How to treat varicose veins without pain

With varicose veins, the veins lengthen and expand, nodal deformities appear on them. In parallel, the work of the valve apparatus is disrupted, this leads to a violation of blood flow in the affected vein.

Varicose veins lead not only to a pronounced cosmetic defect, but can also be accompanied by impaired blood flow to the heart, its stagnation in organs, dermatitis, eczema, cellulite and trophic ulcers. In addition, venous inflammation and thrombosis may develop.

Symptoms are enlargement, tortuosity of veins with the formation of nodes, vascular "asterisks" or "mesh", intermittent and then permanent edema, bronze color of the legs, inflammation of the skin and subcutaneous fat, the development of trophic ulcers.

Fortunately, today there are ways to treat varicose veins that do not require surgery.

Modern treatment without surgery

The essence of all procedures is to remove veins changed by varicose veins. In recent years, phlebology (the science of treating veins) has changed a lot, and today you can get rid of varicose veins quite quickly and easily. There are several methods of getting rid of venous pathologies:

  • Sclerotherapy.
  • Application of biological glue.
  • Laser coagulation.
  • Radiofrequency ablation.
  • Traditional operations.
  • Miniflebectomy.
woman with cured legs from varicose veins

Sclerotherapy

The essence of the technology is that a special liquid preparation - sclerosant - is injected into the diseased vein through a small puncture with a syringe.

A tightly fixed thrombotic "filling" is formed in the vein, which stops the blood flow in the vessel. As a result, the vein gradually dissolves.

The drug is administered both under visual control and under ultrasound control. This makes it possible to harden the vessels invisible on the surface and control the spread of the drug through the vessels.

To consolidate the effect after the injection of sclerosant, the patient is recommended to wear compression hosiery for several weeks or even months. Repeated administration of sclerosant is often required; in this case, they speak of a course of sclerotherapy, consisting of several sessions.

Today sclerotherapy is used only to remove intradermal spider veins. When removing the saphenous veins, the technique is used as an addition to other methods (EVLK, RFA, traditional operations) to remove small diameter venous ducts.

Closure of veins with biological glue

Veins are successfully closed with a special preparation at different stages of varicose veins. The procedure is similar to the previous one, but in this case an adhesive substance is injected into the lumen, which, when it comes into contact with blood, polymerizes, squeezes out the blood and forms a polymer "filling". After the cessation of blood flow through the vein, as with sclerotherapy, fibrous tissue is formed and the vessel is partially absorbed. The materials for this procedure are quite expensive.

Laser coagulation (EVLK)

The laser is used in two ways:

Endovenous laser coagulation / ablation / obliteration or EndoVenous Laser Therapy (EVLK, EVLA, EVLO, EVLT) - is used both to remove large main veins and to remove smaller, but deeply located veins, for example, perforators.

The procedure is performed with local anesthesia and takes 20 minutes to an hour. A laser light guide is inserted through a small puncture into the vein, and with the help of light energy they cause coagulation ("folding") of blood proteins, forming a protein-erythrocyte coagulum ("filling") in the lumen, which blocks the lumen of the vessel.

After the cessation of blood flow, the lumen of the vein grows with fibrous tissue, then it gradually dissolves.

The effect of a laser can be compared to the removal of a vein. The patient can go home immediately after the operation, and wear compression stockings for several weeks or months.

Percutaneous laser coagulation (PLC). In this case, the vein is acted upon directly through the skin with a focused laser beam. This method removes only very thin, less than 0. 1 mm, superficially located intradermal vessels (usually capillaries, venules or arterioles). The disadvantages of this method are frequent relapses and burns.

By the way, the cost of laser treatment of varicose veins is generally lower than the price of previous methods.

Radiofrequency ablation / obliteration (RFA, RFO)

Only large veins are removed with radiofrequency ablation. The method is fundamentally similar to laser removal, however, with RFA, the effect on the veins does not occur with a laser, but with a current of a very high (radio wave) frequency.

The RFA technique is effective, but it has a big drawback - a considerable price (due to the high cost of equipment and consumables).

woman's legs without varicose veins

Surgical Treatment - Phlebectomy

The operation is shown:

  • if desired by the patient himself;
  • in the presence of some anatomical features of the structure of large veins, which prevent minimally invasive interventions (EVLK, RFA);
  • with pre-mouth thrombosis of large venous trunks.

Fortunately, the ways of performing surgery to treat varicose veins (phlebectomy) have also changed today.

If earlier, to remove a diseased vein, it was necessary to make incisions along the entire length of the leg, today it is enough to make two small incisions (sometimes one is enough) and remove a large vein using a special probe.

This not only preserves the beauty of the legs (does not leave very noticeable scars), but also makes the operation itself less traumatic, and the recovery period faster.

If the case is not the most neglected, you can not even go to the hospital for an operation, but go home after the anesthesia has passed.

Miniflebectomy

It consists in the fact that through small punctures of the skin (up to 1-2, less often 3 mm), the veins are captured with special "hooks" that look like crochet hooks, and pulled out, where they are crossed and removed in fragments.

This procedure is performed either under local or general anesthesia. The disadvantages of the procedure are laboriousness, the inability to remove deep and large trunks, a high percentage of residual veins and their fragments. Today this technique is used as an adjunct to EVLK, RFA or conventional surgery.

Both minimally invasive and traditional surgical methods give approximately the same results, which mainly depend on the degree of neglect of the disease. To achieve the best treatment results, combinations of several methods are used, for example, EVLK and sclerotherapy or miniflebectomy, RFA and sclerotherapy, surgery and miniflebectomy, etc.

Only an experienced doctor can choose a complex of treatment depending on the anatomical features of varicose veins, the degree and severity of the disease, the presence of complications, the general state of health, taking into account the personal needs and desires of the patient.