Varicose veins, also known as spider veins, are enlarged, twisted veins close to the skin’s surface. While any vein can become varicose, they most commonly occur in the legs due to increased pressure in the veins of the lower body compared to those in the upper body.
Treatment options for varicose veins include:
- Compression stockings: These specially designed stockings apply steady pressure to the legs, improving circulation and alleviating pain, discomfort, and swelling. They are typically worn from the moment you wake up until bedtime and should be replaced every three to six months as the elasticity diminishes over time.
- Surgery: Large varicose veins may require surgical intervention, usually performed under general anesthesia. The most common surgical procedure is ligation and stripping, where the affected veins are tied off and removed. This procedure does not disrupt blood flow in the legs, as deeper veins take over their role. In some cases, lifelong compression stocking use may be recommended to manage deep venous incompetence.
- Sclerotherapy: This treatment is suitable for small to medium-sized varicose veins. A chemical is injected into the veins, causing them to scar and close. Foam sclerotherapy is used for larger veins. Both standard and foam sclerotherapy are typically performed under local anesthesia.
Other treatment options include radiofrequency ablation, endovenous laser treatment, and transilluminated powered phlebectomy. Your doctor will recommend the most suitable treatment based on factors such as your overall health and the size, location, and severity of your varicose veins.