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Overview

Varicose: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Varicose veins are an extremely common condition. In this condition, your veins tend to become gnarled and enlarged, and stick out very prominently on your hands and feet. The reason why the veins become like this is unknown and these veins are generally quite harmless. They pose no threat to your health and are, more often than not, just a cosmetic concern for most patients who have them. However, in some cases, they can also cause pain and discomfort. This indicates that there is a problem with the circulatory system that needs to be looked at.

As varicose veins are mostly a cosmetic concern, people do not often seek out treatment for it. However, if they begin to cause pain or discomfort, difficulty in walking, and a throbbing sensation, then it means that there might be an underlying problem with the circulatory system, in which case there are certain treatment methods that must be called to use.

One of the most common ways to treat varicose ways is wearing compression socks. These help bring down the enlargement or swelling in the veins and reduce the overall discomfort and pain. Regular exercises to stimulate blood flow are also often recommended. Finally, if the veins cause too much trouble, they can be blocked or removed surgically to bring out some relief from this condition.

How is the treatment done?

Varicose veins are usually diagnosed by sight and a physical exam. The gnarled appearance of the veins along with the way they protrude is often quite distinctive, making this an easy condition to diagnose almost instantly. The doctor may also take your blood pressure to see whether your circulation is affected and if so, how much, before administering the right treatment course for you.

One of the most common treatment options is compression socks or stockings along with elastic bands. Compression socks essentially help squeeze all the blood upwards so that there are no clots formed in the legs where the varicose veins are. They also help reduce the overall swelling. Elastic bands are exactly what they sound like. They are tied around the limb to help compress the veins and the swelling. These treatment methods are generally very effective.

Apart from this, exercising on a regular basis is also recommended. With aerobic exercises lasting 15-20 minutes, you can stimulate your heart function and circulation, thereby taking some of the pressure off your veins. Weight loss also goes a long way when it comes to preventing or controlling the discomfort that comes with varicose veins.

Who is eligible for the treatment? (When is the treatment done?)

Anyone with varicose veins can seek out the treatment.

Who is not eligible for the treatment?

Many underlying conditions can cause your legs to pain or your veins to look prominent. If you have a condition that is different from varicose veins, then using the treatment options meant for this particular condition may not benefit you at all.

Are there any side effects?

There are no side effects to this treatment.

What are the post-treatment guidelines?

It is imperative to continue to exercise on a regular basis. Furthermore, controlling your diet so that you can lose weight can also go a long way.

How long does it take to recover?

It can take anywhere between 2 weeks to a month for your legs to stop aching completely.

What is the price of the treatment in India?

Compression socks can cost anywhere between Rs. 1,000 – Rs. 2,000 depending on the brand you are purchasing.

Are the results of the treatment permanent?

Varicose veins are a lifelong ailment. Therefore, only continuing to use your treatment as directed can help you keep the results permanent.

What are the alternatives to the treatment?

There are many things you can do at home to manage the pain you are in. A hot compress soothes your muscles and a cold compress is also known for being effective for pain management. Soaking in a warm tub with lavender oil, which relaxes the body and reduces the blood pressure (since it is a vasodilator) can also help.

Safety: High Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: High Price Range:

Rs. 1000 - Rs. 2000

Popular Health Tips

EVLT Endovenous Laser Treatment For Varicose Veins!

M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Nashik
EVLT Endovenous Laser Treatment For Varicose Veins!

It is said that if all the veins of the human body were laid out in a single line, it would stretch over 60000 miles. We don’t usually think of our veins or notice them unless an intravenous injection is to be administered or the person suffers from varicose veins. These veins are usually benign and can be described as enlarged veins that rise to the surface, and become prominently visible. The varicose veins can usually be seen on the feet and calves. For most people, it is simply a cosmetic problem but for others it can be the cause of pain and discomfort. The good news is that in either case, varicose veins can be treated.

EVLT refers to Endovenous Laser Therapy, which is also known as EVLA or Endovenous Laser Ablation. This is a type of laser therapy that can be used to destroy veins from within. The procedure is performed while the patient is under local anesthesia and hospitalization is not required. Know the steps in which it is carried out:

  • The first stage involves mapping the veins and identifying the problem veins. A Duplex Ultrasound is usually used to create this map. It is important to note that this procedure cannot treat bulging veins on the surface of the skin. The veins that can be treated include the Great Saphenous Vein (GSV), Small Saphenous Vein (SSV) and their major tributaries.
  • Once the veins have been identified a needle is inserted into the vein near the ankle or knee with the help of ultrasound controls. A wire is then passed into the vein and a long sheath is then passed to the top, and positioned with the help of the ultrasound.
  • Ultrasound is again used to then inject local anesthetic into the area around the vein. This numbs the vein and surrounding tissue. The adrenaline in it also makes the vein contract, so as to fit the sheath perfectly. This technique is called ‘Tumescent anesthesia’.
  • This is followed by passing a laser fiber inside the sheath and switching the laser on. The laser and sheath are then pulled back simultaneously so as to destroy the vein without damaging any of the surrounding tissues.

Once done, you should be able to get back to work and your normal lifestyle, the day after the surgery. But it is advisable to take good rest for few days, before you get back to your regular routine. Your doctor may advise you to wear compression stockings for up to 2 weeks. You should also avoid letting your legs come in contact with water. To avoid getting varicose veins in future, exercise regularly and have a balanced diet to control your weight.


 

2024 people found this helpful

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

MS - General Surgery
General Surgeon, Thrissur
Surgical & Non-Surgical Treatment Options For Varicose Veins - Which Is Better?

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.
 

3052 people found this helpful

Varicose Veins - Know The Signs Of The Condition!

MBBS, MS - General Surgery, DNB Peripheral Vascular Surgery
Vascular Surgeon, Lucknow
Varicose Veins - Know The Signs Of The Condition!

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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2863 people found this helpful

Varicose Veins - 9 Signs You Are Suffering From It!

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Varicose Veins - 9 Signs You Are Suffering From It!

The veins are a type of blood vessels which collect impure blood from all parts of the body and return it to the heart. The veins in the legs especially are quite thick and need to exert extra pressure to pump blood against gravity towards the heart. In quite a few people, these veins could be engorged, swollen, and twisted, which are known medically as varicose veins.

Causes:
Defective or damaged valves in the blood vessels. Normally, the blood flow is controlled by valves which ensure blood flows in the desirable direction. When these valves are not able to control the flow of blood, then varicose veins can return
Thin vein walls can lead to improper flow of blood, resulting in varicose veins

Risk factors:

  1. Prolonged standing
  2. Obesity
  3. Pregnancy
  4. Smoking
  5. Surgery in the leg, which could have hampered the values or veins
  6. Age, as the elasticity of the vessels, reduces with age and can impede normal blood flow
  7. Family history

Symptoms:

  1. Blue, swollen veins in the legs which are thin and ropy
  2. Pain with prolonged standing followed by pain and tenderness
  3. Itching and heaviness in the legs
  4. Cramping in the night
  5. Blood clots in the superficial vessels
  6. Severe varicose veins can cause bleeding
  7. The area around the leg feels firm and/or hard
  8. There could be skin changes like scaling, dryness, and color changes
  9. Increased propensity to bleed in the affected leg

Diagnosis:

  1. Usually easily diagnosed in clinical examination
  2. The above-listed features are very characteristic and help in identifying them
  3. Further testing may be done to identify the problematic valve, usually using a tourniquet
  4. Doppler ultrasound, scanning, and MRI may be required to confirm diagnosis, which are quite rarely used

Prevention/Treatment:

  1. Keep the legs elevated as much as possible. During working hours, take short breaks where you are able to elevate the legs
  2. Even in prolonged journeys, try to take a break which will improve circulation
  3. Quit smoking
  4. Compression stocking (Ted hose or Jobst stocking) can be used to improve circulation. They also help in controlling pain and are very commonly recommended to treat varicose veins
  5. Avoiding alcohol, which leads to venous dilation
  6. Weight management, as being overweight is a big risk factor
  7. Do not cross legs when sitting, as it puts constant pressure on the valves
  8. Avoid tight clothing which can put pressure on the veins and/or valves
  9. Keep a regular exercise regimen like walking to improve blood flow
  10. Surgical treatment options include sclerotherapy, laser treatment, and stripping off the vein, but are not usually required.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2966 people found this helpful

7 Ways Your Body Changes During Pregnancy

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Ahmedabad
7 Ways Your Body Changes During Pregnancy

Pregnancy is one of the most transformative experiences in the life of a woman. Every moment of pregnancy is filled with intense joy and anticipation. However, due to massive hormonal fluctuations during this time period, there can be moments of unexplained depression and distress. This happens mostly due to the metamorphosis that the body undergoes in order to accommodate the growth and development of a new life. During this time, innumerable physical changes take place.

Other major change that can vary from one woman to another depends on their lifestyle, general health, diet and self-care routine. Another important factor to consider is the kind of drugs that the doctors prescribe which can affect the body in different ways.

Ways in which your body transforms during pregnancy

  1. Skin: The rise in the levels of oestrogen often provides the “pregnancy glow” to the skin. It can temporarily make the skin look even toned and healthy. However, it may also affect the skin in a negative manner; give rise to blotchy pigmentation, rashes, under eye dark circles. The increase in oil secretion causes acne outbreaks. Stretch marks are common problems that do not seem to go easily. These are visible mostly near the abdomen and on the limbs.
  2. Hair: On a regular basis, almost 100 hair strands fall out, and new hair strands take their place. This continues in a cyclical process. During pregnancy, the follicles are mostly locked in a growing phase that causes a surge in the volume of hair. After the birth of the baby, the extra follicles start falling out and this phase can cause a lot of distress to the new mother. However, with proper care and medication, the excessive hair fall should be in control in a month or two.
  3. Bodyache: Back pain , especially in the pelvic or lower back region is one of the most common occurrences in the advanced stages of pregnancy. This is accompanied by headaches, swollen legs or tingly, numb feeling in the hands. The substantial increase in water retention is most visible in the legs and feet and may make walking or standing painfully difficult. Varicose veins develop and worsen during pregnancy. The sudden, yet temporary weight gain causes difficulty in movement.
  4. Digestion: The digestive system slows done during pregnancy. This happens due to a number of chemical secretions, hormones and in most cases, the inability to remain physically active as before. This leads to a rise in acidity, indigestion and most commonly, constipation.
  5. Incontinence: The pressure on the urethra can lead to difficulty in urination and cause incontinence.
  6. Heart, lungs and blood pressure: The heart has to work harder than before and pump extra blood to the growing baby within the womb. This causes an increase in the pulse rate and blood circulation throughout the baby. The blood pressure fluctuates and may drop down during the second trimester as the pregnancy hormones often cause the blood vessels to relax. This is often the reason for dizziness and disorientation during pregnancy. In case of patients with hypertension, the blood vessels may constrict and can create a medical emergency situation.
  7. Breasts: The increase in progesterone and estrogen, and the milk producing hormone ‘prolactin’ create visible changes in the breasts. This includes darkening of the areola, increase in the blood flow to the breasts, erection and hypersensitivity in the nipples and the growth in the milk sacs, ducts and lobes.

Most of these symptoms improve and disappear in a few weeks after child birth and the body starts recovering. The sheer exhaustion of childbirth takes a toll on the physical and mental health of the mother. There is utmost need of rest and proper nutrition. There is no need to rush to heal yourself, it is best left to nature along with a few guidelines that a doctor will help you with.

3016 people found this helpful

Popular Questions & Answers

Hi, I have varicose veins n suggested for surgery, I want to know if it can be treated without surgery only by medication ,I have consulted vascular surgeon but m scared of getting surgery done n not sure whether it is 100%cure for this problem as it comes again, I am having osteoarthritis, n xray shows osteophytes, pl suggest me ,what should I do, thanx.

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
You have options of laser/RFA and other endovascular procedures..which are painless...about your recurrence some do reccure...if all symptoms are due to varicose vein than arthritis consider for intervention..u already consulted vascular surgeon..best person for varicose veins..
1 person found this helpful

Hi, I am 22. Over the past 2 days i have noticed my hands on my fingers and knuckles look blue. I had a closer look and it appears to be a bunch of veins that are small but look like branches that are blue. What should I do?

MD - Psychiatry
Psychiatrist, Chennai
usually veins are light green in coloraturas, surprising they are blue for you. Send pictures to any doctors, they will help you out. All the best.

I am 53 Year female, I have varicose veins in both legs. In July 2016 I got laser operation done in my right leg and till August 2018, everything was fine and legs were healthy. But suddenly there is swelling which is not going even after taking Daflon 1000 mg tabs and there is large black as well as red blood clotted patches in my both lower limbs and pain all over the area described. Sometimes, there is burning sensation from within and itching all over the rashes. I am keeping leg elevated during sleep and resting time. Kindly suggest me how to go ahead with medications and treatment for this problem. I am unable to walk, keep my legs on the floor or even wear footwear.

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Hi. You are heavy weight persons with your height and weight ration. Some points 1. Ubm8ght have some diff problem at present than varicose veins or it can be same 2. Get one repeat venous duplex done in standing position to confirm above mention stuff. 3. Consult vascular surgeon. As varicose veins can have recurrence in some cases. Which may or may not require intervention. 4. Start wearing proper stockings. To control disease at this stage. 5 avoid itching or scratching getting ulcer following minimal trauma is worse thing we want in this sceanrio. If has more question get back to me.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Varicose Veins
Hi,

I am Dr. Vaibhav Kapoor. I am a consultant laparoscopic and Laser surgeon at Max Hospital Gurgaon.

Today I will be discussing about varicose veins and what are the new modalities in the treatment of varicose veins. So what are basically varicose veins, they are nothing but dilated tortuous veins over the lower leg, these veins are generally overfilling with blood. So what are the symptoms what do complete patients complaint of in varicose veins patient either complaint of dilated chord-like structure in the lower leg or they complain of pain when they stand for long or they might have itching in the lower half, some patients main complaint of skin pigmentation, in extreme cases it can lead to ulcer formation in the lower half of the leg and it can also cause bleeding. So why do they happen we need to understand the certain physiology behind it leg veins are generally anti-gravity veins they have from a lower part of the body towards the heart. So they have perforators in these which are unidirectional and which aid them taking the blood up. Now damage to these perforators leads to stasis of blood in the lower half of the vein. So these things, later on, lead to varicose veins. Now in extreme cases, we don't treat Varicose veins so what they can do they can either lead to the formation of ulcers in the lower half or patient might have started bleeding from the lower half of the body. So how do you diagnose it, Varicose veins is a clinical diagnosis one sees a surgeon and after clinical examination can confirm the diagnosis, you will take a need of ultrasound doppler which will confirm all perforator damage. Now how do you treat it in the initial studies we just tell the patient to avoid standing for long hours and to wear some compression stockings but the definitive treatment for Varicose veins is surgery. So conventionally or traditionally we have been doing open surgery which is being used to cut open at the upper part of the leg and strip the entire vein, nowadays the latest modality is laser treatment it is a pinhole surgery we generally make a small hole in a lower half of the skin on the lower leg and we enter the vein through that area, with the lasers fibre we reach to entire vein and specific amount of laser energy is delivered every cm of the vein and it is ablated. So advantages of a laser, its 10 minutes to 20 minutes surgery and it is almost painless, treatment is permanent it leads to minimal blood loss, minimal bleeding patients are able to tell out to went for the very next day and resume the normal activities in 3 days time. So we compare conventional surgery with laser surgery, so what are the advantages the conventional surgery in the conventional surgery used to tell patients to avoid walking, avoid standing for 2 to 3 months Hospital stay used to 3 to 5 days but with the help of laser surgery the surgical time is reduced to 20 to 25 minutes, patient goes home the same day, in 3 days he can start to work, the results are excellent and it's almost become painless, so these are the greatest advantages. So if you are facing these problems you can get in touch with me through my website which is drvaibhavkapoor.com at my website you will get complete information on laser treatment and on Varicose veins and proctology. If you want to visit me you can visit me at Pristyn Care, Pristyn Care is the only dedicated center in North India right now which are doing laser surgery for Varicose veins and as well as for proctology.
Play video
Varicose Veins
Symptoms and treatment for Varicose Veins
Play video
Laser Treatment for Varicose Veins
Get Rid of Varicose Veins with Laser Treatment

Hello! I am DR. Sudhir, consultant interventional radiologist and varicose vein specialist. I have been working the treatment of varicose veins for the past 10 years. I have been running DR. Sudhir Scan centers and varicose vein clinic Hyderabad.

First of all what are varicose veins? Veins are the blood vessels that carry blood vessels from the legs back to the heart. They have multiple valves. Whenever these valves are filled, the veins dilate and are called as varicose veins. Usually these veins occur in the leg because of the long length there. The main valves, veins affected are the great saphenous veins and the short saphenous veins. This problem can occur at any age group, however women are more commonly affected than men.

Coming to what happens after you are diagnosed with varicose veins and what should be the treatment? Treatment used to be previously surgery. You know surgery has its own problems. First of all they had to give general anesthesia. General anesthesia in which the patient is put to sleep has its own problem and the other alternative was spinal anesthesia. Also the procedure was called stripping wherein the entire vein was cut open and removed. And this led to a lot of loss of blood as well as a lot of pain, swelling and the patient was out of work for almost a month. So now the modality is not yet used. Now we are using the latest treatment called the Endovenous laser treatment.

As you know now in all medical and surgical specialties we are only using lasers to the latest modality of treatment. Lasers give the advantage of reduced bleeding and reduce downtime. Like that similarly in varicose veins specialty also we are using the lasers. In this the entire process is formed and done under local anesthesia. The laser fiber is inserted by a small needle into the vein and once the laser fiber is inserted we check the position of the fiber using ultrasound and then the laser is activated and the vein is obliterated. Once the vein is obliterated in time, the diffused vein will close and the blood will flow back to the heart via another means. The other modality which we use is Insculerio Therapy. The Insculerio therapy is only used for the side branch vein and when there is excess twisting of veins. If there is excess twisting of vein, we cannot insert a laser fiber, so we use Insculerio therapy in those conditions. So regarding laser most patients are having a misconception that they cannot undergo the treatment because of their ill health. However, this is a very safe procedure and almost anyone can do.

In fact the only people who we do not do are patients who are pregnant, because many people develop varicose veins during pregnancy. And once the pregnancy is finished the varicose veins disappear by themselves. So we wait until the pregnancy is done so that we can treat varicose veins. Other contradictions are the presence of active clots in the way we do not want to dislodge any clots from the vein which can travel to the heart. So we do not put anything into the vein when there is an active clot. Old patients, diabetic patients, people with heart problems, asthma all can be treated with the laser treatment. So why us? Our clinic is centrally located in Hyderabad and also we have everything under the same roof. I am a consultant radiologist and I can do Doppler scanning by myself. This will help me to get a better idea about the position of the way and other problems and so this helps me to give a better treatment for my patient.

Also we use the latest equipment, the 1419 NM equipment. This 1419 NM equipment will target the blood vessel wall itself and not the blood. The older wavelengths which were used in the laser, used to cause the clotting of the blood. Now with this new wavelength, instead of clotting of the blood we have direct shrinkage of the blood vessel and this gives a better result. Also we have all the facilities including a lab tilting table. We also have various surgical and skin specialists also here under the same roof who will help in treating of the varicose ulcers. Also we provide attractive treatment packages with up to 6 months duration for the follow-up. So that even ulcers which are long-standing can be treated under the same city.

This is DR. Sudhir Pudi located at Ameerpet Hyderabad. You can contact me through lybrate or walk into my clinic anytime. Thank you.
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