2024-01-01 · vascular, veins, circulatory

Varicose Vein Treatment FAQ

What Is Varicose Vein Treatment?

Varicose vein treatment refers to procedures that close or remove enlarged, twisted veins, most commonly in the legs. The goal is to relieve symptoms, improve circulation, and enhance appearance. Treatments may include endovenous ablation, sclerotherapy, or surgical removal, depending on vein size and severity.

Why Do Varicose Veins Develop?

Varicose veins develop when valves inside the veins weaken, allowing blood to pool. Contributing factors include:

  • Family history of venous disease
  • Prolonged standing or sitting
  • Pregnancy
  • Aging
  • Obesity

These factors can increase pressure in the leg veins and worsen symptoms.

What Symptoms Can Varicose Veins Cause?

Symptoms vary but may include:

  • Aching, heaviness, or throbbing in the legs
  • Swelling in the ankles or calves
  • Itching or burning over the veins
  • Skin discoloration or irritation
  • Visible, bulging veins

A vascular evaluation helps determine whether treatment is needed.

How Is Varicose Vein Treatment Performed?

Many treatments are minimally invasive and done in an outpatient setting. For example, endovenous ablation uses heat to close a problematic vein, while sclerotherapy injects a solution to collapse smaller veins. Some patients may require phlebectomy or vein stripping for larger veins.

What Happens After the Procedure?

After treatment, patients are usually encouraged to walk soon after the procedure to promote circulation. Compression stockings are often recommended for a period of time. Mild bruising or soreness is common and typically resolves within days to weeks.

How Long Is Recovery?

Recovery depends on the specific treatment, but most people return to normal activities within a few days. Strenuous exercise may be limited for one to two weeks. Your provider will give individualized activity guidance.

What Are the Potential Risks?

Possible risks include:

  • Bruising or temporary skin discoloration
  • Infection or bleeding at the treatment site
  • Blood clots (rare)
  • Recurrence of varicose veins

Following post-procedure instructions helps reduce complications.

When Should I Seek Medical Attention?

Seek medical care if you have sudden leg swelling, severe pain, fever, or signs of infection. These symptoms may signal a complication that requires prompt evaluation.