Varicose vein therapy | What treatments are there for varicose veins?

Which treatment is best for varicose veins?
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Varicose vein therapy includes a variety of medical approaches designed to manage and address varicose veins, a common condition of the blood vessels characterized by swollen, twisted veins mainly found in the legs. 

Typically, these veins exhibit a blue or purple color on the surface of the skin and can lead to discomfort, pain, heaviness, itching, and swelling, impacting both physical well-being and appearance.

The main objectives of varicose vessel therapy aim to relieve symptoms, prevent complications, and enhance the look of the affected veins. 

There is a range of treatment options available, starting from conservative methods to more invasive procedures, which are selected based on the seriousness of the condition and the patient’s specific factors.

Conservative treatments involve lifestyle adjustments like regular physical activity, elevating the legs, avoiding prolonged periods of sitting or standing, and wearing compression stockings to enhance blood flow in the treated vein and ease symptoms. Nevertheless, in cases of advanced severity or when conservative measures prove ineffective, medical interventions may become necessary.

How are varicose veins treated?

  1. Engage in regular physical activity: Activities like walking, swimming, or cycling can enhance blood circulation and strengthen the muscles that support vein function.
  2. Elevate your legs: To reduce swelling and enhance blood flow back to the heart, raise your legs above heart level when resting.
  3. Avoid prolonged periods of sitting or standing: To prevent blood pooling in the legs, take breaks and change positions frequently, especially if your job involves long periods of sitting or standing.
  4. Utilize compression stockings: These stockings provide gentle pressure on the legs, aiding in vein function and reducing symptoms like pain and swelling.
  5. Maintain a healthy weight: Excess weight can worsen varicose vein symptoms by adding pressure on the veins. 

Eating a balanced diet and managing your weight can help alleviate these symptoms.

  1. Consider dietary adjustments: A diet high in fiber and low in salt can help prevent constipation and water retention, both of which contribute to varicose vessel symptoms.
  2. Avoid tight clothing: Clothing that is tight around the waist and legs can restrict blood flow and worsen varicose veins. Opt for loose and comfortable clothing options instead.
  3. Stay well-hydrated: Drinking an adequate amount of water supports good blood circulation and helps prevent dehydration, which can exacerbate varicose vein symptoms.
  4. Explore alternative therapies: Some individuals find relief from varicose vessel symptoms through therapies like herbal supplements, acupuncture, or massage. Prioritize consultation with a healthcare professional before trying these methods.
  5. Seek guidance from a vein specialist: If conservative approaches do not provide sufficient relief or if varicose veins cause discomfort or complications, consult with a healthcare professional who specializes in vein disorders. 

They can evaluate your condition and suggest suitable treatment options, which may include minimally invasive procedures or surgery.

By following these suggestions and collaborating closely with a healthcare provider, individuals coping with varicose veins can effectively manage their condition and enhance their quality of life.

Which therapy is good for varicose veins?

  • Endovenous laser treatment (EVLT): For larger varicose veins, EVLT is an effective, minimally invasive procedure.

By inserting a thin laser fiber into the affected vein, the vein is heated, leading to its closure and redirection of blood flow to healthier veins.

  • Sclerotherapy: Smaller varicose veins and spider veins are commonly treated with sclerotherapy.

A sclerosing solution is injected into the vein to induce collapse, eventually being reabsorbed by the body. Several sessions may be required for optimal results.

  • Radiofrequency ablation (RFA): RFA utilizes radiofrequency energy, akin to EVLT, to heat and seal off the vein.

It is a minimally invasive method suitable for larger varicose veins.

  • Ambulatory phlebectomy: Larger varicose veins near the skin’s surface are typically treated with ambulatory phlebectomy.

This procedure involves small incisions in proximity to the varicose veins, enabling their removal through these incisions.

  • Endoscopic vein surgery: Reserved for severe cases where other treatments have not succeeded, endoscopic vein surgery entails inserting a tiny camera into the vein to visualize it internally.

Subsequently, the vein is extracted through minor incisions.

Before selecting a treatment approach, your doctor will assess your health condition and medical background to identify the most appropriate option for you. 

They will also provide insight into the risks, advantages, and anticipated outcomes associated with each treatment method.

What is the new treatment for varicose veins?

The treatment known as the Venaseal™ closure system has emerged as a popular choice in recent times for managing varicose veins. 

This modern approach offers a different path from traditional methods like endovenous laser therapy (EVLT) or radiofrequency ablation (RFA). 

By utilizing a specially designed medical adhesive, Venaseal effectively seals off problematic veins, rerouting blood flow to healthier alternatives.

In the Venaseal procedure, a catheter is carefully guided into the varicose vein with the help of ultrasound technology. 

Once the catheter is in the correct position, the medical adhesive is injected directly into the vein through it. 

The adhesive quickly solidifies upon contact with blood, effectively closing the vein. 

This process is repeated along the affected vein until complete closure is achieved.

A key advantage of Venaseal lies in its minimally invasive nature. 

Unlike traditional methods that use heat or tumescent anesthesia, Venaseal does not rely on these, resulting in minimal discomfort for the patient. Moreover, since Venaseal avoids multiple injections and tumescent anesthesia, the procedure is usually swift, and often completed within a single office visit.

Another positive aspect of Venaseal is its versatility in treating various types of varicose veins, even those with complex structures. 

This makes it a viable option for patients with challenging vein issues who may not qualify for other treatments. Furthermore, Venaseal has been found to carry a lower risk of nerve damage and bruising compared to alternative procedures.

Recovery post-venaseal is typically fast, with most patients being able to resume their regular activities immediately. 

There is minimal discomfort after the procedure, and compression stockings or extended downtime are usually unnecessary. Nonetheless, following the healthcare provider’s post-procedure advice is vital to promote healing and minimize potential complications.

As with any medical intervention, Venaseal may not be suitable for everyone. 

A thorough evaluation by a healthcare specialist in vein disorders is crucial to assess if Venaseal is the right choice for individual requirements. Overall, Venaseal presents a safe, efficient, and minimally invasive method for addressing varicose veins, ensuring optimal results for patients.

Varicose veins treatment

What is the first-line treatment for varicose veins?

Varicose veins are typically treated initially with conservative approaches to alleviate symptoms and enhance blood circulation. 

Lifestyle adjustments and non-invasive methods are the usual first recommendations before contemplating more invasive medical treatments. 

These initial treatments may consist of:

  1. Making lifestyle changes: Engaging in regular physical activities like walking or swimming can enhance blood circulation and strengthen the muscles supporting vein functionality.

Elevating the legs during rest and avoiding prolonged sitting or standing periods can also alleviate symptoms which can decrease leg veins swelling.

  1. Using compression stockings: Gentle pressure applied by compression stockings aids in the blood return to the heart from the legs, reducing discomforts such as pain and swelling.
  2. Adjusting dietary habits: A diet high in fiber and low in salt can prevent constipation and diminish water retention, factors that contribute to varicose vein symptoms.
  3. Managing weight: Maintaining a healthy weight reduces the strain on veins, easing symptoms and thwarting the advancement of varicose veins.
  4. Choosing loose clothing: Tight attire, particularly around the abdomen and legs, hampers flow and exacerbates varicose vein symptoms. Opting for comfortable, roomy clothing can enhance circulation and decrease small varicose veins.

These conservative methods are usually effective for mild to moderate varicose veins and may suffice for those with minor symptoms. However, if symptoms persist or worsen despite these measures, or if varicose veins present substantial health risks or aesthetic worries, medical interventions like sclerotherapy, endovenous laser  (EVLT), or other minimally invasive procedures may be contemplated as the next treatment option.

It is crucial to seek advice from a healthcare provider specialized in vascular conditions especially if a damaged vein occurs to establish the most suitable treatment plan based on individual requirements and preferences.

What is the best treatment for varicose veins without surgery?

Choosing the most suitable non-surgical approach for treating varicose veins depends on various factors, such as the size and seriousness of the veins, existing symptoms, and patient preferences.

Primary options for managing varicose veins without resorting to surgery usually involve minimally invasive procedures. These may include:

  • Sclerotherapy: By injecting a solution directly into the varicose vein, this treatment causes the vein to collapse gradually and disappear. It proves effective for smaller varicose and spider veins.
  • Endovenous laser  (EVLT): Utilizing laser energy, EVLT warms and seals the varicose vein, rerouting blood flow to healthier veins. This procedure involves a small incision and typically only requires local anesthesia.
  • Radiofrequency ablation (RFA): Similar to EVLT, RFA utilizes radiofrequency energy to seal off the varicose vein, typically conducted in an outpatient facility.
  • Foam chemotherapy inside the vein: This technique involves injecting a foam solution directly into the varicose vein, enhancing treatment effectiveness, particularly for larger veins.
  • Venaseal™ closure system: Employing a medical adhesive, Venaseal seals the varicose vein without the need for thermal energy or multiple injections, offering a speedy recovery period.

These minimally invasive treatments are linked to minimal discomfort, shorter recovery periods, and reduced risks compared to conventional surgical methods like vein stripping. However, the selection of treatment should be based on a comprehensive assessment by a healthcare professional specializing in venous disorders. 

Such professionals can evaluate your condition and recommend the most suitable treatment to decrease deep vein thrombosis based on your specific requirements and preferences.


In managing varicose veins, minimally invasive treatments provide effective options as an alternative to surgery, offering patients relief from symptoms and an improved quality of life. 

The procedures commonly used include Sclerotherapy, endovenous laser  (EVLT), radiofrequency ablation (RFA), foam sclerotherapy, and the Venaseal™ closure system, each with its advantages and considerations. 

Those with varicose veins must seek guidance from a healthcare professional who specializes in vein disorders to determine the most appropriate treatment according to their individual needs. 

Thanks to advancements in medical technology and the availability of various treatment choices, individuals can effectively address varicose veins without undergoing surgical procedures, resulting in better outcomes and an overall enhanced sense of well-being.