Treatment of Varicose Veins

Varicose veins, also known as varicosity or varicosis, are one of the most common vascular disorders, leading to discomfort and aesthetic concerns. Dobrobut Medical Center houses specialists with extensive experience in identifying and treating varicose veins using international guidelines, modern technologies, and equipment.

Causes of Varicose Veins

Varicose veins develop when venous vessels enlarge, become twisted, and overfilled with blood. Most frequently, varicosities affect the veins in the lower extremities due to increased pressure in these areas. Factors contributing to varicose vein development include:

• Inherited Predisposition.
• Age: Over time, vascular walls weaken, increasing the risk of blood stasis and vein dilation.
• Hormonal Changes: During pregnancy, menopause, or hormone therapy, vein elasticity may suffer.
• Excess Weight or Obesity: Leading to greater pressure on leg veins.
• Prolonged Standing or Sitting: Due to professional or behavioral traits can hinder blood flow and cause vein issues.

Symptoms

Patients with varicose veins may experience numerous symptoms, ranging from mild to severe. The most commonly reported signs include:

• Visible, Swollen Veins: Usually bluish in color.
• A Feeling of Heaviness or Aching in the Legs: Especially after prolonged sitting or standing.
• Swelling in the Legs and Ankles.
• Itching or Rash Around the Affected Veins.
• Ulcers Around Varicose Veins and Other Skin Changes.
• Bleeding from Varicose Veins.

It is important to consult a doctor as soon as possible. Early diagnosis and treatment can help prevent complications.

Diagnosis

At Dobrobut Clinic, a comprehensive approach to diagnosing varicose veins is employed. This includes a physical examination, assessing the condition of the veins in the legs, any chronic conditions, and other health factors, as well as additional methods of investigation. Doppler ultrasound is commonly used to visualize venous blood flow and identify the presence, location, and extent of varicose veins.

Based on examination results, an individualized treatment plan is developed.

Treatment

There are several options for treating varicose veins, ranging from conservative approaches to more invasive procedures. The method is chosen based on the form and severity of the disease, as well as the patient's overall health. Some common methods include:

• Lifestyle Changes and Home Remedies:
  • Regular physical activity to improve circulation in the lower extremities.
  • Maintaining a stable, healthy weight to reduce vessel pressure.
  • Improving circulation by elevating the legs above heart level several times a day.
  • Taking breaks to move can prevent varicosity from worsening.
• Compression Stockings: Specially designed stockings that apply pressure, helping veins and leg muscles move blood more efficiently.
• Sclerotherapy: A medical procedure where a solution is injected into veins, causing them to scar and close.
• Laser Methods:
  • Endovenous Laser Therapy (EVLT): A minimally invasive method often used for larger veins.
  • Laser Treatment for Superficial Veins.
• Radiofrequency Ablation: Uses radiofrequency energy to heat and close problematic veins, redirecting blood flow to healthier veins.
• Vein Ligation and Stripping: Surgical intervention where veins are tied off (ligation) and removed (stripping) through small skin incisions, used in more severe cases.
• Ambulatory Phlebectomy: A minimally invasive procedure that removes small varicose veins through small cuts, usually requiring only local anesthesia.
• Endoscopic Vein Surgery: Used in severe cases with ulcers; involves using a small camera to examine and close veins from the inside.

Recovery

Recovery after varicose vein treatment depends on the method used. After minimally invasive procedures, patients usually return to regular activities within a few days. If surgical treatment was performed, rehabilitation could take longer. Lifestyle adaptation and follow-up exams are necessary to monitor progress.

At Dobrobut Medical Center, patients remain under specialist supervision throughout the recovery process.

Complications

In advanced cases, varicose disease can manifest severely, leading to complications such as:

• Deep Vein Thrombophlebitis: With a high risk of clot formation.
• Skin changes due to prolonged pressure, potentially leading to ulcers.
• Bleeding from varicose veins, especially if injured.

Prevention

Preventive measures to prevent the development and progression of varicose veins focus on addressing risk factors. It is important to maintain an optimal weight, incorporate regular physical activity without heavy lifting, avoid prolonged standing or sitting, use compression stockings/tights when necessary, and consult a doctor if symptoms appear or worsen.

To schedule a consultation with a phlebologist or surgeon, use the online form or contact the call center.