How to cure varicose veins ? This question generally perplexes patients and doctors alike. There are many methods ranging from oils to leeches that claim to cure varicose veins.
The current standard of care for varicose veins that is proven to cure varicose veins is the Endovenous Laser Ablation for Varicose Veins. Treatment of varicose veins depends on the severity and findings on ultrasound colour Doppler findings.
The current criteria for treatment of varicose veins are an incompetence of vein valves in the superficial venous system of the leg veins. In addition to this, the deep venous system should have normal valves and there should be no reflux in the deep system.
Identification of all the refluxing veins is very important for formulating a plan for the treatment of varicose veins. Ideally, in addition to the main Great Saphenous Vein and Short Saphenous Veins, accessory and duplications of main trunks are treated at the same time.
This is ideally done by an Interventional Radiologist at the time of consultation.
At our Vein center, the operating Vascular Interventional Radiologist himself does the Colour Doppler Ultrasound and plans the treatment of varicose veins.
The actual treatment is done by the Endovenous Thermal Ablation method : this is a method of best treatment of varicose veins whereby heat energy is delivered to the vein wall by means of a Laser Fiber Device and the veins are sealed.
The actual treatment of varicose veins is done in this way : A small needle like an IV line needle is placed within the veins at the ankle and calf. A 1470 nM wavelength radial firing laser fiber device is placed within the veins. This is then navigated using Ultrasound Guidance and positioned within the vein.
A local anaesthetic agent is then injected along the whole length of the veins right from the ankle up to the hip.The laser is then activated and thermal energy is applied to the whole length of the vein. All accessory veins and dilated varicosities are similarly treated in the same sitting.