The Symptoms, Causes, Diagnosis and Treatment of Varicose Veins
Each year, hundreds of patients come to us seeking effective treatment for varicose veins in Dwarka, New Delhi. Yet not many people are often unaware of this very common condition, so we’ll explain a few pointers and what you should know if you’re seeking the best treatment for varicose veins in Dwarka, New Delhi.
Varicose veins, also called varicose or varicosities, happen when our veins become larger, get more dilated, and are overfilled with blood mostly in legs. Varicose veins will most likely appear swollen and raised, and be bluish-purple or red in colour, and are often quite painful.
The condition is very common, more so in women. About 25 percent of all adults will have varicose veins, and there almost 10 million diagnosed cases per year in India alone. Usually, varicose veins first appear on the lower legs, and there is no cure per se, only treatment to manage the associated symptoms.
Varicose veins develop when veins don’t function like the usually do. Veins have one-way valves that allow only blood to flow forward, not back, and if these valves fail, blood begins to accumulate in the veins rather than coursing and continuing towards the heart. In this scenario, the veins get enlarged. Varicose veins will most often affect our legs because veins located in the legs are farthest from the heart, and gravity naturally makes it harder for the blood to flow upward.
The potential causes for varicose veins include:
• Being over 50 years old
• Continuously standing for long periods of time
• Being obese
• A family history of varicose veins
The major symptoms of varicose veins are very apparent and visible, for instance unshapely veins, that will pop up on your legs in most cases, people could experience considerable pain, swelling, heaviness, and aches on or around the enlarged veins.
In some cases, people may develop swelling and discolouration and in very severe cases, the veins can bleed quite a lot, and ulcers form.
A doctor, most likely someone who is a varicose vein specialist, will examine your legs and the enlarged visible veins while you’ll sit or stand, this will help diagnose varicose veins. You could be asked about pain or symptoms you’re having or had before.
We have some of the best varicose vein doctors in Delhi, and they almost always ask our patients to get an ultrasound to check their blood flow as well. An ultrasound test is non-invasive and allows a doctor to examine how blood is flowing in the veins.
Depending on where the varicose veins are located, a venogram might be done to further examine and assess the veins. During a venogram test, your doctor will inject a special dye into your legs and take X-rays of the same. The dye will then appear on the X-rays, giving the doctor a clearer view of how blood is flowing in your veins.
Tests like an ultrasound or venograms will help ensure that some other disorder like blood clots or blockages aren’t causing the pain and swelling in your legs.
Treatment and Prevention
In most cases, doctors are usually conservative when it comes down to treating varicose veins. You’ll be asked to make some changes to your lifestyle, instead of going in for more aggressive treatment.
There are some simple changes that may help prevent the onset of varicose veins, or from becoming worse:
• try and avoid standing for long periods of time.
• maintain ideal weight, or lose weight in case you are obese.
• indulge in exercise to improve blood circulation.
• there are special compression socks available that keep the blood flow going.
In case you already have varicose veins, and if you need to, then you should take these steps to prevent new varicose veins from forming. Try and elevate your legs when you’re at rest, laying down or sleeping.
You may be advised by your doctors to wear special compression socks or stockings, which will place sufficient pressure on your legs so that blood can flow more easily and circulate into your heart, these socks will also help decrease the swelling.
The level of compression does vary, but almost all types of compression socks are available across pharmacies and chemist stores.
In case adopted lifestyle changes aren’t cutting it, or your varicose veins are causing some really severe pain or damage to your overall health, you may be advised to go in for varicose veins surgery. We have some of Delhi’s best varicose vein surgeons onboard who perform these surgeries.
The process is called Vein ligation survey and stripping and requires anaesthesia. During the surgery, surgeons make cuts in the skin, cut the varicose vein(s), and remove it through the same incisions. Today we have more advanced and updated variations of vein-stripping surgeries but people will and should go in for newer, less invasive options are available.
Other treatment options
If you’re looking for non-invasive varicose vein treatment in Delhi, then there is a wide range of minimally invasive treatment options for available. The options are:
• Sclerotherapy, treatment that is a minimally invasive procedure used for treating varicose veins and spider veins. It involves injecting sclerosing agents which are chemicals, into damaged veins. In addition to reducing the appearance of varicose or spider veins, sclerotherapy reduces pain or the side effects caused by larger veins.
• Microsclerotherapy, done using a liquid chemical injection to block off the smaller veins.
• laser surgery is an option; it uses light energy to block off a particular vein.
• endovenous ablation therapy, which uses heat and radio frequency
• waves to block off veins.
Advantages of EVLT:
• 98% success rate.
• It is less risky as compared to surgery.
• No surgical scar on skin.
• No blood loss or risk of blood transfusion.
• The recovery is very fast as compared to traditional surgery.
• The recurrence rate is very low as compared to conventional surgery.
• Normal activities like long distance walking, running, standing can be resumed within 1-2 days.
• Endoscopic vein surgery, done with the use of a small lighted scope inserted through a small incision to block off veins
Before considering any treatment, talk to us or call your doctor about the associated risks before choosing a method. The method recommended will depend on symptoms, size, and location of varicose veins.
Dr. Amrish Kumar