varicose-veins-in-legs

Varicose veins are enlarged, swollen, and twisting veins, often appearing blue or dark purple.

They happen when faulty valves in the veins allow blood to flow in the wrong direction or to pool. More than 23 percent of all adults are thought to be affected by varicose veins. Approximately 1 in 4 adults in the western world is affected by varicose veins.

Facts on varicose veins

> Pregnant women are more susceptible to varicose veins.

> Symptoms can include aching legs, swollen ankles, and spider veins.

> People who are overweight have an increased risk of varicose veins.

> Genetic predisposition


> Prolonged standing at work


> Elderly individuals


> Patients with past deep venous thrombosis

Treatment

If the patient has no symptoms or discomfort and is not bothered by the sight of the varicose veins, treatment might not be necessary. However, if there are symptoms, treatment may be required to reduce pain or discomfort, address complications, such as leg ulcers, skin discoloration, or swelling.

Laser Ablation Of Vericose Veins

Some patients may also want treatment for cosmetic reasons - they want to get rid of the "ugly" varicose veins/thread veins which are visible, can be treated with Nd: YAG Long Pulse Laser. We have US FDA approved long pulse Nd YAG Laser System by Deka(Italy) for thread veins. This laser system is safe and most efficient for dark skin people i.e. fitzpatrick skin types IV / V / VI type(Most Indians fall in these types).

Surgery

If varicose veins are large, they may need to be removed surgically. This is usually done under general anesthesia. In most cases, the patient can go home the same day - if surgery is required on both legs, they may need to spend one night in hospital.

Endovenous Laser Treatment (EVLT)

Endovenous laser treatment (EVLT) offers a safe, easier, less morbid and cosmetic alternative to open surgery. Discretion, however, is warranted in case selection.

Laser treatments are often used to close off smaller veins, and also spider veins. Strong bursts of light are applied to the vein, which gradually fades and disappears.

Procedure

Using Ultrasonography (USG) varicose veins are mapped. A thin laser fiber is introduced under USG guidance. Thermal energy is delivered (1470 nm laser) leading to collapse and occlusion of the faulty vein. Use of class II compression stockings is recommended for 4 months following EVLT.

Risks

Relatively none but minor bruising discomfort may be experienced which gets relieved with oral medications.