal discomfort during and after the procedure. Patients can resume their daily activities the day after treatment. The dual-wavelength feature of the Leonardo laser sets it apart, significantly reducing recurrence rates to nearly negligible levels and minimizing procedural pain compared to other lasers.

Patient Resources

Endovenous Laser Ablation for Varicose Veins

Varicose Veins Treatment

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