Varicose veins, those twisted blood vessels that often appear blue or purple, impact millions of individuals worldwide. They are not just a cosmetic concern but can also cause discomfort and potentially lead to more severe complications if left untreated. Luckily, there are treatment options to effectively manage varicose veins and alleviate the associated symptoms.

In this blog post, we will delve into the procedures used for treating varicose veins and provide insights into what patients can anticipate during these treatments.

Diagnosis and Assessment

The initial step in treating varicose veins is obtaining a diagnosis. A healthcare professional who specializes in such conditions typically conducts an evaluation to determine the extent of the issue and identify the most suitable treatment option. During this evaluation, the doctor may inquire about any symptoms, such as pain, swelling, or leg cramps. They may also check for visual symptoms, gently touching the area while asking questions regarding medical history as well as family history of vein disorders. In some cases, additional diagnostic tests like ultrasound may be necessary. Ultrasound imaging aids in obtaining images of the structure and function of veins by utilizing waves.

Conservative Treatments

Before considering any interventions for the treatment of varicose veins, doctors often suggest making lifestyle changes:

  1. Regular Exercise: Engaging in regular physical activities such as walking or swimming can help enhance blood circulation in your legs.
  2. Compression Stockings: These specially designed stockings apply pressure to your legs, aiding in reducing swelling and promoting healthy blood flow.
  3. Elevation: Whenever possible, elevating your legs above the heart level can alleviate symptoms associated with varicose veins.

While conservative treatments may offer some relief from symptoms or help prevent the progression of varicose veins, they are typically not sufficient to completely eliminate the problem.

Minimally Invasive Procedures

In cases where conservative treatments fail to provide results or when varicose veins cause discomfort or complications, doctors often recommend certain minimally invasive procedures. These procedures aim to close off or remove the affected veins, redirecting blood flow toward the healthy veins.

  1. Sclerotherapy: This procedure involves injecting a solution into the problematic vein, causing it to shrink and eventually disappear. Sclerotherapy is particularly effective for treating varicose veins and spider veins.
  2. Radiofrequency Ablation (RFA): RFA utilizes heat energy generated by radiofrequency waves to create a controlled injury within the varicose vein. Eventually, it gets absorbed by the body while the blood finds its way through the vessels.
  3. Endovenous Laser Ablation (EVLA): Similar to RFA, EVLA utilizes the laser energy of radiofrequency waves to seal off varicose veins. The laser damages the vein wall, causing it to close up gradually.
  4. Foam Sclerotherapy: When dealing with varicose veins, doctors may recommend foam sclerotherapy. This procedure involves injecting a foam solution into the vein instead of the liquid solution used in traditional sclerotherapy. The foam’s consistency allows it to cover a larger surface area inside the vein, enhancing its effectiveness.

All these minimally invasive procedures can typically be performed on an outpatient basis, under anesthesia or mild sedation. They usually take more than an hour to complete, depending on the number of veins requiring treatment.

Recovery and Post-Treatment Care

After undergoing any of these procedures, patients should expect some recovery time before resuming activities:

  1. Compression stockings: Most individuals will receive compression stockings after treatment and will need to wear them for several days or even a few weeks based on their healing progress.
  2. Physical Activity: Doctors often advise patients to engage in activities like taking walks shortly after treatment to boost blood circulation. However, it’s best to avoid exercise for a week.
  3. Getting Back to Normal: For most people, returning to work and resuming their routine is possible within a day or two following the procedure.
  4. Follow-Up Appointments: Regular follow-up visits are essential for monitoring progress and ensuring the success of the treatment. Some cases may also require subsequent treatments or adjustments.

It’s important to understand that varicose veins are a recurring condition, meaning they may need management even after treatment. Making lifestyle changes such as exercise, maintaining weight, and elevating legs properly can all help prevent future recurrences.


Having proper knowledge about varicose vein treatments and understanding what to expect during these procedures can help individuals deal with this condition and feel more confident about seeking assistance. It’s always recommended to consult with a healthcare professional who can assess each patient’s circumstances and suggest the most suitable course of action for optimal outcomes.