New Treatments for Varicose Veins

The treatment options include surgery (junction ligation with or without stripping), phlebectomy, sclerotherapy, endovenous laser therapy (ELT), radiofrequency ablation (RFA) and conservative therapies, including the use of compression hosiery.

This video describes the symptoms of having varicose veins and the general procedures used to treat them.

A variety of therapies are available for treating varicose veins, including conservative therapies and surgical interventions. Conservative therapy, which attempts to limit disease progression,
is recommended in asymptomatic patients or those with mild to moderate symptoms. A clinician may advise lifestyle changes, including physical exercise and weight loss, to promote
circulation. Patients may also be discouraged from prolonged sitting or standing and advised to elevate the affected limbs whenever possible to reduce pressure on impaired vein valves.

Compression stockings provide relief for varicose vein symptoms, such as pain and swelling, while improving venous haemodynamics.

Surgical intervention generally becomes necessary when the symptoms of varicose veins significantly impinge on the patient’s quality of life. Provided the deep venous system of the
legs is competent and free from obstruction, a patient can safely tolerate the surgical removal or occlusion of varicose veins. The SSV and GSV are part of the superficial venous system.
Most of the blood from the legs is returned to the heart via the deep leg veins; therefore, blood that previously travelled through the saphenous vein can be redirected through deep
leg veins if the GSV becomes distended and varicotic. Figure 1 shows the clinical decision-making process for diagnosing and treating patients with varicose veins.

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New Treatments for Varicose Veins