What are the treatment options for vein disease?
Depending on the type and stage of vein disease, there are many different treatments. Your physician can explain all of the options. The following are common treatments performed for vein disease:
For minor pain from varicose veins, a compression stocking may be beneficial. The compression stocking will assist the leg in the pumping of blood back to the heart. While the vein disease symptoms may be relieved, compression stockings will not make the varicose veins go away.
Used commonly for spider veins and small varicose veins, sclerotherapy involves injecting a small volume of a liquid into the diseased vein. The sclerosing liquid acts upon the lining of the vein to cause it to seal shut, eliminating the vein completely. Sclerotherapy is quickly performed in a physician's office and no anesthesia is required.
Historically, the only treatment for large varicose veins has been to surgically remove or ‘strip' the vein from the body. Surgical stripping is done in an operating room under anesthesia and requires a considerable recovery period for the patient. More recently, a modified version of stripping known as ambulatory phlebectomy has grown in use. In this version of surgical stripping, multiple incisions are made to hook and remove the vein one portion at a time. More incisions are made than in standard vein stripping, but the damage to the leg and post-surgery recovery time are minimized.
Endovenous Laser Therapy
In the last few years, the use of lasers has become an accepted alternative to surgical stripping to treat varicose veins. In endovenous laser therapy, a thin laser fiber is inserted into the diseased vein, generally through a small puncture in the leg above where the visual symptoms appear. The physician then delivers laser energy through the fiber which causes the vein to close as the fiber is gradually removed. Endovenous laser therapy can be performed in a physician's office in less than one hour, and the patient is encouraged to walk immediately following the procedure.
Who should not be treated?
Patients should wait at least three months after pregnancy or major surgery before being treated for vein disease. Persons with deep vein thrombosis or incompetence, and patients who cannot ambulate for other reasons are not good candidates for treatment.
If the vein is closed by the treatment, where does the blood go?
Because there are many veins in the leg, the blood that would have flowed through the closed vein simply flows through other healthy veins after the procedure. The loss of the diseased vein is not a problem for the circulatory system.
What can happen if varicose veins aren't treated?
Varicose veins generally worsen over time. Initially, slight pain and restlessness in the diseased leg will be felt. If untreated, this pain will increase and result in limitations in walking and cramps during sleeping. Eventually, varicose veins can lead to open sores on the foot, blood clots and tissue loss.
What are the complications of vein treatment?
Fortunately, sclerotherapy and endovenous laser therapy have rarely been associated with any serious complications when properly performed. Common minor complications of these procedures include bruising, mild itching, tingling, tenderness and tightness in the treated leg for up to two weeks after the treatment.
Will insurance cover the treatment?
Many insurance companies cover the treatment of vein disease that is associated with substantial pain and other complications, but individual insurance companies may limit the types of therapy that are covered.