Vascular Condition
Varicose Vein Treatment
Varicose veins are enlarged, twisted veins that commonly appear in the legs. They develop when the valves inside the veins stop working properly, causing blood to pool and the vein walls to bulge. While often considered a cosmetic concern, varicose veins can cause significant discomfort and may lead to more serious vascular complications if left untreated.
Symptoms
- Visible twisted, bulging veins beneath the skin
- Aching or heaviness in the legs
- Swelling in the lower legs and ankles
- Itching around the affected veins
- Skin discolouration or ulceration in advanced cases
- Leg cramps, especially at night
Causes & Risk Factors
- Weakened or damaged vein valves
- Family history of varicose veins
- Prolonged standing or sitting
- Pregnancy and hormonal changes
- Obesity and increased body weight
- Age-related changes in vein elasticity
Treatment
Treatment options range from conservative measures to minimally invasive procedures. Conservative management includes compression stockings, regular exercise, and leg elevation. For complete ablation of the entire vein trunk, minimally invasive options include thermal ablative procedures (using heat) such as endovenous laser ablation (EVLA) and radiofrequency ablation. The latest innovation in this field is non-thermal therapy called glue ablation (Venaseal). Other options for smaller veins and ulcer treatment include outpatient based foam sclerotherapy. In selected cases due to venous anatomy, open surgical ligation or stripping may be recommended. Dr. Abraham selects the most appropriate treatment based on the extent and location of the varicose veins and the individual patient's health.
Recovery & Aftercare
Most minimally invasive procedures are performed as day cases with patients returning to normal activities within a few days. Compression stockings are typically worn for several weeks post-procedure.
Frequently Asked Questions
While many varicose veins are harmless, untreated veins can lead to complications such as superficial thrombophlebitis, skin changes, and venous leg ulcers.
New varicose veins can develop in untreated veins over time. However, properly treated veins do not recur.
Minimally invasive procedures are performed under local anaesthesia and are generally well tolerated.
When to Seek Medical Advice
- Veins are painful, warm, or swollen
- Skin around the vein is discoloured or ulcerated
- Bleeding from a varicose vein occurs
- Significant swelling of the leg develops
- Varicose veins are affecting your daily activities