Do you have painful and bulging veins in the legs? These symptoms often indicate varicose veins, which is a common vascular condition. Seek timely care for the condition at Pristyn Care and consult our highly experienced vascular surgeon to get advanced and minimally invasive varicose veins surgery. We leverage modern laser technology and other surgical techniques as required to effectively resolve the condition and provide long-lasting relief to the patient.
Do you have painful and bulging veins in the legs? These symptoms often
...indicate varicose veins, which is a common vascular condition. Seek timely care for the condition at Pristyn Care and consult our highly experienced vascular surgeon to get advanced and minimally invasive varicose veins surgery. We leverage modern laser technology and other surgical techniques as required to effectively resolve the condition and provide long-lasting relief to the patient.Read More
Varicose veins are enlarged, twisted, or swollen superficial veins that usually appear on the legs or feet. They are located just beneath the surface of the skin and are commonly caused due to defects in the valves within the veins that allow blood to flow in the wrong direction, often appearing in blue or dark purple.
Early-stage varicose veins symptoms may arise as spider veins, pain in the legs, etc., or the condition may remain asymptomatic entirely for a long time. In most cases, varicose veins are caused due to venous insufficiency, which progresses in stages. In general, varicose veins stages include the following:
Stage 1: Spider Veins- These are dilated capillaries that give a web-like appearance on the affected area. Spider veins form when the capillaries are compressed due to an underlying condition.
Stage 2: Varicose Veins- These are rope-like veins that bulge out due to the pooling of blood. They are clearly visible on the outside as it affects superficial veins.
Stage 3: Leg Edema- When excessive blood pools into the veins, it manifests as chronic leg swelling or edema, and the individual experiences restless leg syndrome and severe cramping.
Stage 4: Skin Changes- With progression, skin discoloration will start, and thin and brown spots will appear as the blood leaks from superficial veins into skin tissues.
Stage 5: Leg Ulcers- Without treatment, skin ulcers will start to form that will cause immense pain and itchiness and require constant care and monitoring.
Most people ignore varicose veins in their legs, believing that the condition is not dangerous and can resolve on its own. However, if left untreated, it can lead to life-threatening complications. Therefore, it is crucial to seek help from a vascular specialist as soon as possible.
• Disease name
Varicose Veins
• Surgery name
Phlebectomy/Varicose Vein Excision
• Duration
60-90 minutes
• Treated by
Vascular Surgeon / Phlebologists
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Varicose Veins Diagnosis
Generally, varicose veins are diagnosed through a physical exam where the vascular surgeon examines the legs. The individual is asked to stand while the surgeon looks for signs of swelling, pooling of blood, bulging veins, and other symptoms.
The doctor may also ask to describe the pain and scenarios when the symptoms get worse. A detailed medical and family history of the patient is collected to evaluate if he/she is at high risk of developing varicose veins.
Before giving a confirmed diagnosis, the doctor may recommend a Doppler ultrasound test for varicose veins. This test involves using high-frequency sound waves to assess the anatomy and physiology of the venous system. It can determine which vein is malfunctioning and its severity. Clear images are created of the affected vein and blood flow through the vein valves. Additional imaging studies, such as computed tomography, magnetic resonance imaging, venography, etc., may be recommended if an underlying condition is identified through ultrasound.
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What is the Best Treatment Options for Varicose Veins?
General treatment options for varicose veins may include self-care measures, compression stockings, non-invasive treatments, and surgery.
Non-Surgical Options For Varicose Veins Treatment Include the following:
Lifestyle modifications, such as exercise, weight management, leg elevation, etc.
Wearing compression stockings is a conservative approach to improving blood circulation.
Sclerotherapy involves injecting a solution into varicose veins to close them.
Endovenous chemical ablation is a catheter-based procedure in which a sclerosing agent is injected into the damaged or affected vein to close it.
Laser surgery for varicose veins also performed endovenously, is a common and effective method to treat smaller varicose veins. It involves directing laser energy onto the affected veins to close them.
Radiofrequency ablation is a procedure that uses heat energy emitted by radio waves to collapse and seal off the affected veins.
Options Included For Surgical Treatment for Varicose Veins:
Vein stripping and ligation, which involves tying off the malfunctioning vein and taking it out from the body completely.
Phlebectomy, also known as ambulatory or micro phlebectomy, is a procedure that involves making small pictures in the skin through which the malfunctioning veins are removed.
The decision regarding which treatment option for varicose veins is most suitable for an individual is made by the doctor after a careful and detailed evaluation of the condition and its severity.
Laser Treatment for Varicose Veins
One of the most popular treatment methods for varicose veins is laser treatment, also known as endovenous laser ablation therapy. It is a minimally invasive catheter-based procedure that utilizes laser energy to ablate or close the malfunctioning and damaged veins without affecting other healthy veins. Laser surgery for varicose veins is typically suitable for small as well as larger veins.
It takes around 30 to 60 minutes to complete, depending on the size and number of veins being treated. During the procedure, local anesthesia or sedative medications are used to numb the affected area. The affected vein is found with an ultrasound, and a small puncture or incision is made below the knee or near the ankle to insert the catheter into the targeted vein.
The laser is then activated and drawn out slowly. The heat energy emitted by the laser carefully ablates the vein and seals it shut. The blood flow is redirected to healthier veins, and gradually the appearance and symptoms of varicose veins will disappear.
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How to Prevent Varicose Veins?
Though it is not usually possible to completely eliminate the risk of varicose veins, taking preventative measures can be helpful to reduce the chances of recurrence.
Include walking and exercising in daily activities to keep the legs moving and make it easier for the veins to pump up the blood to the heart. Moving reduces venous pressure. Try peddling with the feet or stretching your ankles if taking breaks is not a viable option.
Practice good posture to promote healthy blood flow. Avoid crossing your legs for long periods while sitting, as it can restrict circulation.
Try lifting or elevating your legs so that the veins don’t have to work against gravity to circulate blood.
Wear supportive compression hosiery or socks during the day or night, as suitable.
Live a healthy lifestyle to manage the risk factors that increase the chances of developing varicose veins in the legs.
Pregnant women should sleep on their left side to prevent varicose veins from developing. If the condition already exists, sleeping on the left side will reduce the pressure on the pelvic area, which will provide relief from the symptoms.
Manage blood pressure levels and keep them under control to minimize the risk of developing varicose veins.
If an individual has a family history of vein problems or he/she has pain or swelling in the vein, contact a vascular doctor promptly.
Benefits of Laser Treatment for Varicose Veins
Some key benefits of laser surgery for varicose veins include the following:
Minimally Invasive: The technique is more beneficial than traditional surgical methods as it is minimally invasive and results in minimal scarring and a shorter recovery time.
Outpatient Procedure: Laser treatment for varicose veins is usually performed on an outpatient basis, allowing patients to return home the same day of the procedure.
High Success Rate: Laser surgery for varicose veins has high success rates in reducing the appearance of varicose veins and alleviating associated symptoms, such as pain, swelling, and heaviness in the legs.
Quick Recovery: Most individuals recover within a day or two after the procedure and can resume most activities within a week.
Preparation Before Laser Treatment For Varicose Veins
Prior to laser treatment for varicose veins, a consultation with a healthcare professional specializing in vein disorders is necessary. The doctor will determine the patient’s suitability for the procedure and provide some basic instructions, such as:
Get the necessary test done so that the doctor can evaluate the progression of the condition.
Discontinue blood thinning medications at least a week before the procedure.
Don’t take any over-the-counter medications without consulting the doctor.
Shower before the surgery of varicose veins using antibacterial soap.
The patient can eat a light breakfast before the procedure.
If there is any other thing that the patient needs to take care of, he/she will be informed by the doctor’s team.
Recovery After Varicose Veins Laser Treatment
The recovery of varicose veins after laser treatment can vary depending on several factors, including the severity of the varicose veins, the extent of the treatment, and individual healing capabilities. In general, the recovery period is relatively short, around 1-2 weeks, compared to traditional surgical procedures. The general timeline is given below:
On the Day of Surgery: After the laser treatment, the patient may experience some mild discomfort, redness, and swelling in the treated area. This is normal and typically subsides within a few days.
First Week: During the first week, the patient is likely to be advised to wear compression stockings or bandages to promote healing and reduce swelling. Follow the doctor’s instructions regarding physical activities.
1 to 2 Weeks: Most individuals can resume normal daily activities within a few days to a week. However, strenuous activities, heavy lifting, and exercise may need to be avoided for a slightly longer period, typically around two weeks.
The treated varicose veins gradually fade and disappear over time. The final results may take several weeks to months to become visible. Some patients may require multiple sessions of laser treatment spaced several weeks or months apart, depending on the extent of the condition.
Risks & Complications Associated With Laser Treatment For Varicose Veins
While Laser Treatment For Varicose Veins is generally safe, there are some risks and potential complications to be aware of:
Bruising and Swelling: It is common to experience bruising and swelling around the treated area, which typically subsides within a few weeks.
Skin Discoloration: Temporary skin discoloration may occur as a result of the laser treatment and usually resolves within a few months.
Nerve Injury: In rare cases, damage to nearby nerves can occur, leading to temporary or permanent numbness or tingling in the treated area.
Infection: Although rare, there is a risk of infection at the site of the incision. Proper wound care and hygiene can help minimize this risk.
Deep Vein Thrombosis (DVT): DVT, a blood clot forming in the deep veins, is a potential but rare complication of any vein treatment. Walking and early mobilization after the procedure help to reduce the risk.
Most of the risks and complications can be mitigated by following the doctor’s advice, as they will provide instructions to reduce the risks and ensure a safe and successful procedure.
Varicose Veins Surgery
There are different surgical techniques for varicose veins, including vein stripping and ligation and ambulatory phlebectomy. The specific procedure recommended will depend on the size, location, and severity of the varicose veins. Both techniques are safe and effective.
During the surgical treatment, anesthesia is administered by the doctor, and small incisions are made in the groin area or along the path of the affected vein. If vein ligation and stripping are done, the malfunctioning vein is ligated or tied first to halt the blood flow and then removed from the body.
In the case of ambulatory phlebectomy, the veins are marked first, and several incisions are made along the vein to remove it in small, multiple segments. Once the targeted vein is removed, the incisions are closed with sutures or surgical tape. Dressings may be applied to protect the incisions. The duration of varicose veins surgery might vary from 60 to 90 minutes and is generally performed on an outpatient basis.
Benefits of Varicose Veins Surgery
Though surgery is a more invasive approach to treating varicose veins, it also has its own benefits, which are given below:
Effective Treatment: Surgical intervention offers a highly effective method for treating varicose veins, particularly in cases of large or severe varicose veins that are twisted.
Symptom Relief: Surgery can provide long-lasting relief from symptoms associated with varicose veins, such as pain, swelling, cramping, and heaviness in the legs.
Improved Appearance: Surgery can improve the appearance of varicose veins, as the vein is removed and won’t be visible underneath the surface.
Definitive Solution: Unlike laser treatment, surgical treatment doesn’t require multiple sessions to provide desired results.
Lifestyle Changes After Laser Treatment For Varicose Veins
After getting varicose veins surgery, whether surgical or non-surgical, the individual needs to make certain lifestyle changes to improve the outcome of the treatment and prevent the recurrence of varicose veins. Here are some general guidelines given to people:
Regular Exercise:
Engage in low-impact exercises such as walking, swimming, or cycling to promote healthy blood circulation.
Exercise helps strengthen the calf muscles, which aids in pumping blood back to the heart.
Consult the doctor to determine the appropriate exercise regimen.
Weight Management:
If the individual is obese or overweight, he/she needs to maintain a healthy weight or work towards achieving it, as excess weight puts additional pressure on the veins, worsening the condition.
Follow a balanced diet and consider seeking guidance from a nutritionist or dietitian for healthy weight management.
Avoid Prolonged Sitting or Standing:
Avoid sitting or standing in one position for a long time, as it can affect blood circulation through the veins and contribute to blood pooling in the veins.
If the individual’s work requires long hours of sitting or standing, he/she should take frequent breaks and try to move around as much as possible to improve blood circulation. Leg stretching can also be helpful.
Leg Elevation:
Elevate legs above the heart level whenever possible, especially while sleeping or during periods of rest. This improves circulation.
Elevating the legs will also help to reduce the swelling in the affected leg by preventing the pooling of blood and providing relief from the discomfort.
Wear Compression Stockings:
The doctor is likely to recommend wearing compression stockings on a regular basis to help improve blood flow, reduce swelling, and alleviate the symptoms of varicose veins.
Wear the appropriate compression level as prescribed by the vascular doctor. A higher compression level can halt the blood flow, and a lower compression level won’t be helpful.
Avoid Tight Clothing & Footwear:
Avoid wearing tight-fitting clothes, especially around the waist, groin, and legs.
Tight innerwear can also restrict blood flow and contribute to the development or worsening of varicose veins.
Opt for shoes that are comfortable and offer good arch support.
Avoid wearing high heels and shoes that restrict leg movements or put excessive pressure on the feet and legs.
Dietary Modifications:
Follow a balanced diet rich in fiber, vitamins, and minerals to support overall cardiovascular health.
Include foods that promote healthy blood circulation, such as fruits, vegetables, whole grains, and lean proteins.
Limit the consumption of processed foods, salty foods, and excessive amounts of sodium, as they can contribute to fluid retention and worsen swelling.
Stay hydrated by drinking an adequate amount of water and other healthy drinks throughout the day.
Proper hydration also helps to maintain blood viscosity and promote efficient circulation.
Smoking & Alcohol Cessation:
It is important for the individual to quit smoking entirely or at least cut back on smoking gradually. Smoking considerably affects nerve health, which in turn impacts blood circulation and overall vascular health.
Limit alcohol consumption as excessive alcohol intake can cause dehydration and decrease the viscosity, which in turn, impacts the blood flow.
Follow-Up Care:
Take regular follow-ups with the doctor even after the condition has improved to ensure that there are no signs of recurrence.
Follow the doctor’s instructions regarding medication, wound care, and specific post-treatment guidelines.
Home Remedies:
People often try various home remedies and self-care tips to see if they make any difference in the appearance of varicose veins. They may not eliminate the veins entirely but may be helpful in providing relief from the symptoms and delaying the progression of the condition. Some common varicose veins self-care measures and home remedies are mentioned below:
Exercise for varicose veins is a very effective solution as it improves blood circulation naturally and strengthens the leg muscles. Try doing low-impact exercises, such as walking or swimming, cycling, yoga, etc., or talk to the doctor regarding exercises that can be helpful.
Use pillows to lift the leg while resting or sleeping.
Keep the skin well-moisturized and talk to the doctor about using topical antibiotics (neomycin), drying lotion (calamine), lanolin, benzocaine (numbing cream), or topical hydrocortisone creams.
Watch out for skin sores on the leg or discoloration around the affected area.
Try massaging the affected areas or the entire leg, which helps to keep the blood moving through the veins. Use specific creams and oils for varicose veins, such as cypress, geranium, and rosemary oil.
Patients can also try alternating hot and cold therapy. Soak the leg in hot water for 3 minutes, followed by cold water for 30 seconds.
It should be noted that lifestyle changes alone may not eliminate the chances of developing varicose veins entirely, especially if there is an underlying predisposition or venous insufficiency present. However, adopting these changes can improve overall vascular health, alleviate symptoms, and reduce the likelihood of varicose veins progression.
Varicose Veins Laser treatment Cost
The Varicose Veins Laser Treatment Cost in India depends on the technique used, the severity of the condition, the city where the patient is getting treatment, the surgeon’s experience, and the hospital’s facilities. Here is a general estimate of different types of treatment methods for varicose veins:
Sclerotherapy- Rs. 5,000 to Rs. 15,000 per session
Laser or Radiofrequency Ablation- Rs. 50,000 to Rs. 1,50,000 for both legs
Endovenous Laser Treatment (EVLT)- Rs. 30,000 to Rs. 70,000 per leg
Vein Ligation & Stripping- Rs. 40,000 to Rs. 2,00,000 or more for both legs
Ambulatory Phlebectomy- Rs. 45,000 to Rs. 1,50,000 for both legs
The cost given above is only an estimate, and the actual cost of treatment will vary depending on the facility chosen and the technique used.
Laser Treatment For Varicose Veins Coverage Under Insurance
The coverage of varicose veins surgery under insurance depends on various factors. Generally, only the procedures deemed medically necessary are covered by health insurance. If a patient is getting treatment for an asymptomatic condition, the insurance company may not provide approval to cover the cost of treatment. Some key points that are considered while determining the insurance coverage for varicose veins are given below:
Pre-authorization: In many cases, insurance companies require pre-authorization or pre-approval before undergoing Laser Treatment For Varicose Veins. This means the individual may need to provide medical documentation, including diagnostic tests and evaluations, to demonstrate the medical necessity of the treatment.
Medical Necessity: Insurance coverage for Laser Treatment For Varicose Veins is typically based on medical necessity. If the varicose veins are causing significant symptoms, complications, or impairing your ability to carry out daily activities, there is a higher chance of coverage.
Conservative Treatment Requirement: Some insurance plans may require the patients to try conservative or non-invasive treatment options, such as compression stockings or lifestyle modifications, before considering coverage for more invasive treatment methods like laser ablation or vein removal surgery.
Coverage Limitations: Insurance coverage for Laser Treatment For Varicose Veins may have limitations or exclusions. For example, certain procedures, such as purely cosmetic treatments, may not be covered. It is essential to review the insurance policy or contact the insurance provider to understand the specific coverage limitations and exclusions.
Co-payments, Deductibles, and Out-of-Pocket Costs: Even if Laser Treatment For Varicose Veins is covered under your insurance plan, you may still be responsible for co-payments, deductibles, or out-of-pocket expenses. These costs vary based on specific insurance plans and policies.
To determine the extent of insurance coverage for Laser Treatment For Varicose Veins, it is recommended to talk to the insurance provider.
You should consider seeking medical attention or consulting a vascular doctor if you experience the following symptoms related to varicose veins:
Pain or discomfort in the legs, especially if it interferes with your daily activities.
Swelling, inflammation, or redness around the varicose veins.
Skin changes, such as discoloration, thickening, or ulceration in the affected area.
Bleeding from a varicose vein.
Development of a tender or painful lump near a varicose vein.
Symptoms worsen over time or affect your quality of life.
What happens if varicose veins are left untreated?
Leaving varicose veins untreated may result in the following complications:
Chronic pain and discomfort
Swelling and edema in the legs
Skin changes and discoloration
Formation of blood clots (superficial thrombophlebitis or deep vein thrombosis)
Increased risk of skin infections or ulcers
Excessive bleeding from a ruptured varicose vein (though this is rare)
Which doctor to consult for varicose veins?
A vascular specialist, also known as a vascular surgeon or phlebologist, is the most appropriate healthcare professional to consult for varicose veins. These specialists have expertise in diagnosing and treating conditions related to the blood vessels, including varicose veins.
How can I get in touch with the best varicose veins doctor?
To get in touch with the best varicose veins doctors in India, you can contact Pristyn Care. We have a highly dedicated team of vascular specialists and interventional radiologists who are well-trained in traditional and modern techniques used for treating vascular problems.
Can varicose veins recur after undergoing treatment?
The chances of recurrence become really low if Laser Treatment for Varicose Veins is performed by a vascular surgeon who has expertise in performing advanced treatment.
Is laser treatment for varicose veins painful?
No. Laser Treatment for Varicose Veins is performed under the influence of anesthesia which makes the procedure completely painless.
What is the duration of Laser Treatment For Varicose Veins?
The duration of Laser Treatment for Varicose Veins usually takes 35-45 minutes. However, the complete procedure may take 1 to 2 hours based on the severity of the varicose veins and the amount of area that is affected.
Is varicose veins surgery minimally invasive?
Yes. Advanced Laser Treatment For Varicose Veins is performed with a minimally invasive technique. In the advanced procedure, the surgeon makes tiny incisions as compared to open varicose veins surgery.
What is the Varicose veins Surgery Success Rate?
The Varicose veins Surgery Success Rate is 90% – 95%. Our skilled vascular surgeons perform varicose vein surgery with extreme precision and expertise.
Will varicose veins go away if I lose weight?
Many people think that as obesity is a risk factor that leads to the development of varicose veins, losing weight can be helpful. However, no certainty losing weight will repair the weak and malfunctioning vein valves. In addition, there may be other underlying causes for varicose veins that may not be related to weight gain.
Also known as endovenous laser treatment or EVLA, this is a minimally invasive ultrasound-guided procedure that involves the use of ultrasound images and laser fiber in order to kill the delicate lining of the veins. After a few days following the procedure, the body absorbs the dead tissues, closing off the abnormal veins with minimal or no discomfort. This is one of the most commonly preferred methods as it involves far fewer complications, and the recovery time, as well as the success rate of this method, is much faster and higher than that of any surgical process.
Vein Ligation and Stripping
This is a surgical procedure that is done in order to remove a damaged vein and prevent future complications like ulcers, clotting, etc., in the affected vein. During the surgery, two to three incisions, each ranging around 5 cm in diameter, are made over the damaged veins, and the veins are tied off or ligated. Normally, the recovery time in this procedure is longer than that of the minimally invasive techniques. This method is usually preferred in treating people who are suffering from trophic ulcers or varicose eczema, as it is in this stage that skin starts decomposing and develops into a non-healing ulcer.
Transilluminated Powered Phlebectomy
This is a vein removal procedure that makes use of a bright light, which is known as an endoscopic transilluminator, to illuminate the vein. In this process, a number of incisions will be made on your leg, and the surgeon will place the transilluminator underneath your skin so they are able to see the veins that need to be removed. As soon as the veins are identified, they will be cut and will be removed through the incisions using a suction device.
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Soma Puri
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My experience with Pristyn Care for treating varicose veins was truly transformative. The medical professionals demonstrated exceptional skills and empathy, acknowledging the emotional challenges associated with this vascular condition.
City : CHENNAI
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Anjali Anand
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Under the care of Dr. Bineet Jha for Varicose Veins, I found him to be a highly competent surgeon. He believes in taking only the necessary steps and ensures a serene atmosphere, contributing to a comfortable treatment experience.
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Pankaj Singh
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I had a very good experience with Pristyn Care's Doctor in Jaipur. The treatment was successful and I have recovered completely.
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Rajat Yadav
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Treated by the best varicose veins surgeons in Jaipur. Would recommend.
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Dheerja Pathak
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I felt good after meeting the doctor at Pristyn Care in Jaipur and he explained everything about varicose veins surgery.
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Pristyn Care Clinic never fails to provide informative and pleasant visits. The staff's friendly and helpful demeanor contributes significantly to the overall positive experience. I highly recommend Pristyn Care Clinic to all seeking quality healthcare.
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Aditya Birla Health Insurance Co. Ltd.
National Insurance Co. Ltd.
Bajaj Allianz General Insurance Co. Ltd.
Bharti AXA General Insurance Co. Ltd.
Future General India Insurance Co. Ltd.
HDFC ERGO General Insurance Co. Ltd.
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