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Non-Surgical Treatment Option
A non-surgical, minimalistic approach is called conservative treatment. The symptoms of venous disease can be treated by wearing compression hose on a daily basis. Compression hose apply “graduated” pressure, meaning they are tightest at the ankle and decrease in pressure as they move up the leg. These hose prevent blood from pooling in the legs by providing support to the veins and skin. Wearing compression hose can alleviate symptoms like aching, pain and leg fatigue. They also reduce the recurrence of venous ulcers and speed the resolution of phlebitis and DVT (blood clots).
Compression hose work well in combination with regular exercise. Thirty minutes a day is ideal, but avoid heavy lifting or other strenuous activities as these can worsen venous disease. Toned and strong calf muscles provide more efficient blood flow.
There are many different types of compression hose. They come in knee high, thigh high, and full panty hose. There’s also different knits, colors, and more importantly, different grades. The grade measures the amount of pressure exerted by the hose. We can help choose the right grade for your treatment.
Surgical Treatment Options
Over the years, surgical treatment has simplified to include simple in-office procedures.
Endovenous Thermal Ablation is the most common procedure. This minimally invasive procedure takes place in the doctor’s office. First, a catheter is inserted into the unhealthy vein through a small incision. Numbing solution is then injected around the vein. Next, the tip of the catheter heats the inside of the vein causing the collagen in the vein wall to collapse and seal shut. Blood is then rerouted to healthy, functional veins. Depending on the anatomy of the patient, either Radiofrequency or Laser energy source will be administered, both of which result in identical outcomes.
This procedure takes less than an hour, patients walk in and walk out of the procedure and continue with their normal everyday activities. There is no downtime and the success rate is an impressive 99 percent.
A phlebectomy is an in-office procedure that involves the removal of bulging varicose veins. The veins that bulge out of the skin are considered “secondary” varicose veins because they’re actually smaller branches of the Great saphenous or Small saphenous veins.
The Great and Small saphenous veins are the primary sources of venous insufficiency, so they must be treated first with endovenous thermal ablation. Afterwards, the doctor can perform a limited phlebectomy to remove the twisted, lumpy veins through small incisions. This procedure takes less than half an hour, doesn’t require stitches, and like thermal ablation, has no downtime.
Sclerotherapy is considered a cosmetic in-office procedure. Small spider veins are treated by injections of a sclerosing solution. This causes the vein to collapse and fade. Several treatments may be necessary depending on the severity of the spider veins. Full results can be expected within six months after treatment.
Asclera® is the sclerosing agent brand trusted by University Vein Center. It works by damaging the endothelium, the cells lining the inside of blood vessels. This causes blood platelets to attach to the lining of the vessels; eventually, cellular debris and platelets cause the blood vessel to clot. Over time, the clotted vein will be replaced with tissue.