Varicose And Spider
Vein Treatment
Diagnosis
Varicose vein specialist NYC, your doctor will do a physical exam, including looking at your
legs while you're standing to check for swelling. Your doctor may also ask you
to describe any pain and aching in your legs.
You also may need an
ultrasound test to see if the valves in your veins are functioning normally or
if there's any evidence of a blood clot. In this noninvasive test, a technician
runs a small hand-held device (transducer), about the size of a bar of soap,
against your skin over the area of your body being examined. The transducer
transmits images of the veins in your legs to a monitor, so a technician and
your doctor can see them.
Treatment
Fortunately, treatment
usually doesn't mean a hospital stay or a long, uncomfortable recovery. Thanks
to less invasive procedures, varicose veins can generally be treated on an
outpatient basis.
Ask your doctor if
insurance will cover any of the cost of your treatment. If done for purely
cosmetic reasons, you'll likely have to pay for the treatment of varicose veins
yourself.
Self-care
Self-care — such as exercising,
losing weight, not wearing tight clothes, elevating your legs, and avoiding
long periods of standing or sitting — can ease pain and prevent varicose veins
from getting worse.
Compression stockings
Wearing compression
stockings all day is often the first approach to try before moving on to other
treatments. They steadily squeeze your legs, helping veins and leg muscles move
blood more efficiently. The amount of compression varies by type and brand.
You can buy compression
stockings at most pharmacies and medical supply stores. Prescription-strength
stockings also are available, and are likely covered by insurance if your
varicose veins are causing symptoms.
Additional treatments for more-severe varicose veins
If you don't respond to
self-care or compression stockings, or if your condition is more severe, your
·
Sclerotherapy: In
this procedure, your doctor injects small- and medium-sized varicose veins with
a solution or foam that scars and closes those veins. In a few weeks, treated
varicose veins should fade.
Although the same vein may need to be
injected more than once, sclerotherapy is effective if done correctly.
Sclerotherapy doesn't require anesthesia and can be done in your doctor's
office.
·
Foam sclerotherapy of large
veins: Injection of a large vein with a foam solution is also a
possible treatment to close a vein and seal it.
·
Laser treatment: Doctors
are using new technology in laser treatments to close off smaller varicose
veins and spider veins. Laser treatment works by sending strong bursts of light
onto the vein, which makes the vein slowly fade and disappear. No incisions or
needles are used.
·
Catheter-assisted
procedures using radio frequency or laser energy: In
one of these treatments, your doctor inserts a thin tube (catheter) into an
enlarged vein and heats the tip of the catheter using either radio frequency or
laser energy. As the catheter is pulled out, the heat destroys the vein by
causing it to collapse and seal shut. This procedure is the preferred treatment
for larger varicose veins.
·
High ligation and vein
stripping: This procedure involves tying off a vein before it joins a
deep vein and removing the vein through small incisions. This is an outpatient
procedure for most people. Removing the vein won't adversely affect circulation
in your leg because veins deeper in the leg take care of the larger volumes of
blood.
·
Ambulatory phlebectomy:
Your doctor removes smaller varicose veins through a series of tiny skin
punctures. Only the parts of your leg that are being pricked are numbed in this
outpatient procedure. Scarring is generally minimal.
·
Endoscopic vein surgery: You
might need this operation only in an advanced case involving leg ulcers if other
techniques fail. Your Vein specialistNYC uses a thin video camera inserted in your leg to visualize and
close varicose veins and then removes the veins through small incisions. This
procedure is performed on an outpatient basis.
I just want to add that Sclerotherapy alone will not always get rid of your spider veins. That was my case with my ankle spider veins treated several times with Sclerotherapy. Fortunately, I visited a vein clinic in Los Angeles, www.nuvelaveins.com, and the doctor used the EVLT procedure to treat a perorator vein near my ankle. A few weeks later, all my ankle spider veins disappeared. Accordingly, I suggest that even if you have only spider veins, ask your vein doctor to perform a thorough Ultrasound to detect any devective underlying larger veins.
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