There are 5 medically accepted methods for treating Varicose Veins.
In order from least to most invasive, they are
1. Graduated Compression Therapy – This noninvasive therapy involves the wearing of medically correct graduated compression hosiery. These scientifically designed stockings are made in various compression levels to suit specific venous maladies and diseases. They apply maximum pressure at the ankle with gradual decreasing pressure up the length of the stocking—in effect, properly controlling and regulating blood flow in the legs and back to the heart. While this process will not “cure” Varicose Veins, it has been tested and proven to retard the spread of varicosity and reduce associated problems such as pain, swelling (Edema), skin ulceration and formation of deadly Thrombosis (blood clots) and phlebitis.
2. Bandaging – The oldest method of treating Varicose Veins is still used by some physicians. This is a matter of wrapping the affected leg with a medical bandage often soaked in a zinc paste. Proper compression is determined when the toes turn bluish when in a prone position and return to pink when standing. Bandaging does not prevent Varicose Veins but is effective in reducing their spreading.
3. Pharmacotherapy – Numerous drugs and ointments are used by physicians in treating Varicose Veins. It is an accepted fact that pharmacotherapy will not repair damaged veins or reduce recurrence. They are effective in reducing the pain and swelling of legs associated with Varicose Veins.
4. Sclerotherapy – A sclerosant solution is injected into the varicose vein(s). The solution causes inflammation of the inner lining of the vein—blocking the flow of blood, which then coagulates to form an occlusive thrombosis (clot). This process is repeated over succeeding weeks until the vein is completely blocked and eventually “dies”—turning into a cord of connective tissue. The body will continue to try to restore the “dead” vessel and, therefore, future treatments are often routinely required.
5. Vein Stripping – An incision is made in the calf area where the saphenous vein joins the principal deep vein of the leg. A flexible steel cable is inserted and advanced through the veins to the affected Varicose area with another incision to expose the cable tip. Intersecting veins along the cable route are exposed by incisions and severed to prevent recurrence on the vein stump. The exposed cable tip is fitted with a cutting blade and the entire affected vein is pulled out.
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