Continental Hospital 9:00AM to 5:00PM
drsahajavascularsurgeon@gmail.com
+91 9440640835
Facebook Instagram Youtube Linkedin Twitter

Varicose Veins Treatment

Acute Limb Ischemia

Introduction / Overview

Varicose veins are enlarged, twisted veins that commonly appear on the legs and feet. They occur when the valves within the veins malfunction, causing blood to pool and veins to swell. This condition is not only a cosmetic concern but can also lead to discomfort, pain, and more serious health issues if left untreated. Understanding varicose veins and their treatment options is essential for maintaining vascular health and improving quality of life.

Anatomy / Background

Veins are blood vessels responsible for returning deoxygenated blood from the body back to the heart. In the legs, veins work against gravity, aided by one-way valves that prevent blood from flowing backward. The two main types of veins involved in varicose veins are:

  • Superficial veins: Located just under the skin, these veins are most commonly affected by varicosities.
  • Deep veins: Situated deeper within the muscles, these veins are less commonly involved but are crucial for overall venous return.

When the valves in the superficial veins fail, blood refluxes and pools, causing the veins to dilate and become varicose.

VENOUS

Contact Us

Causes / Etiology

Several factors contribute to the development of varicose veins:

  • Age: Aging causes wear and tear on vein valves.
  • Genetics: Family history increases risk.
  • Gender: Women are more prone due to hormonal influences, especially during pregnancy, menstruation, or menopause.
  • Pregnancy: Increased blood volume and pressure on veins.
  • Obesity: Excess weight puts additional pressure on veins.
  • Prolonged Standing or Sitting: Reduces blood flow and increases venous pressure.
  • Previous Leg Injuries: Can damage valves or veins.
  • Other Medical Conditions: Such as deep vein thrombosis (DVT) or chronic venous insufficiency.

Symptoms / Clinical Presentation

Patients with varicose veins may experience:

  • Visible, bulging, blue or purple veins.
  • Aching, heaviness, or throbbing in the legs.
  • Swelling, especially around the ankles.
  • Muscle cramps or restless legs.
  • Itching or skin discoloration near affected veins.
  • In severe cases, skin ulcers or bleeding from varicose veins.

Diagnosis

  • Clinical Examination: Visual inspection and palpation of veins while the patient is standing.
  • Duplex Ultrasound: A non-invasive imaging test that assesses blood flow and valve function in the veins.
  • Venography: Rarely used, involves injecting contrast dye to visualize veins on X-ray.

Treatment Options

Treatment depends on severity and symptoms and includes both non-surgical and surgical approaches.

Non-Surgical Treatments

  • Compression Stockings: Improve blood flow and reduce swelling.
  • Lifestyle Modifications: Exercise, weight management, elevating legs, and avoiding prolonged standing or sitting.
  • Medications: To relieve symptoms, though they do not eliminate varicose veins.
  • Sclerotherapy: Injection of a solution that scars and closes small varicose veins.

Surgical and Procedural Treatments

  • Endovenous Laser Therapy (EVLT): Uses laser energy to close affected veins.
  • Radiofrequency Ablation (RFA): Uses radiofrequency energy to heat and seal veins.
  • Vein Stripping and Ligation: Surgical removal of large varicose veins.
  • Ambulatory Phlebectomy: Removal of smaller varicose veins through tiny skin punctures.

Procedure Details (Endovenous Laser Therapy as an Example)

  • Preparation: Local anesthesia is administered.
  • Access: A small incision is made to insert a catheter into the affected vein.
  • Laser Application: Laser fiber is advanced through the catheter; laser energy heats the vein walls causing them to collapse and seal shut.
  • Completion: The catheter is removed, and compression bandages are applied.
  • Duration: Typically 30-60 minutes.

Postoperative Care / Rehabilitation

  • Patients are encouraged to walk immediately after the procedure.
  • Compression stockings should be worn for 1-2 weeks.
  • Avoid strenuous activities for a few days.
  • Follow-up appointments to monitor healing and effectiveness.
  • Most patients return to normal activities within a week.

Risks and Complications

  • Bruising and swelling.
  • Skin burns or discoloration.
  • Nerve injury causing numbness or tingling.
  • Blood clots (deep vein thrombosis).
  • Recurrence of varicose veins.
  • Infection at the treatment site.

Prognosis

With appropriate treatment, most patients experience significant symptom relief and improved appearance. Recurrence is possible, especially if underlying risk factors persist. Early intervention improves outcomes and reduces complications.

When to See a Doctor

  • Persistent leg pain or swelling.
  • Skin ulcers or sores near varicose veins.
  • Sudden leg swelling or redness (possible blood clot).
  • Bleeding from varicose veins.
  • Symptoms interfering with daily activities.

Conclusion

Varicose veins are a common vascular condition that can cause discomfort and complications if untreated. Understanding the causes, symptoms, and treatment options empowers patients to seek timely care. Modern treatments, including minimally invasive procedures, offer effective relief with minimal downtime. If you suspect you have varicose veins or experience related symptoms, consult a healthcare professional for an accurate diagnosis and personalized treatment plan. Early intervention can improve your vascular health and quality of life.

Explore more:

EVLT (Endovenous Laser Therapy)
Conditions
Treatments
Contact us
Copyright © 2025 Dr Sahaja Vascular Hospital, All rights reserved. Powered by PrigmaSoft Technologies
Facebook-f X-twitter Instagram Linkedin-in

Welcome to
Dr Sahaja Vascular Surgeon

Aenean porta orci nam commodo felis hac ridiculus fusce fames maximus erat sed dictumst blandit arcu suspendisse sollicitudin luctus in nec

Get Started
Connect on whatsapp
Make an Appointment.