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Varicose Veins Discussion and FAQ's

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What exactly are varicose veins, spider veins, and reticular veins?

Spider veins are ropy, swollen veins that are close to the surface of the skin. Reticular veins are the smaller, fine blue veins which might be under the skin. Spider veins are smaller, red or blue veins that are in the skin layer.

banish varicose veins

What can cause varicose veins?

The normal purpose of leg veins would be to carry blood to the heart. During walking activity, the calf muscle behaves as a pump, compressing the lower limb veins and forcing blood back for the heart.To prevent blood from going in the wrong direction, veins have one-way valves valves that prevent blood from flowing backwards on the leg. If the valves are faulty (a condition known as valvular incompetence), blood flows into superficial veins and down the leg. This process is known as reflux. Reflux ends in veins enlarging and having varicose. Once veins become varicose, they lose their ability to snap back to their correct shape, and become more plastic as opposed to elastic. Varicose veins unfortunately cannot heal themselves, which condition is either stabilized with compression hose, or managed using one of the vein treatment plans. The more saphenous vein is one of the most regularly damaged veins which leads to varicose veins from the leg.

spider veins

Who is vulnerable to varicose veins?

There are numerous risks for varicose veins. These risks will include a family history of blue veins, obesity, pregnancy, hormonal changes at menopause, work that needs prolonged standing or sitting, and past vein diseases like phlebitis (inflammation of a superficial vein) or deep venous thrombosis (blood clot inside the deeper veins). Women also usually suffer from varicose veins greater than men. In addition, spider veins can appear after trauma to the area.

spider veins

What are the symptoms of varicose veins?

Varicose veins could cause aching of the legs. The ankles, calf and feet may swell towards day's end, specifically in hot weather. Varicose veins can be sore and inflamed, causing redness of the epidermis around them. Skin changes from permanent vein problems include thickening of your skin, a brown discoloration, red rashes, and skin disease. Some patients with severe vein problems can be cultivated sores on the ankles, known as venous ulceration. These are often tough to heal, and can be helped by treating the actual vein problem in order to avoid the reflux that resulted in the ulceration.

How can varicose veins be treated?

There are lots of ways to treat blue veins, depending on the symptoms and types of veins present:

1. Compression stockings: The conservative treating varicose veins is to wear compression hose, exercise, control your weight, and elevate your legs above your waist whenever you can in order to drain the vein blood from the legs. Compression hose can assist the vein in pumping blood the leg and time for the heart. However, this system will not make the spider veins go away. Nevertheless, using compression hose is critical in not just preventing worsening of varicose veins, but also in preventing recurrent problems after treatment.

2. Sclerotherapy: This technique is used for the treatment of smaller varicose veins, as well as reticular veins and blue veins. A small amount of a medication (sclerosant) is injected into the diseased vein. The medication irritates the interior lining of the vein to result in it to seal shut. The newer types of sclerosants are not painful when injected employing a very tiny needle, and multiple sites of injection are typically needed. In addition, one usually needs between 2-6 treatments to obtain 70-80% clearance of the spider veins. The procedure is performed easily and quickly without the need for anesthesia. Sometimes, we use ultrasound guidance for sclerotherapy. The number of treatments required will vary with each individual, based on the extent of visible varicosities and blue veins. A range of 2-6 treatments should be expected in order to achieve a 70-80% clearance of the spider veins. We also make use of a Lyra 1064 nm YAG laser to treat stubborn blue veins.

3. Surgical Stripping: During the past, surgical removal or "stripping" from the diseased vein out of your leg was the best treatment we could offer patients with vein problems. This treatment required an operating room, general or spinal anesthesia, and recovery times that varied from 2-6 weeks. Vein stripping is definitely an antiquated procedure and may be very rarely found in the management of varicose veins with all the newer techniques which might be currently available.

4. Microphlebectomy: This process involves the use of several, 1 mm, tiny incisions along the course of the leg veins to be able to remove the diseased vein in segments. These tiny incisions heal well with minimal discomfort. Microphlebectomy can be performed by itself or in in conjunction with another type of vein treatment.

5. Endovenous Laser Therapy: The application of lasers in the management of vein problems is replacing the common surgical approach to treating large varicose veins. With Endovenous Laser Therapy (EVLT) an extremely thin fiber or catheter is inserted to the diseased vein via a small needle puncture in the leg, requiring only local anesthesia. The laser delivers energy straight to the inner lining of the vein, causing the vein to shut. The procedure can be performed inside the physician's office in approximately 1 hour. Patients are usually capable to resume their routine activities immediately after the procedure.

How Does Endovenous Therapy Work?

Endovenous Laser Therapy (EVLT) treats the incompetent greater saphenous vein (GSV). The GSV vein courses across the inside part of the leg in the groin to the ankle, and is frequently the underlying cause of spider veins.

The procedure is done in work under local anesthesia using ultrasound guidance. A laser fiber is undergone a small sheath inserted in to the GSV. As the laser is activated, the resulting heat treats the inner lining of the vein causing it to close. The whole procedure is performed through a tiny skin incision, so there is no post-operative scarring. Pressure is applied to the treated veins using compression hose or other compressive dressings.

The recovery time from EVLT is rapid since there are no large surgical incisions or side effects of general anesthesia. Normal activities might be resumed the net day. Vigorous exercising such as weight lifting and aerobics are certainly not advised during this time, and now we advice that patients do not take on plane flights not less than one week after the procedure.

Why Endovenous Laser Therapy As an alternative to Other Treatment of Spider veins?

The benefits of EVLT are the following:

1. A fairly easy procedure

2. Performed under local anesthetic

3. Non-invasive, so minimal risk of scarring and postoperative infection

4. The process takes about one hour and avoids surgery within the operating room featuring its associated costs

5. Rapid recovery with reduced postoperative pain

6. Normal activities can be resumed almost immediately

7. Excellent clinical and aesthetic results

8. Protected by most insurance companies including Medicare after failure of conservative medical management

Do you know the Complications Of Vein Management?

Sclerotherapy and EVLT have rarely been connected with any serious complications. Minor complications of these procedures include bruising, mild itching, tingling, tenderness and tightness from the treated leg for two weeks after the treatment. Hypersensitive reactions to the sclerosant have been reported, however are extremely rare. Ulceration on the skin after sclerotherapy can rarely occur. Should they occur, the usually heal in 2-3 months and then leave a small scar. Deep Vein Thrombosis is certainly a rare complication following sclerotherapy of larger spider veins or EVLT. Other potential complications include:

1. Staining or brown pigmentation at the site of treatment. This happens in about 30% of patients. In many instances the staining resolves nevertheless it may take many months.

2. Clots under the skin. These clots may modify the treated veins. These bankruptcies are not dangerous and can be removed by way of a small incision if necessary. Most of these clots dissolve on their own.

3. Bruising with the injection sites usually resolves within up to fourteen days.

4. Capillary matting is surely an increase in the number of fine red vessels round the injection site. This concern may disappear alone, or can be treated by further injections.

Precisely what is Involved In The Care After Treatment?

We recommended compression hose as well as other type of compression dressing after treatments. These dressings are usually worn for one day following sclerotherapy and 1-2 weeks after EVLT. Compression stockings are available in different styles, sizes and colors. We advise return to a normal physical activity routine following your procedure, but vigorous exercising aerobically is not recommended for Two weeks after ELVT. Sclerotherapy patient can resume normal exercise the next day treatment.

Will Abnormal Veins Come Back After Treatment?

After sclerotherapy for blue veins, a small number of patients who have a natural tendency to form spider veins will need yearly treatments or "touch-ups". Larger varicose veins can also recur, especially if one gains weight, or does not wear compression hose. These recurrences usually are not as severe as the initial episode, and is treated with sclerotherapy or microphlebectomy.

Will My Health Insurance Cover My Care For Vein Problems?

Most insurance agencies will cover treatments for varicose veins that are causing problems despite conservative management. Conservative management means a shot of compression hose for 3-6 months. If you continue to have pain or swelling despite wearing compression hose, then most insurance companies will cover EVLT or microphlebectomy. Insurance will not usually cover the treating spider veins, and these care is paid for by the patient.

Will Removing Varicose And Spider Veins Hurt My Circulation?

The spider veins that are being treated are certainly not doing their job, and are also not missed if they are treated. The body has numerous other veins which are taking blood back on the heart, and they dominate the role of the spider veins after treatment.

You will observe some immediate results after strategy to varicose and blue veins. The best results will be seen after 3-6 months, when the swelling and bruising has completely resolved.


Posted Jan 04, 2016 at 5:47am