Often, patients are referred to our office after they have been treated multiple times for recurrent varicose and spider veins. Frequently, these patients have been treated for the superficial effects of varicose veins without a thorough investigation of the underlying cause of the problem. Without addressing the underlying pathology, the cosmetic effects of superficial vein treatment are short lived and new veins occur repeatedly. An evaluation by a vascular surgeon can reveal a problem with the venous system that is not addressed with superficial vein treatments. Treatment of the underlying cause of varicose veins will often result in a more permanent and satisfactory outcome.
Up to 50% of Americans will develop venous insufficiency or varicose veins in their lifetime. It is difficult to determine whose veins are hereditary and whose are sporadic. Other risk factors for varicose veins include age, number of pregnancies, female hormones, standing professions, and obesity. While we have little control over some risk factors, often reducing the amount of standing, exercise, and weight loss will have dramatic effects on varicosities. Even compression stockings may relieve their pain.
So you may not be able to blame your parents for this one entirely, but since at least some of the varicosities may be from lifestyle issues, there are some simple lifestyle changes that you can do to alleviate the problem. Our focus at Vascular Specialists is design a specific treatment for your individual needs. We look for a multifaceted approach to vein disease that addresses the patient’s individual concerns.
The five treatments are:
- Conservative measures.
- Injection Sclerotherapy (Superficial and Deep)
- Venous Ablation (Radiofrequency and Laser)
- Operative stripping and phlebectomy
- No treatment
These are the broad classes of treatment of varicose veins offered by reputable vascular specialists, and before deciding on the treatment of your varicose veins, you should discuss the benefits and drawbacks of each therapy method with your physician. No two patients are alike and no two veins are alike, so the best treatment is the one individualized to your condition.