Varicose veins are swollen, twisted veins visible just under the skin’s surface. They are often caused by a valve system malfunction that helps keep blood flowing in the right direction. They can cause pain, swelling, and a heavy feeling in the legs. If left untreated, Davenport varicose veins can increase the risk of more serious circulation problems in the legs.
The diagnosis and evaluation of varicose veins usually involve:
- Physical examination by a doctor to assess the appearance and location of the veins.
- Ultrasound to visualize the blood flow in the veins.
- Duplex ultrasound to see if the valves in the veins are functioning properly.
- Venous pressure measurement to determine the blood pressure in the veins.
- Patient history and symptoms to determine the cause and extent of the condition.
Based on the results of these evaluations, the doctor may recommend treatment options
Treatment options for varicose veins include:
Compression stockings
Compression stockings are socks or hosiery that apply pressure to the legs to improve blood flow and relieve varicose vein symptoms. They are available in various compression levels and can be knee-high or thigh-high.
Compression stockings for varicose veins have the following advantages:
- Increases circulation and decreases swelling.
- Pain and discomfort are alleviated.
- Keeps blood clots at bay.
- Slows down the progression of varicose veins.
- Improves the overall health of the legs.
A doctor or specialist should fit compression stockings to ensure the proper level of compression and fit. They should be worn daily and go with most shoes.
Lifestyle changes
Lifestyle changes play a major role in the management of varicose veins. Some recommended changes include the following:
- Regular exercises such as walking or cycling improve circulation and strengthen leg muscles.
- Maintain a healthy weight to reduce pressure on the veins.
- Avoid prolonged periods of standing or sitting to reduce pressure on the veins.
- Elevate the legs when sitting or lying down to improve blood flow.
- Wear loose, comfortable clothing and avoid tight clothing or hosiery that restricts blood flow.
Endovenous laser treatment (EVLT)
Endovenous laser therapy (EVLT) is a minimally invasive treatment option for varicose veins. A laser fiber is inserted into the affected vein to heat and close it, redirecting blood flow to healthy veins.
EVLT is usually performed as an outpatient procedure and takes less than an hour to complete. Based on the severity and extent of your condition, your doctor can help you decide if EVLT is the best treatment option for you.
Sclerotherapy
When you undergo sclerotherapy, a solution is injected into the affected vein to shrink it. This procedure is used to treat smaller varicose veins and spider veins. After sclerotherapy, you may need to wear compression stockings for a few days to help improve blood flow and reduce swelling. Most patients can return to normal activities immediately after the procedure, although you should avoid strenuous activity for a few days. Your doctor can advise you on when you can return to normal activities.
The appropriate treatment depends on the severity and extent of the condition, the patient’s overall health, and personal preferences. Your doctor can help determine the best option for you.