Article reviewed by General Surgery and Vascular Consultant, Mr Aaron Sweeney.
Varicose veins, characterised by enlarged, twisted veins just under the surface of the skin, are not only a cosmetic concern but can also lead to discomfort, pain and complications if untreated. For many, the appearance of varicose veins impacts self-esteem, influencing wardrobe choices and activities.
Fortunately, there are numerous non-surgical varicose vein treatment options available that can help improve both the physical appearance and painful symptoms of varicose veins. Here, we explore these treatments in-depth, highlight expert recommendations and provide some often-overlooked insights that can make a significant difference in your treatment journey.
Understanding Varicose Veins
Varicose veins form when the valves within the veins malfunction, causing blood to pool and the veins to enlarge. Although they commonly occur in the legs due to prolonged standing or walking, they can develop elsewhere. Common factors that increase the risk include genetics, age, pregnancy, obesity, and a sedentary lifestyle.
Treatment Options for Varicose Veins
1. Compression Therapy: The Tried-and-True First Line of Defence
Compression stockings are often the initial recommendation for non-surgical varicose vein treatment. They apply gentle pressure to the legs, improving blood flow and preventing blood from pooling in the veins.
- How they work: Compression stockings come in different grades of pressure. The gradient compression supports the veins and encourages better circulation by applying the most pressure at the ankle and gradually reducing it up the leg.
- Benefits: Regular use can reduce swelling, ease discomfort, and prevent the progression of varicose veins. Although they do not remove existing varicose veins, they can significantly help in managing symptoms and improving comfort.
- Pro tip: For those looking for a more modern solution, compression leggings and sportswear designed for aesthetic appeal and medical benefit are available, merging practicality with style.
2. Sclerotherapy: The Gold Standard in Non-Surgical Treatments
Sclerotherapy involves injecting a sclerosant solution directly into the affected veins. This solution irritates the vein walls, causing them to stick together, collapse, and eventually be reabsorbed by the body.
- How It Works: The treatment is performed in an outpatient setting and typically takes less than an hour. Patients may need multiple sessions depending on the number and size of the varicose veins.
- Efficacy: Sclerotherapy is highly effective for small to medium-sized varicose veins and spider veins. The procedure has minimal downtime, allowing individuals to return to daily activities shortly after treatment.
- Aftercare Insight: Post-procedure, compression stockings are often recommended for several days to support healing and enhance results.
3. Endovenous Laser Treatment (EVLT): A Minimally Invasive Option
Endovenous laser treatment (EVLT) is a popular option for treating larger varicose veins. This technique uses laser energy to heat and close off the affected veins from the inside.
- How it works: A thin laser fibre is inserted into the vein, guided by ultrasound imaging. The laser heats the vein, causing it to collapse and seal shut. Over time, the treated vein is absorbed naturally by the body, and blood is redirected to healthier veins.
- Key benefits:
- Quick recovery: Most people can return to work and daily activities within a day or two.
- High success rate: EVLT boasts a success rate of over 95% for treating varicose veins (source: WebMD).
- Out-of-the-box tip: Consider combining EVLT with lifestyle changes such as leg-strengthening exercises and a balanced diet to support long-term vein health.
4. Lifestyle Adjustments: A Key Complement to Treatment
Non-surgical treatments are most effective when combined with lifestyle modifications. Here are some strategies that can bolster your treatment outcomes:
- Exercise regularly: Low-impact activities like walking, swimming, and cycling can improve blood flow and strengthen leg muscles, which support the veins. Consistency is key—aim for at least 30 minutes of moderate exercise five days a week.
- Elevate your legs: Elevating your legs for 15 minutes a few times a day can reduce swelling and help improve circulation, especially after prolonged periods of sitting or standing.
- Mind your posture: Avoid crossing your legs when sitting, as this can impede blood flow. Also, consider standing or walking around every hour during long periods of inactivity.
- Stay hydrated: Proper hydration supports blood circulation and vein health. Adding foods rich in antioxidants, such as berries and leafy greens, can further strengthen vein walls and reduce inflammation.
5. Natural Remedies: Beyond Conventional Wisdom
While professional treatments are essential, there are complementary natural remedies that can aid in managing varicose veins:
- Horse chestnut extract: This herbal supplement has been used traditionally to support vein health. Studies have shown that horse chestnut seed extract can reduce pain, swelling, and discomfort associated with chronic venous insufficiency, a condition that can lead to varicose veins (source: National Center for Complementary and Integrative Health).
- Essential oils: Oils such as lavender, peppermint, and cypress may provide temporary relief when applied topically. They can be mixed with a carrier oil and massaged into the legs to help reduce inflammation and promote circulation.
- Dietary additions: Consuming flavonoid-rich foods, such as citrus fruits, garlic, and dark chocolate, has been linked to improved blood flow and reduced blood pressure. This can be an excellent complementary approach alongside non-surgical treatments.
6. Microphlebectomy: A Minor Procedure with Major Benefits
For larger, more troublesome varicose veins that do not respond well to sclerotherapy or other non-surgical treatments, microphlebectomy is an option. This procedure involves making tiny incisions to remove varicose veins just below the surface of the skin.
- Procedure insight: Microphlebectomy is minimally invasive, typically performed under local anaesthesia, and leaves only minimal scarring.
- Recovery time: Most people return to their normal activities within 24 to 48 hours, making this an attractive option for those looking for a quick solution without major surgery.
7. Future-Focused Solutions: What’s on the Horizon?
The medical field is continually innovating, and exciting new developments in non-surgical varicose vein treatment are on the horizon. Emerging treatments such as ultrasound-guided foam sclerotherapy and vein glue closure techniques are becoming more refined and accessible. These options promise effective results with even shorter recovery times and less discomfort.
Conclusion
Varicose veins can can a big impact on your lifestyle as well as physical comfort. The good news is that non-surgical varicose vein treatment options offer effective solutions that can help you regain comfort and improve your quality of life. From traditional compression therapy to advanced treatments like EVLT and RFA, there are many paths to explore.
At LycaHealth Orpington, you will have access to expert vascular consultant, Mr Aaron Sweeney, as well as advanced non-surgical treatments including sclerotherapy and EVLT. For more information, contact our team today on 01689 490 111.
Combining these treatments with healthy lifestyle choices, targeted exercises and dietary adjustments can enhance results and support long-term vein health. Always consult with a qualified healthcare provider to determine the most suitable approach for your unique condition. By taking proactive steps and exploring non-surgical treatment options, you can manage varicose veins effectively.
