Varicose vein - noninvasive treatment
Varicose veins are swollen, twisted, painful veins that have filled with blood.
Sclerotherapy; Laser therapy - varicose veins; Radiofrequency vein ablation; Endovenous thermal ablation; Ambulatory phlebectomy; Transilluminated power phlebotomy; Endovenous laser ablation; Varicose vein therapy
Varicose veins most often develop in the legs. They often stick out and are blue in color.
The following treatments for varicose veins can be done in a health care provider's office or clinic. You will receive local anesthesia to numb your leg. You will be awake, but will not feel pain.
Sclerotherapy works best for spider veins. These are small varicose veins.
Laser treatment can be used on the surface of the skin. Small bursts of light make small varicose veins disappear.
Phlebectomy treats surface varicose veins. Very small cuts are made near the damaged vein. Then the vein is removed. One method uses a light under the skin to guide treatment.
This may be done along with other procedures, such as ablation.
Ablation uses intense heat to treat the vein. There are two methods. One uses radiofrequency energy and the other uses laser energy. During these procedures:
Why the Procedure Is Performed
You may have varicose vein therapy to treat:
These treatments are generally safe. Ask your provider about specific problems that you might have.
The risks for any anesthesia and surgery are:
The risks of varicose vein therapy are:
Before the Procedure
Always tell your provider:
You may need to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and other medicines that make it hard for your blood to clot.
After the Procedure
Your legs will be wrapped with bandages to control swelling and bleeding for 2 to 3 days after your treatment.
You should be able to start normal activities within 1 to 2 days after treatment. You will need to wear compression stockings during the day for 1 week after treatment.
Your leg may be checked using ultrasound a few days after treatment to make sure the vein is sealed.
These treatments reduce pain and improve the appearance of the leg. Most of the time, they cause very little scarring, bruising, or swelling.
Wearing compression stockings will help prevent the problem from returning.
Freischlag JA, Heller JA. Venous disease. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 64.
Goldman MP, Guex J-J. Mechanism of action of sclerotherapy. In: Goldman MP, Weiss RA, eds. Sclerotherapy. 6th ed. Philadelphia, PA: Elsevier; 2017:chap 7.
Goldman MP, Weiss RA. Phlebology and treatment of leg veins. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 155.
Review Date: 1/31/2019
Reviewed By: Mary C. Mancini, MD, PhD, Director, Cardiothoracic Surgery, Christus Highland Medical Center, Shreveport, LA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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