They then thread a small laser through the catheter and position it at the top of the target vein, which delivers short energy bursts that heat up the vein, sealing it shut. Endovenous laser treatmentĪ doctor inserts a catheter into the patient’s vein. Radiofrequency ablation is usually done with a local anesthetic. This procedure is preferred for larger varicose veins. The radiofrequency energy heats up the vein, causing its walls to collapse, effectively closing it and sealing it shut.
The doctor then inserts a probe into the catheter, which emits radiofrequency energy. They then thread a narrow tube, or catheter, into the vein. Radiofrequency ablationĪ doctor makes a small incision either above or below the knee with the help of an ultrasound scan. A vein may need to be injected more than once. SclerotherapyĪ doctor injects a chemical into small- and medium-size varicose veins, which scars and closes them. During the recovery time, they will need to wear compression stockings. On extremely rare occasions, there may be deep vein thrombosis (DVT), which is when a blood clot forms in the vein of the leg.Īfter surgery, most patients will begin to recover within a few days, but they may need a few weeks before going back to work and other regular duties. Ligation and stripping can sometimes result in bruising, bleeding, and pain. This procedure does not usually require a hospital stay. A thin, flexible wire is threaded through the bottom of the vein and then pulled out, taking the vein with it. The top of the vein is tied up and sealed. Two incisions are made: one near the patient’s groin at the top of the target vein, and the other farther down the leg, either at the ankle or knee. Strong bursts of light are applied to the vein, which gradually fades and disappears. Laser treatments are often used to close off smaller veins and also spider veins. However, if surgery is required on both legs, they may need to spend one night in the hospital. In most cases, the patient can go home the same day. This is usually done under a general anesthetic. If varicose veins are large, they may need to be removed surgically. Some individuals may also want treatment for cosmetic reasons, wanting to get rid of the “ugly” varicose veins.
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However, if a person has symptoms that do not improve easily, they may require medical treatment to reduce pain or discomfort or to address complications such as leg ulcers, skin discoloration, or swelling. Most people with varicose veins can get enough relief from home remedies, such as compression stockings. If a person has no symptoms or discomfort and does not mind the sight of the varicose veins, treatment might not be necessary.
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