Treatments & Procedures
There are a variety of treatment methods for varicose veins. They range from injection sclerotherapy to laser treatments like Endovenous Laser Ablation (EVLA). A consultation with a board certified vascular surgeon will help you determine which treatment is best for you.
At the consultation, a physical exam and a duplex ultrasound, along with your medical history, will be used to help in deciding on what form of treatment will be best for you. The physical exam may include the photographing of abnormal veins to map their size and location.
A Duplex Ultrasound is also a noninvasive procedure that uses sound waves to create pictures. These pictures provide detailed information about the venous system and also show blood flow.
There are multiple ways to treat varicose veins. Following are summaries of the main treatments and procedures available. All procedures will be explained in detail once a thorough exam has taken place.
Endovenous Laser Ablation (EVLA)
EVLA uses targeted laser energy to close the defective vein and helps you look and feel better fast. The benefits of the procedure are relief from heaviness in the legs, in addition to an overall wellness of being. You will have the confidence to show off your legs, regardless of the weather or season. The EVLA procedure is a minimally invasive laser procedure in treating varicose veins without scarring. The laser energy closes the faulty vein preventing blood flow through it. This eliminates the source of the backwards blood causing the varicose veins. The procedure takes about 45 minutes with local anesthetic and is performed as an outpatient procedure. Less than one percent of patients develop deep vein thrombosis (DVT) from the laser ablation. Numbness has been known to occur in a small number of cases and on rare occasions can be permanent.
Ambulatory phlebectomy is a method of removing varicose veins on the surface of the legs. It is performed in the office under local anesthesia. This procedure involves making tiny incisions through which the varicose veins are removed. The incisions are so small no stitches are required and patients are able to walk following the procedure, though rest is always recommended to enable the optimum comfort during recovery.
After treatment, a compression bandage and/or compression stocking are worn. Your physician will advise you how long to wear any bandages or hose at the time of the procedure. Many times, after the treatment, walking or biking is recommended. This will reduce pressure in the veins, increase the flow in the veins and reduce the risk of forming a blood clot.