VARICOSE VEINS

FAQS

Why do varicose veins occur?

Leg veins have one-way valves that push blood upward.
When these valves become weak or damaged, blood flows backward and collects in the veins, causing them to enlarge.

Who is more likely to get varicose veins?

• People who stand or sit for long hours

• Family history of varicose veins

• Pregnancy

• Obesity

• Increasing age

• Previous leg injury or blood clots

What symptoms can varicose veins cause?

• Heaviness or aching in legs

• Burning or throbbing pain

• Swelling around ankles

• Night cramps

• Itching or skin discoloration

• Non-healing leg ulcers in advanced cases

Some people have no pain, but visible veins still progress over time.

Are varicose veins dangerous?

Early varicose veins are not life-threatening, but if ignored they can lead to:

• Skin darkening and hardening

• Bleeding from veins

• Venous ulcers

• Blood clots (thrombophlebitis)

How are varicose veins diagnosed?

• Clinical examination

• Doppler ultrasound – shows faulty valves and direction of blood flow
  (This test is essential before planning treatment)

Can varicose veins be cured without surgery?

• Compression stockings can reduce symptoms

• Leg elevation and exercise help
  ⚠️ These do not cure varicose veins; they only control symptoms.

SURGICAL & PROCEDURAL TREATMENTS (CURATIVE OPTIONS)

When is surgery or procedure needed?

• Persistent pain or swelling

• Skin changes or ulcers

• Bleeding varicose veins

• Cosmetic concern with symptoms

• Failure of conservative treatment

What are the modern surgical techniques for varicose veins?

1. Endovenous Laser Treatment (EVLT)

• A laser fiber is passed into the vein

• Heat seals the faulty vein from inside

• Blood reroutes to healthy veins

Advantages:

• No major cuts

• Local anesthesia

• Same-day discharge

• Quick recovery

2. Radiofrequency Ablation (RFA)

• Similar to laser but uses radiofrequency heat

• Vein collapses and closes

Advantages:

• Less pain than open surgery

• Excellent long-term results

• Early return to work

3. Foam Sclerotherapy

• A special foam is injected into the vein

• Vein shrinks and disappears over time

Best for:

• Small to medium veins

• Residual veins after laser/RFA

4. Surgical Ligation and Stripping (Traditional Surgery)

• Faulty vein is tied and removed through small cuts

Used when:

• Veins are very large or tortuous

• Laser/RFA not suitable

Disadvantages:

• More pain

• Longer recovery

• Hospital stay may be needed

5. Phlebectomy (Micro-incision Surgery)

• Bulging veins removed through tiny skin openings

• Often combined with laser or RFA

Is treatment permanent?

Treated veins do not come back, but new veins can develop if risk factors continue.
Regular follow-up and lifestyle care reduce recurrence.

What is recovery like after modern procedures?

• Walking started the same day

• Compression stockings for 1–2 weeks

• Normal work in 2–5 days

• Minimal scars

Can varicose veins be prevented?

• Avoid prolonged standing

• Regular walking

• Maintain healthy weight

• Leg elevation

• Use compression stockings if advised

Key Take-Home Message

Varicose veins are common but progressive.
Modern minimally invasive procedures like laser and radiofrequency offer safe, effective, and near-permanent cure with fast recovery.

CONSULT WITH EXPERTS

BY APPOINTMENT ONLY:

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MEDICOS SURGICAL CLINIC, #6, SEC 11A, CHANDIGARH, MONDAY TO FRIDAY 5-7PM

CONTACT +91-9810753843