Varicose Veins
Varicose veins are common and usually not a medically serious condition. They are much more frequent in females as a result of the demands of pregnancy. They are usually a result of valves not working properly, thus allowing blood to flow DOWN the leg instead of only upwards towards the heart. This occurs in the superficial veins and the important deep veins in the leg are usually normal. Commonly there are no symptoms, but veins can cause a heavy ache, itching, night cramps, and a feeling of heat. Cosmetic appearance is a major cause of concern for patients.
Investigations
The main test is an ultrasound, which will prove whether the valves are working or not. The usual valves are in the groin or behind the knee, and the deep veins of the leg are also examined.
Treatment
In many cases no treatment is required as the veins are not harmful unless they have an associated complication such as bleeding, thrombosis (clot), eczema (rash) or ulceration. In the absence of these, the only indication for treatment is if the veins cause symptoms sufficient to warrant it, or if the cosmetic appearance is unacceptable. The treatment can take the form of support stockings, injection sclerotherapy or surgery. Newer minimally invasive non operative techniques of treatment of large varicose veins are now available and include ultrasound guided sclerotherapy and endovenous laser ablation.
Non Operative Treatment For Large Varicose Veins
- Sclerotherapy
- Ultrasound Guided Sclerotherapy
- Endovenous Ablation
Operative Techniques For Large Varicose Veins
- Ambulatory
- Phlebectomy
- Conventional Surgery
Learn More About Varicose Veins
Click here to access information from the American College of Phlebology.