Blood flows through the tubes called as blood vessels. There are two networks of blood vessels   the arteries and the veins. The arteries carry pure or oxygenated blood from the heart to the various parts of the body. The veins, on the other hand, collect impure blood from all over the body and reach it to the heart. Blood flow in the veins is controlled via valves, which ensure blood does not flow in the reverse direction (against its desired direction of flow). The veins in the legs, which are farther from the heart, are quite thick and exert extra pressure to pump blood into the heart. They need to transport blood against gravity and so in people who are prone to stand for long hours, they can become thicker, swollen, twisted, and engorged. In severe cases, there could even lead to bleeding.

Some common causes for varicose veins are:

Damaged valves which are not able to control the flow of blood in the required direction.
Veins with a thin wall that are unable to control blood flow.
Risk factors: Though these are the suspected causes, there are specific risk factors which aggravate the condition of varicose veins.

Family history
Smoking
Occupations which require prolonged standing (construction jobs, painters, etc.)
Pregnancy
Obesity
Age, which reduces the elasticity of the veins
Surgery in the leg, which could have hampered the values or veins
There are quite a few symptoms of varicose veins. These are quite distinct and present as:

Swollen, ropy leg veins which can be blue
Pain, especially with prolonged standing
Tenderness on touching the veins
Itching and heaviness along the veins
Skin changes like scaling and dryness
Night cramps around the area
Susceptibility to bleed from these veins
While varicose veins are easy to diagnose given their distinct clinical presentation, some additional testing can involve the following:

Doppler ultrasound
Scanning
MRI
As said, prevention is better than cure; here are some preventive measures that can be really helpful:

Elevate legs as much as possible. When working, take short breaks to reduce stagnation and promote blood circulation
Quit smoking
Avoiding alcohol, as it causes venous dilation
Weight management
Avoid tight clothing and sitting with cross-legs for prolonged periods as they put a lot of pressure on the veins and valves
Follow a regular exercise regimen to improve blood flow in the legs, like walking or running
Starting from the least invasive to the most, this condition can be treated by:

Compression stocking (Ted hose or Jobst stocking) which improves circulation and reducing pain
Surgical options include sclerotherapy, laser treatment, and stripping off the vein. These are done in very severe cases, but quite rare.

Varicose Veins - How Best It Can Diagnosed?

Varicose veins are abnormal veins that usually appear as bulging, twisting, rope-like cords in the lower extremity. It is a very common condition, nearly affecting 25% of men and 40% women. Varicose veins occur when the valves in the veins do not properly function. As a result, blood cannot flow effectively.

Risk Factors

A number of factors can put you at risk of developing varicose veins. These may include  

  Heredity
  Gender
  Pregnancy
  Age
  Prolonged standing
  Obesity

Symptoms Associated with Varicose Veins

For many people, varicose veins develop without revealing any symptom. However, others may experience the following signs  

  Visible purple veins
  Heaviness in the calves
  Swelling and tenderness
  Leg tiredness
  Pain
  Blood clots

If the condition deteriorates, you may also encounter symptoms like  

  Ankle sores
  Skin ulcers
  Bleeding

If you have a severe case, your veins may rupture. Therefore, consult a doctor and get the condition treated before it worsens.

Treating Varicose Veins with Radiology

If conservative techniques   compression stockings, lifestyle changes, and others   fail to relive the symptoms or cure the condition, your doctor may recommend radiofrequency ablation for varicose veins.
Radiofrequency ablation involves using heat from an electric current produced by a radio wave to remove the damaged tissues. The procedure takes place in a hospital or a clinic under the supervision of a radiologist.
The specialist will first prep you up for the procedure   the appropriate leg will be prepared using sterile technique and you will be given local anaesthesia. Ablating the veins using laser takes only about a few minutes. Once the procedure is completed, the patient may be kept under observation briefly before being let off. However, he/she might have to wear a special compression stocking, as prescribed by the doctor, to speed up healing.

Varicose veins typically deteriorate over time despite making necessary lifestyle changes for pain management. The minimally invasive radiofrequency ablation procedure is an effective treatment for a condition as painful as varicose veins. It is safer than surgery with minimal risks. Since it is an outpatient procedure, the patient is allowed to walk away the same day.

Varicose Veins - Know All About Them!

Varicose veins are enlarged and gnarly veins and they commonly appear in the feet and legs. They occur when veins get filled with blood and they are often red or bluish purple in color.

The main cause of varicose veins is the when the vein dysfunctions. Veins have valves in them that are supposed to keep the blood flowing forward, but if they fail to do so, blood in the vein starts to collect rather than continue towards the heart. Since the legs are furthest from the heart, varicose veins mostly affect the legs. Gravity, too, is a contributing factor as it makes it hard for the blood to flow up the vein.
Out of all the treatments available for varicose veins, sclerotherapy is the most effective.

What is sclerotherapy?
Sclerotherapy is a form of injection therapy that is designed to improve the way the varicose veins appear on your legs.

The Procedure
During the procedure, a solution called sclerosant is injected in the veins that scars and destroys the vein's internal lining which causes the blood to clot. After the solution is injected, pressure over the veins is applied to prevent the return of the blood as you stand up. Compression stockings are worn for maintaining the pressure.

After the Procedure
There is no prolonged recovery time for sclerotherapy. You can move around immediately after the procedure, but do not strain yourself too much. However, bed rest is not recommended as it might stress the vein. You probably have to keep wearing the compression stockings for a few days more.

Reasons for Choosing Sclerotherapy
Sclerotherapy is best for treating the following problems-
1. Small veins and spider veins that do not cause severe damages
2. Smaller varicose veins that might return even after vein stripping surgery (the surgical removal of the superficial saphenous vein with minimal incisions to treat varicose veins).
3. Larger varicose veins
4. Follow up to any other surgery to treat varicose veins

Risks involved
Sclerotherapy, like any other treatment, has certain risks. The risks include-
1. Skin discoloration
2. The varicose veins can still return after the treatment
3. Bruising, itching, blistering and pain in the treated area
4. Mild or severe allergic reaction to the solution (sclerosant) used
5. Blood clots in the deep vein system.

Varicose Veins: Using Sclerotherapy to Get Rid of It

A VNUS closure procedure is a medical minimal invasive treatment that offers an efficient and non- surgical alternative for treating varicose veins. Varicose vein is a medical condition where the veins become large and swollen and begin to appear on the skin especially on the legs. The condition arises when the valves do not function properly and the blood begins to flow in the opposite direction. This often results in pooling of the blood in a certain area which makes the vein enlarge. As a result, they begin to appear on the skin as blue or dark purple and the most commonly affected areas are the legs. Apart from treating them with medicines, there are two distinct methods to treat them- invasive and non- surgical methods. VNUS closure is one non-surgical procedure that can treat and cure varicose veins.

The twisted and bulging chords in case of varicose veins can burst and give rise to ulcers. Before conditions get worse, one must get it treated and as proven, non-surgical methods are best to treat them. The VNUS procedure uses radioactive frequency to heat and close the vein from within. These heat waves contract the collagen found inside the vein walls and causes them to collapse and shut down.

There are several reasons why this is the best process to treat varicose veins. Some of which are:

This is not an open surgery and is minimally invasive.
The treatment does not require a very big setting such as other surgeries. It can be performed on the patient under local anesthesia and patients are often allowed to walk out of the clinic after a few hours of the procedure.
The patients can resume normal activities within two days of the procedure being performed.
The treatment is effective and provides long-lasting relief for the problem.
There is nothing scary about this treatment and it is a very simple procedure.
Before the procedure begins, the doctor using an ultrasound marks the position at the end of the groin. After the patient has been sedated using a local anesthesia, a special catheter is then inserted into the vein through a small 2-3mm cut just below the knee. Once that has been done, radiofrequency energy is used to seal the faulty veins. At the end of the procedure, a small dressing is applied, along with a special compression stocking which the patient needs to wear for the next 7 to 10 days. The process provides instant relief from the symptoms.

However, one must consult a doctor who can advise the patient on the best procedure for varicose veins after an examination to determine the intensity of the problem. 

VNUS Closure - Why Is It Performed?

Varicose veins is a medical condition where the veins become large and swollen and begin to appear so especially on the legs and feet though any vein can become varicose. This happens when the valves do not function properly and allow the blood to flow in the opposite direction or to pool. Due to this, the veins enlarge, and they begin to appear blue or dark purple on the skin. Legs and feet are the most commonly affected areas because standing or walking increases the pressure on the veins in the lower part of the body.

Symptoms of Varicose Veins
Apart from the twisted and bulging appearance like cords in blue and dark purple, varicose veins may include other painful symptoms as well such as-

Throbbing feeling and aching, heavy feeling in the legs.
Muscle cramping and swelling in the legs.
Severe pain after sitting or standing for a long period of time.
Bleeding varicose pains.
Treatment for Varicose Veins
In severe cases, varicose veins may rupture and form varicose ulcers on the skin. To avoid complications, it is best to get varicose veins treated before it worsens. Varicose veins can be treated in two ways- either by surgeries or by non-surgical methods, that is, by home remedies, medicines or non-invasive methods.

Surgical methods to treat Varicose Veins
Vein Stripping - Under general anesthesia, two cuts are made one below the groin and one behind the knee joint. The affected vein is then tied or clamped off at the top incision using a technique called vein ligation
Phlebotomy is another method where smaller incisions are made along the vein and using surgical instruments, the vein is pulled out.
Though treating varicose veins by surgeries is the most effective method, it involves several risks. Patients take a longer time to recover from surgeries than non-surgical methods. The sedation may cause complications. Chances of nerve injuries cannot be negated which may lead to fatal conditions such as deep vein thrombosis.

Non-surgical methods to treat Varicose Veins

Radiofrequency ablation is a method in which heat generated electromagnetic waves are used to close off the veins.
Endogenous laser ablation- in this case, lasers are used to close off veins.
Sclerotherapy is another method where a liquid or foam is injected into the affected vein to close it off.
Although big veins cannot be treated by these methods or additional treatments may be required, these methods are not only effective but also free from cuts and stitches or anesthesia. Performance of these treatments need not always take place in hospitals, special clinics can cure varicose veins using these methods. It is always advisable to consult doctors for treating varicose veins who can suggest the best treatment needed to cure varicose veins.


Surgical & Non-Surgical Treatment Options For Varicose Veins - Which Is Better?

Varicose veins are a condition marked by enlarged or gnarled veins. This typically affects the veins in the feet and legs. In most cases, varicose veins are a mere cosmetic concern but in some cases, it can be quite uncomfortable and painful. If left untreated, it can also lead to further complications.

Varicose veins may be caused by a lack of elasticity in the veins causing blood to pool in them and flow backwards. This blood is deoxygenated and hence the veins appear blue. Women have a higher risk of suffering from varicose veins as compared to men. This risk also increases with age and weight. Pregnancy can also cause varicose veins. 

The most common symptoms of this condition are:

Visible veins just under the surface of the skin
Veins that appear blue and gnarled
A dull ache in the legs
Throbbing or burning sensation in the calves
Pain in the legs that worsens after standing or sitting in the same position for a long time
Itching around the veins
Bleeding veins
Inflammation of the skin or ulcers around the ankles
Red or blue spider veins
What steps to maintain once you have undergone the sugery

Keeping the legs raised or wear compression stockings can relieve the pain associated with varicose veins and prevent the condition from worsening. 
Exercise can also help improve blood circulation. If these home remedies are not effective, the patient may need to consult a doctor.
Women with a family history of varicose veins should also avoid wearing high heels and tight stockings.
Complications caused by varicose veins are rare. However, some people may experience bleeding on the surface of the skin. There are chances that the veins deep inside the muscle may get twisted which may lead to the swelling of the calf muscles. Varicose veins may also cause painful ulcers around the ankles and is a result of the buildup of fluid around the ankles.

All the complication must be reported to the doctor at the earliest to prevent the condition from worsening.

Varicose Veins - Know The Signs Of The Condition!

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