Varicose veins are more than just a cosmetic concern. Left untreated, they can lead to pain, bleedings , and chronic wounds .
Varicose veins stem from venous insufficiency, a condition where tiny, one-way valves in the veins weaken. Normally, these valves keep blood moving toward the heart, but when they fail, blood flows backward, pooling in the veins. Over time, this leads to swelling, twisted veins, skin discoloration, and even leg wounds. In some cases, venous insufficiency may not be visible and requires an ultrasound for detection.
Aching , swelling , itching , heavy legs , wounds that fail to heal
Modern treatments focus on closing the affected vein, allowing blood to reroute to healthier veins. Two popular methods are Laser ablation and glue closure.
Endovenous Laser Ablation (EVLA) uses laser energy to close off the problematic vein. After numbing the leg, your doctor will insert a catheter into the vein. Guided by ultrasound, the laser fiber causes targeted damage along the vein, which collapses and seals it closed.
Procedure Time: The entire process takes about an hour in the doctor’s office, though the actual laser application is brief.
Safety: EVLA is widely regarded as safe but, like any procedure, carries risks including infection, bruising, nerve damage, and skin discoloration.
Aftercare: Patients are encouraged to walk immediately post-procedure and continue regular walking over the following weeks. Compression stockings are recommended for a week to support healing and manage swelling.
Vein Glue, is a newer option that involves a medical adhesive (n-butyl-2-cyanoacrylate) to seal off the vein. After numbing the area, your doctor will guide a catheter into the vein and apply the glue at intervals along its length, closing it completely.
Procedure Time: Similar to EVLA, the treatment is about an hour.
Safety: Although relatively new, VenaSeal is safe and well-studied. Risks include mild bruising, tenderness, and in rare cases, allergic reactions.
Aftercare: Unlike EVLA treatments, compression stockings are typically not required, though some may choose to wear them for added comfort. Regular walking is recommended to encourage healing.
Both treatments are effective, but each patient’s needs vary. In general, vein glue may result in less bruising and discomfort compared to EVLA. Consulting with your vein specialist will help you determine the most suitable approach for your situation.
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