April 8, 2015
Varicose veins are mostly treated conservatively or non-surgically with:
- Avoiding prolonged standing or sitting long hours at desk work
- Elevation of the legs at night – toes above the level of nose
- Wear compression stockings before getting out of bed in the morning and doing normal activity, taking them off to take a bath and putting them on again and finally removing them on getting into bed at night to sleep.
Surgical treatment (high tie, stripping till the knee and multiple phlebectomies) may be needed if:
- Pain is increasing despite conservative management.
- Ulcers develop despite all precautions
- To improve the appearance of the legs
- Lipodermatosclerosis (fatty tissue) develops below the skin causing it to become hard and unhealthy.
Non-invasive surgical treatment includes:
- Laser ablation
- Radio-frequency ablation