Varicose veins are twisted, enlarged veins that you can see just under the surface of the skin. The veins most commonly affected are those in your legs and feet.
Varicose veins are caused by weakened valves and veins in your legs. When these valves do not work as they should, blood collects in your legs, and pressure builds up. The veins become weak, large, and twisted.
Some people do not have any symptoms.
Mild symptoms may include: Heaviness, burning, aching, tiredness, or pain in your legs. Symptoms may be worse after you stand or sit for long periods of time. Swelling in your feet and ankles. Itching over the vein especially on the lower leg and ankle.
More serious symptoms include: Leg swelling. Swelling and calf pain after you sit or stand for long periods of time. Open sores, or you may bleed after a minor injury.
Self-care — such as exercise, elevating your legs or wearing compression stockings can help you ease the pain of varicose veins and may prevent them from getting worse. But if you’re concerned about how your veins look and feel and self-care measures haven’t stopped your condition from getting worse, see your doctor.
Your doctor will look at your legs and feet. You may also need an ultrasound test to see if the valves in your veins are functioning normally or if there’s any evidence of a blood clot.
In this procedure, your doctor injects small- and medium-sized varicose veins with a solution that scars and closes those veins. In a few weeks, treated varicose veins should fade. Although the same vein may need to be injected more than once
Catheter-assisted procedures: Radiofrequency Ablation (RFA)
RFA is a newer, minimally invasive treatment of dilated and tortuous varicose veins usually done as a day procedure under local anesthesia or a mild sedative. In these treatments, your doctor inserts a thin tube (catheter) through a small incision into an enlarged vein and radiofrequency energy in the form of heat is directed to the tip of the catheter. As the catheter is pulled out, the heat destroys the vein by causing it to collapse and seal shut. Once the diseased vein is closed, blood is re-routed to the other healthy veins. This procedure is usually done for larger varicose veins.
Following the procedure, a simple dressing is placed over the insertion site and a compression stocking will need to be worn for 7-10 days. Most patients typically resume normal activities with a day.
This procedure involves removing a long vein through small incisions. Removing the vein won’t adversely affect circulation in your leg because veins deeper in the leg take care of the larger volumes of blood.
Your doctor removes smaller varicose veins through a series of tiny skin punctures. Only the parts of your leg that are being pricked are numbed in this outpatient procedure. Scarring is generally minimal.
VenaSeal has been meticulously trialed in the United States and Europe over the last 5 years. Results published show a low risk of complications and excellent medium-term results. The VeClose Study out of Germany, showed a 98.9% closure rate at 6 months. VenaSeal is considered as effective as Endovenous Laser Ablation but does not involve the use of heat and can therefore be performed with the application of a small amount of local anaesthetic as opposed to a Nerve Block or large volumes of Tumescent Anaesthetic.
Get in touch with NMC surgeon to know more about the procedures and related solutions.