How to treat varicose veins without pain

With varicose veins, the veins stretch and expand, nodal deformities appear on them. In parallel, the work of the valve apparatus is disrupted, this leads to a violation of blood flow in the affected vein.

Varicose veins lead not only to a pronounced cosmetic defect, but can also be accompanied by impaired blood flow to the heart, its stagnation in the organs, dermatitis, eczema, cellulitis and trophic ulcers. In addition, venous inflammation and thrombosis can develop.

Symptoms are expansion, tortuosity of the veins with formation of knots, vascular "stars" or "meshes", intermittent and then permanent edema, bronze discoloration of the legs, inflammation of the skin and subcutaneous fat, development of trophic ulcers.

Fortunately, today there are ways to treat varicose veins that don't require surgery.

Modern treatment without surgery

The essence of all procedures is to remove the modified veins from varicose veins. In recent years, phlebology (the science of vein treatment) has changed a lot and today you can get rid of varicose veins quite quickly and easily. There are several methods of getting rid of venous pathologies:

  • Sclerotherapy.
  • Application of biological glue.
  • Laser coagulation.
  • Radiofrequency ablation.
  • Traditional operations.
  • Miniflebectomy.
woman with legs healed of varicose veins

Sclerotherapy

The essence of the technology is that a special liquid, sclerosing preparation is injected into the diseased vein through a small puncture with a syringe.

A well-fixed thrombotic "filling" forms in the vein, which interrupts the blood flow in the vessel. As a result, the vein gradually dissolves.

The drug is administered both under visual control and under ultrasound control. This allows you to harden the invisible vessels on the surface and control the spread of the drug through the vessels.

To consolidate the effect after the sclerosing injection, the patient is advised to wear compression stockings for several weeks or even months. Repeated administration of sclerosing is often necessary; in this case we speak of a cycle of sclerotherapy, consisting of several sessions.

Today, sclerotherapy is only used to remove intradermal varicose veins. When removing saphenous veins, the technique is used in addition to other methods (EVLK, RFA, traditional operations) to remove small diameter venous ducts.

Closure of the veins with biological glue

The veins are successfully closed with a special preparation in different stages of varicose veins. The procedure is similar to the previous one, but in this case an adhesive substance is injected into the lumen which, in contact with the blood, polymerizes, squeezes the blood and forms a polymeric "filling". After the cessation of blood flow through the vein, as with sclerotherapy, fibrous tissue is formed and the vessel is partially absorbed. The materials for this procedure are quite expensive.

Laser coagulation (EVLK)

The laser is used in two ways:

Intravenous laser coagulation / ablation / obliteration or intravenous laser therapy (EVLK, EVLA, EVLO, EVLT) - is used both to remove large major veins and to remove smaller but deeply located veins, such as perforators.

The procedure is performed under local anesthesia and lasts from 20 minutes to an hour. A laser light guide is inserted through a small puncture into the vein and with the help of light energy cause blood proteins to clot ("folding"), forming a protein-erythrocyte clot ("filling") in the lumen, that blocks the light of the vase.

After the cessation of blood flow, the lumen of the vein grows with the fibrous tissue, then gradually dissolves.

The effect of a laser can be compared to removing a vein. The patient can go home immediately after the operation and wear compression stockings for several weeks or months.

Percutaneous laser coagulation (PLC). In this case, the vein is struck directly through the skin with a focused laser beam. This method removes only very thin intradermal vessels, less than 0. 1 mm, located superficially (usually capillaries, venules or arterioles). The disadvantages of this method are frequent relapses and burns.

By the way, the cost of laser treatment of varicose veins is usually lower than the price of the previous methods.

Radio frequency ablation / obliteration (RFA, RFO)

Only the large veins are removed with radiofrequency ablation. The method is basically similar to laser removal, however, with RFA, the effect on the veins does not occur with a laser, but with a very high frequency current (radio waves).

The RFA technique is effective, but it has a major drawback: a considerable price (due to the high cost of equipment and consumables).

woman's legs without varicose veins

Surgical Treatment - Phlebectomy

The operation is shown:

  • if desired by the patient himself;
  • in the presence of some anatomical features of the structure of the large veins, which prevent minimally invasive interventions (EVLK, RFA);
  • with pre-mouth thrombosis of large venous trunks.

Fortunately, the methods of surgery to treat varicose veins (phlebectomy) have also changed today.

If earlier, to remove a diseased vein, it was necessary to make incisions along the entire length of the leg, today it is enough to make two small incisions (sometimes one is enough) and remove a large vein using a special probe.

This not only preserves the beauty of the legs (does not leave very noticeable scars), but also makes the operation itself less traumatic and the recovery period faster.

If the case is not the most neglected, you can not even go to the hospital for an operation, but go home after the anesthesia has passed.

Miniflebectomy

It consists in the fact that through small punctures of the skin (up to 1-2, less thick 3 mm), the veins are captured with special "hooks" that look like crochet hooks, and pulled out, where they are crossed and removed in fragments.

This procedure is performed under local or general anesthesia. The disadvantages of the procedure are laboriousness, the inability to remove deep and large trunks, a high percentage of residual veins and their fragments. Today, this technique is used in addition to EVLK, RFA, or conventional surgery.

Both minimally invasive and traditional surgical methods give approximately the same results, which mainly depend on the degree of neglect of the disease. To achieve the best treatment results, combinations of different methods are used, for example, EVLK and sclerotherapy or miniflebectomy, RFA and sclerotherapy, surgery and miniflebectomy, etc.

Only an experienced doctor can choose a treatment complex based on the anatomical features of varicose veins, the degree and severity of the disease, the presence of complications, the general state of health, taking into account the patient's personal needs and wishes.