What are Varicose Veins?

Varicose Veins are veins under the skin that have become swollen, twisted and bulging. They are usually seen in the legs and feet.They are quite common, and most of the time do not cause any problems. However, they can be disfiguring and be a cause for cosmetic concern in females.

The veins of the lower limb have one way valves that keep the blood moving towards the heart and prevent its backflow. If the valves are weak or become damaged, blood can back up and pool in the veins. Over time, the continuous pooling cause the veins to become stretched, swollen and tortuous. Raised pressure in these veins also causes development of spider veins and discoloured areas which look like bruises.

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

  • Women are more prone to this condition than men.
  • It is quite common in pregnancy due to pressure of the enlarged uterus on the veins.
  • Varicose veins and spider veins are not the same
  • These veins have defective valves ( normally, the valves keep the blood moving towards the heart and prevent its backflow )
  • You can blame your job! VV are much more common in those who have to stand or sit for extended periods, as this results in pooling of blood.
  • Blood trapped inside the VV looks bluish/greenish but is actually the usual red! This is due to change in wavelength of light as it passes through the skin
  • VV may not always be just an aesthetic concern. In advanced stages, complications like thrombophlebitis, eczema or lipodermatosclerosis may occur.
  • Rarely, VV may be the only sign of an underlying condition, and hence, should always be investigated.

How are Varicose Veins diagnosed?

Varicose Veins are usually diagnosed by a simple physical examination. However, other tests are needed to assess the extent of the problem and rule out any other condition. Most commonly you will be advised to do a Venous Colour Doppler by your doctor.

Should Varicose Veins be treated? How?

Active treatment for Varicose Veins may not always be medically necessary especially in the earlier stages. At this stage lifestyle changes, exercises, stockings and medicines will help to control the disease and may halt its progress. However, a lot of patients, especially females opt for treatment due to cosmetic reasons. In case the disease has progressed or complications have ensued, surgical treatment becomes inevitable. There are a number of treatment options for varicose veins. Amongst the surgical options, EVLA is currently the most advanced one and has been described below. This information is just to guide you and make you aware. Kindly keep in mind that finally, a detailed discussion with a Vein Specialist will help you to make a decision that’s right for you.

lifestyle Modifications

There are certain self-help measures you can take to relieve your symptoms. These include losing any excess weight and doing light to moderate physical activity, such as swimming or walking. Avoid standing for long periods of time as this causes pooling of blood in the veins and may make your symptoms worse. While sleeping keep the legs elevated by placing 2 pillows under the feet. This helps in emptying of the pooled blood from the veins.

Venous Stockings / Compression Stockings

They help to maintain the blood flow in the leg veins and reduce leg swelling. They also help to reduce the risk of blood clots forming in the veins. They act by enhancing the effect of the natural pumping mechanism of the leg muscles. This helps to increase the blood flow back towards the heart.The stockings are worn during the day and taken off before going to bed at night. They should be worn again the first thing in the morning.

Endovenous Laser Ablation ( EVLA )

LEONARDO® laser is a versatile, highly compact diode laser with dual wavelength ( 980nm and 1470 nm ). The ELVeS Radial™ fibers are used in this procedure which increases the precision of the technique. This highly advanced laser was first introduced in the country at Healing Hands Clinic. Varicose vein surgeries with ELVeS Radial™ fibers are extremely effective: The ELVeS® fiber with an atraumatic fiber tip is inserted into the affected vein through a small puncture. With the 2-phase radial emission of energy through the ELVeS® fibers, the energy can be applied homogeneously to the vessel wall. Thus the vein is sealed accurately. Due to perfect view via ultrasound the fiber can be monitored and placed perfectly well. The risk of perforating the vein wall is minimized, side effects of typical varicose vein treatments rarely occur.

The whole treatment takes approximately 30-45 minutes. During the treatment as well as afterwards the patient hardly feels any discomfort. Patients can return to their daily activities on the next day of the treatment.The advantage of Leonardo laser over other lasers is its dual wavelength. This reduces the recurrence rate to almost negligible and the pain associated with the procedure is much less as compared to other lasers.

Dr Ashwin Porwal | Best Fistula doctor in Pune | Best Fistula surgeon in Pune

Dr Ashwin Porwal, Dr Paresh M Gandhi, Dr Deepak Kulkarni, Dr Chaitanya Shah, Dr Mayur Narayankar

Healing Hands Clinic is a renowned treatment centre and a pioneer in the field of proctology, a speciality dealing with the treatment of anorectal illnesses, hernias, and varicose veins, by bringing novel and advanced treatment procedures from around the world to Indian citizens.

Healing Hands Clinic is credited with executing the most Stapler Haemorrhoidopexies for Piles(Mulvyadh) each month in Asia, as well as being the first center in India to introduce laser procedures for Piles. It now performs the most advanced laser operations in Asia. Healing Hands has established a team that does nothing but proctology and understands the suffering of the patient, all under the slogan of curing with care. Due to its innovative and sophisticated technology, Healing Hands Clinic is one of the best clinics in the world.

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