Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Home Care pain and inflammation warning signs Prevention Outlook Complications Underlying Cause Anatomy

Varicose Veins Treatment

Treatment for varicose veins includes keeping the legs elevated, regular exercise, and support hose. Usually, varicose veins do not require treatment unless a person develops venous insufficiency. Treatment for severe varicose veins may include surgery.

Specific treatment options for varicose veins include:

  • Elevation of the legs
  • Gradient compression stockings:
    • Support hose for varicose veins
  • Regular exercise
  • Sclerotherapy for varicose veins:
    • Injection of medication into the vein obstructs blood flow through the vein
  • Microsclerotherapy:
    • Use of injection techniques that increase the success rate for removal of spider veins.
  • Laser therapy for varicose veins:
    • A laser is used to burn the vein, which blocks blood flow through the vein
  • Radiofrequency ablation for varicose veins:
    • Radio waves are used to burn the vein, which blocks blood flow through the vein
  • Coil embolization:
    • Using local anesthesia and ultrasound (or x-ray) a catheter is inserted into a vein.
    • A small coil is placed into catheter and introduced into the vein.
    • Alcohol is injected into the vein as the catheter is withdrawn.
    • The alcohol irritates the vein causing it to close.
  • Surgical removal of the veins:
    • Vein stripping: the veins are removed through small incisions in the skin

Varicose Veins Questions For Doctor

The following are some important questions to ask before and after the treatment of varicose veins.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
  • What are the risks associated with treatment?
  • Do I need to stay in the hospital?
    • How long will I be in the hospital?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • Do I need to change my diet?
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • Do I need a special exercise program?
  • Will I need physical therapy?
  • What else can I do to reduce my risk for worsening varicose veins?
  • How often will I need to see my doctor for checkups?
  • What local support and other resources are available?

Varicose Veins Specialist

Physicians from the following specialties evaluate and treat varicose veins:

Continue to Varicose Veins Home Care

Last Updated: Jun 7, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Varicose Veins References
  1. Bartholomew JR, King T, Sahgal A, Vidimos AT. Varicose veins: newer, better treatments available. Cleve Clin J Med. 2005 Apr;72(4):312-4, 319-21, 325-8. [15850243]
  2. Guex JJ. Thrombotic complications of varicose veins. A literature review of the role of superficial venous thrombosis. Dermatol Surg. 1996 Apr;22(4):378-82. [8624665]
  3. MacKay D. Hemorrhoids and varicose veins: a review of treatment options. Altern Med Rev. 2001 Apr;6(2):126-40. [11302778]
  4. Pascarella L, Schmid Schonbein GW. Causes of telengiectasias, reticular veins, and varicose veins. Semin Vasc Surg. 2005 Mar;18(1):2-4. [15791545]
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