The doctor will first physically examine your legs by checking for swelling or discoloration. Additionally, you might be asked about your medical history and describe the symptoms that you are experiencing. Based on the diagnosis of your condition, the doctor may recommend you to go for certain diagnostic tests like blood tests, Doppler test, and ultrasound to carry out a thorough diagnosis and look for the presence of the blood clots.
To prevent the condition from developing into a severe medical complication, the doctor will carry out one of these treatment procedures to help you get rid of your varicose veins:
- Sclerotherapy: Sclerotherapy is a non-surgical procedure where the doctor injects a sclerosant solution directly into your veins. This will force the blood to flow through healthier veins by collapsing the abnormal or damaged veins, making them disappear over time.
- Radiofrequency Ablation [RFA]: Also known as fulguration, this is a non-surgical procedure of treating varicose veins. During this procedure, the abnormal veins are heated by sending radiofrequency waves through a needle, redirecting the blood to flow through healthier veins.
- Endovenous Laser Therapy Ablation [EVLT]: This procedure is performed with the guidance of an ultrasound scan which helps in identifying the affected vein. The surgeon then inserts a catheter attached with a laser at the end and guides it through the vein to heat and close the walls of the vein. This stops the blood from flowing through the abnormal veins as a result of which the problematic vein shrinks and disappears over a period of time.
- Vein ligation and stripping: This is the traditional procedure where the surgeon makes a number of cuts or incisions that range in about 5 cm in diameter, before stripping the damaged veins and tying them off.
- Transilluminated powered phlebectomy: This procedure is performed under the influence of anesthesia. The surgeon makes several incisions and inserts a light source[transilluminator] into the tissue to have a clearer view of the veins. Once the abnormal vein(s) are identified, the surgeon inserts a catheter through one of the incisions to cut and remove the veins.