Side Effects of Varicose Veins
Varicose veins tend to get worse over time.2 Untreated varicose veins aren’t just uncomfortable, they can lead to pain, eczema, skin discoloration, and skin ulcers. Venous leg ulcers (VLUs) are wounds caused by leaking valves in varicose veins, that cause pooling of blood and venous hypertension that damages the surrounding skin and tissues. These wounds need proper care to heal and prevent serious infections.
In some cases, improper blood flow in varicose veins can lead to the development of superficial blood clots. Superficial venous thromboses (SVTs) can cause severe localized pain and swelling.
Treatment Options for Varicose Veins
Compression socks can aid in blood flow and protect bandaged ulcers as they heal. However, many people with varicose veins require more advanced intervention. A vascular interventional radiologist can help you determine the right treatment:
- Phlebectomy: An outpatient procedure where varicose veins are removed through small incisions in the skin.
- Endovenous Laser Therapy (EVLT): A minimally invasive procedures, done through a tiny incision, that uses a laser inside the abnormal vein to restore normal blood flow in the legs.
- Sclerotherapy: Treatment for smaller spider and reticular veins, using a medicine like Asclera
- Microfoam Ablation: This minimally invasive procedure uses Varithena foam to seal vessels shut, preventing blood flow through impaired veins.
- Surgery: No longer commonly performed today due to the advent of minimally invasive options listed above. Surgical high ligation and stripping involves disconnecting and removing severe varicose veins – often the great saphenous vein (GSV) or small saphenous vein (SSV).
Some varicose vein treatments can be combined for improved long-term results.