Common Varicose Veins Questions
Next, there is a physical examination, focusing on the legs, feet, and other affected areas. This exam will check for swelling, tender spots, and any changes in skin color. Varicosities that cause pain, soreness, and muscle fatigue or cramping are examined further with an ultrasound. This exam does not hurt and takes about an hour to complete. A series of blood vessel measurements will be taken to determine the degree of varicose vein insufficiency. Based on these measurements and the individual’s symptoms, a treatment plan will be made. Cosmetic treatments for Spider and Varicose veins are usually not covered by most insurances.
VARICOSE VEINS TREATMENTS
Radiofrequency ablation is another option for large varicose veins. The principle is similar to endovenous lasers. A small catheter delivers radiofrequency energy (instead of laser energy) directly into the vein wall, causing it to heat up and collapse. After about a year, the vein disappears. The results are comparable to vein surgery, with significantly less risk and pain.
Vein ligation & Phlebectomy
For varicose veins that do not respond to other treatments, a small, minimally invasive surgery can be considered. This common procedure consists of vein ligation and Phlebectomy — the tying off of an affected vein and removing the problematic segment through small incisions in the skin. This may be done with local or MAC anesthesia. If the vein is near the skin’s surface, it may be possible to remove it through a tiny incision that does not need stitches.
BEFORE AND AFTER
Vein ligation and stripping successfully remove varicose veins in most people. The procedure does not require a hospital stay, and most patients can return to work in a few days. It is important to consider that surgery done for cosmetic reasons may not be covered by insurance. In addition, there are now less invasive techniques for eliminating large varicose veins.