What Is Varicose Vein Treatment?
Different medical procedures to correct the swollen, engorged and twisted blood vessels in the lower legs constitute the varicose vein treatment. Treatment modalities include medications to dilute blood, aggressive exercises to relieve strain, surgical correction. Varicose veins involvement is found more in females than males, especially women who have long standing working hours. Thus housewives are most commonly affected with this condition. Team MedcureIndia gives a brief description about the same in the following lines.
Causes of Varicose Vein:
- Heredity: The condition can be considered as genetic since it is found in generations related closely.
- Pregnancy: Inactivity and water retention may also lead to engorgement in the veins in the calves and feet
- Obesity: Excessive fat accumulation further will add to the twisting and tortuous nature of the veins in the legs. It also results in compression and reduced blood flow through the veins. Blood from the veins have to go back to the heart against the gravity from the legs. Due to fat accumulation, the pressure in and around the veins is high enough to not allow the blood to flow against the gravity. As a result of this, blood begins to accumulate and pool in the region around the blood vessels resulting swelling and edema.
- Menopause: Hormonal imbalance in women can also lead to engorgement of the blood vessels in the calf and thigh regions.
- Leg injury: This will cause rupturing of the blood vessels and hence pooling of the blood in the traumatized tissues.
- Prolonged standing: This is the commonest cause for varicose veins. Long standing hours prevent blood from the legs from going back to the heart for oxygenation. As a result they begin to accumulate in the legs. This will also cause distortion of the veins due to excessive pressure around the vessels.
Signs and Symptoms Of Varicose Vein:
- Constant throbbing pain in the legs
- Inability to walk, limping while walking
- Appearance of spider veins in the legs, called as telangectesia
- Swelling in the ankle region
- Brownish yellow discoloration of the affected leg
- Cramps in the legs due to long standing hours
- Severe bleeding from the legs even with the slightest amount of trauma
- Blood clot in the legs, a condition often termed as thrombophlebitis
Diagnosis of Varicose Vein:
Treatment Procedures for Varicose Vein:
There are two broad categories of treatment for the varicose veins. These are as follows:
- Conservative approach
- Active approach
The active approach is again divided in two categories as follows:
- Non surgical management
- Surgical management
Conservative approach: Any of the following methods can be considered as a conservative approach and are recommended as the first line of treatment by the doctors:
- Elevation of the affected leg so that blood pooling is avoided and blood flow back to the heart is improved.
- Regular exercising so as to provide accumulation of lactic acids in the calf and lower leg muscles.
- Compression stockings are advised to be worn to improve the microcirculation in the venous areas and cause relief from the venous pooling and twisting of blood vessels.
- Intermittent pneumatic compression devices also help in subsiding the swelling in the calf and thigh regions.
- Topical application of anti inflammatory medications also helps in the effective subsiding of the varices.
Active non surgical management:
- Sclerotherapy: In this approach, a scleroscent is injected into the venous system so as to allow shrinkage of the veins involved. The dose and frequency of the injections is decided by the surgeon according to the extent of involvement of the varices. These dyes or medications that are used to correct the varices are harmless to the blood stream and the other parts of the body. they are also easily excreted from the body once they cause adequate shrinkage of the veins and relief of symptoms.
- Endovenous thermal ablation: This method makes use of lasers, radiofrequency and steam to bring about degradation of the engorged veins. These methods are the most promising ones and have quite a few advantages over the traditional surgical management of the varicose veins. These are done under local anesthesia, are invasive and are mostly done in the outpatient department.
Active surgical management:
- Stripping: This method involves surgical removal of the sephanous vein and redirecting the blood flow. In many cases, the vein can also be bypassed so that blood flow to the heart can be redirected and pooling can be avoided.
- CHIVA method: This is the least invasive method used for the correction of the varicose veins. It is based on the assumption that the varices occur as a result of hemodynamic circulatory disorders and an attempt to relieve the pooling in the venos system will lead to the automatic correction of the same. This method however is still under clinical trials and researches are being carried out to find out the exact manner in which the correction will take place.
- Ambulatory phlebectomy: This is a proper surgical intervention in which the veins are marked with the help of surgical marking pens and later followed by multiple small incisions made over the overlying skin. Following the surgical markings, the veins are removed with the help of surgical blades; a procedure done under local anesthesia.
- Vein ligation: In this method, the long sephanous vein remains untouched while its tributaries are cut, ligated and then recanalized so as to improve the blood flow and cause a relief to the varicosity.
- Cryosurgery: This is a variant of the traditional method of stripping. In this method, a cryoprobe is inserted into the vein that shows varicosity. This is followed by inserting CO2 or NO2 which causes a freezing of the cryoprobe. As a result of this, the vein also undergoes freezing and can be easily marked and removed with the help of scalpel. This is quite an efficient method since this method avoids heavy bleeding from the operative site.
Complications And Risk Factors Associated With Varicose Vein Treatment:
- Changes in the skin color over the treated varicose vein
- Blood clot following procedures such as cryosurgery and ligations
- Pain in the area around the varicosity
- Muscle spasm, nerve damage around the proximity of the varices
- In severe cases, deep vein thrombosis or air embolism can occur and pose life threatening situations.
Am I Good Candidate For Varicose Vein Treatment?
- You have visible spider veins all along your legs
- You have long standing hours of work and have tremendous pain in the legs
- Texture over the skin of the varices looks bruised
- Severe swelling and edema in the calves and feet
- Inner thighs and calves have quite an ugly appearance because of blood pooling and bluish appearance all along the course of the legs.
- However if you have varicosity in leg veins because of obesity or pregnancy, you need to first address the obesity and in case of pregnancy wait for the delivery and then act upon it.
Recovery takes about two to three weeks time. The patient is asked to not lift any heavy objects during this course. Intermittent raising of legs, cycling and walking for a brief period is advised. The patient is also advised to take medications which include blood thinners and diluents on a regular basis till the time they have been asked for by the doctor.
The success rate for the treatment of varices is almost hundred percent, for at least a period of ten to fifteen years. Complications may occur after this period if post operative obesity and abdominal straining gets aggravated.
Benefits of Varicose Vein Treatment:
Following are the advantages of getting treatment done for varicosity done at the right time:
- The unnecessary pain and swelling can be avoided
- The ugly appearance of the spider veins in the legs is eliminated
- Blood flow from the lower body to the heart is improved
- Blood pooling and venous stagnancy in the feet is totally eliminated.
Cost Comparisons For:
The treatment cost exclusive of the hospital stay and diagnostic aids is roughly around 50,000 to 60,000 INR. This is almost 60 percent lesser as compared to the fees required to pay in places abroad. An additional 20,000 to 30,000 INR will be needed for the diagnosis and the hospital stay.
Why Choose India?
India is one of the leading countries offering the best medical tourism to people all over the globe. Team MedcureIndia is in the forefront in this concept, offering the best treatment for the varicosity of veins, at the most affordable prices and minimum complications.