There are several types of treatment for venous insufficiency. Your treatment depends on your symptomatology, clinical and para-clinical assessment (a venous doppler will be performed) and the doctor will discuss these results with you to determine the best therapeutic option.

Sclerotherapy

This is a technique that can be done at a local vascular surgeon’s office. Foam sclerosis involves injecting a sclerosant into the incontinent vein: this foam will cause an inflammatory reaction within varix that will turn it into a fibrous and sclerous vein. It can be done on all types of varicose veins.

After sclerotherapy sessions, it is necessary to wear compression stockings to reduce the inflammatory reaction. People should also walk often and avoid long car trips. Complications are rare: permanent residual pigmentations, bruising, venous thrombosis, intra-arterial injection, etc.

All these complications will be discussed with the patient before any session. After sclerotherapy with, as for surgery, it is advisable to follow the rules given by the doctor and continue to wear compression clothing on a daily basis to avoid recurrences and the appearance of a complication of venous insufficiency. Follow-up by a vascular physician should be continued after treatment. Sclerotherapy is taken care of by most health insurances when there is a case of chronic venous insufficiency.

Endovenous treatments

There are two techniques to choose from: endovenous laser and radio frequency. They can be performed by a surgeon or a vascular doctor, in an operating room. These techniques are reserved for rectum varicose veins with a caliber of less than 9-10 mm and distance from the skin surface (> 5mm) to avoid the risk of burns.

They are performed under local anesthesia which is excellent for patients who do not wish to reduce or stop their physical and professional activity and to treat frail patients with general anesthesia. The main risk is burns, residual pigmentations, and telangiectasia. The procedure is a simple one and can help prevent further issues (venous thrombosis by subcutaneous injection is sometimes recommended for a few days after the procedure).

After this treatment, it is appropriate to care for the area as instructed by the doctor and continue to wear daily compression stockings which will prevent recurrence and further complications. A follow-up by a vascular doctor must be scheduled after treatment. Visit veinhealth.com.au for more info.