Varicose Veins: Treatment Options

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Introduction | EVLA | EVLA faq | Sclerotherapy | Phlebectomy | Spider Veins | Vein Anatomy | Causes | Women & Pregnancy | Treatment Options | Prevention Measures | Myths | History

There are three types of treatments used to remove varicose veins. They are sclertherapy, endovenous laser ablation, and mini phlebectomy which can be performed in conjunction with other forms of treatment. The amount of time it takes before a patient sees results from any of the listed treatments can vary from one patient to another.

Sclerotherapy can last anywhere from 15 minutes to half an hour and is implemented monthly. This technique is used to insert a chemical sclerant into the veins using tiny needles. The chemical sclerant hardens the veins and causes them to dwindle.

Endovenous laser ablation (EVLA) usually takes less than one hour to complete. During the procedure, a laser fiber is used to heat the lining of the vein resulting in shrinkage and less visibility.

Mini-phlebectomy is a process performed under local anesthesia. With this form of treatment, tiny insertions are made into the skin so that vein hooks can be used to eliminate posturing veins. Compression stockings might also be utilized post treatment to keep bruising and inflammation at a minimum.

Besides sclerotherapy, spider veins can be treated with external laser. External laser procedure is a non-invasive or minimally invasive cosmetic procedure that is often combined with other forms of varicose vein treatments. Laser procedures deliver heat through the surface of the skin to the vein, sealing the vein walls.

Venous stasis ulcers are not common. The mainstay of treatment for venous stasis ulcers is compression with Unna’s boots. Debridement is important part of wound care. Antibiotics are seldom useful in the treatment of venous stasis ulcers unless signs of infection are present.

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