What Treatments Are Available?

The most commonly asked questions are whether veins require treatment and which type of treatment would be best. Veins that are cosmetically unappealing or cause pain are prime candidates for treatment to relieve these problems and improve circulation through the remaining veins.

In the past, surgical treatments such as ligation (tying off a vein) and stripping (removing a vein) were the commonly recognized treatments for varicose veins in this country. Today, however, surgery is necessary in a low percentage of patients and is usually used on larger varicose veins.

Surgery may be performed under local, spinal or general anesthesia, and generally results in only small scars on the leg or in the groin. Most patients can return home the same day as surgery. Surgical techniques to treat varicose veins include ligation, stripping and, the latest technique, ambulatory phlebectomy. Surgery can be complementary to sclerotherapy in treating varicose and spider veins.

How does Vein Treatment effect my candidacy for by-pass grafts?

Veins that have been stretched, dilated and weakened by varicose vein disease are unsuitable veins for donor purposes for arterial by-pass grafts. In many situations, other segments of veins are left untreated and thus may be suitable for grafting purposes. Alternative surgical procedures such as internal mammary artery grafts and balloon angioplasty are available for coronary artery re-vascularization.

Will treating my varicose veins adversely affect the return of blood from my legs to my heart?

The veins that are being treated are abnormal in appearance and function, so in their diseased state they actually adversely affect the return of blood to your heart. The symptoms that patients experience from varicose veins are the result of the poor circulatory function of the vein. Removing or closing them will improve the circulation and return of blood from your legs to your heart.

How Can I Get More Information?

Please explore our website and feel free to contact our office should you have additional questions. Links to other sites that may provide additional information are listed below:

> American College of Phlebology

> American Venous Forum

Content reviewed and updated on August 3, 2013.