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Varicose Veins: Not Just a Cosmetic Problem

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While many people wish to remove varicose veins for cosmetic purposes, recent research published at Harvard Medical School suggests that the procedure may be a medical necessity for some. Varicose veins are characterized by large bulging veins that are blue or purple in color, and are most commonly found on the legs. Longer veins in the legs bear the added stress of sending blood long distances and against gravity to the heart. This added pressure makes the legs more susceptible developing varicose veins.

Unlike spider veins, which are smaller and typically red or blue, varicose veins may cause symptoms of discomfort, painful muscle spasms, swelling, itchiness, rashes or discoloration that cannot be alleviated with at-home care. In the event that varicose veins are hindering your ability to function in normal activities or have ruptured causing more serious side effects such as blood clots, medical treatment may be necessary.

Varicose veins are most commonly treated utilizing a procedure called endovenous laser therapy. EVLT is conducted by using an ultrasound to guide a wire to the problematic vein in which a laser fiber is inserted. The laser fiber is then used to heat the inside of the vein which creates an adhesive interior, causing the vein to eventually turn to scar tissue.

The procedure is relatively quick and has a minimal recovery time, allowing the patient to return to their everyday life almost immediately. Patients are required to wear a compression stocking following the treatment while the vein gradually reduces in pressure. While side effects may subside within weeks, aesthetic improvements may take several months following EVLT treatment.

Rare side effects reported with EVLT treatment include numbness of the knees and ankles, and reoccurring or reopening varicose veins.

Another option available for the treatment of varicose veins is called Endoluminal radio frequency thermal heating. This procedure uses radiofrequency waves in replacement of lasers to heat the inside of the veins. The treatment also referred to as VNUS Closure procedure, may be a more lengthy procedure and can result in side effects of pain and swelling. The reoccurrence rate with this procedure is typically around ten percent.

To learn more about treatment for varicose veins, you may wish to speak with a board certified plastic surgeon regarding your questions and concerns.