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What’s the Best Treatment for Varicose Veins?

Varicose vein treatments no longer require a hospital stay. You can select your preferred procedure from one of several minimally-invasive treatments.

When varicose veins progress from a cosmetic concern to a condition that causes you pain or limits your daily activities, it may be time to consider treatment. Yet despite the benefits, many people are hesitant to undergo surgery for varicose veins. 

Perhaps you think removing those bulging, twisting veins on your leg or foot requires a major operation, but that’s not the case. There are several minimally-invasive procedures to choose from if you decide to treat your varicose veins.

You and your vein specialist will discuss the option best suited to reduce your discomfort and give your legs a smoother appearance. Whichever treatment you select depends on the size and location of your varicose veins. The three procedures described below require minimal anesthesia or none at all, and allow you to resume your life almost immediately.

Top Treatments for Varicose Veins

Varicose veins occur when small valves in the veins weaken. This allows blood that should move upward to the heart to instead flow backward and remain stagnant in the veins. Excess blood causes the vein walls to protrude from under the skin and form bulging varicose veins. Treatment models center on removing the unhealthy veins, using a variety of different techniques.


Sclerotherapy involves injecting a foam treatment into the damaged vein, thereby forcing it to collapse. Once the vein is closed, blood is directed to healthier veins nearby. This procedure is most often used to treat spider veins and smaller varicose veins. Ultrasound-guided foam sclerotherapy is another version of the treatment. Using an ultrasound instrument to find the damaged vein deep within the leg, the foam is directed into the vein to shut off its blood supply.

Because the needle used during the procedure is so thin, you won’t need local anesthesia for sclerotherapy. However, there will be some redness after the procedure, which usually fades in a day or two. You can resume normal activities immediately after sclerotherapy, but you’ll need to wear compression stockings and avoid the sun and hot water for a few days to promote healing.

Endovenous Ablation

In endovenous ablation, the heat from radiofrequency waves or a laser seals off the abnormal vein. Endovenous ablation is the preferred treatment for larger varicose veins, and has replaced the more invasive vein stripping that once required a hospital stay. Before the procedure, you’ll be injected with a local numbing agent, but the whole treatment takes just 15 minutes. 

After-care involves keeping the dressing clean and dry, wearing compression stockings for a couple of days, and avoiding sitting or standing for long periods. You should also not swim or lounge in a hot tub while your legs heal. Otherwise, you can return to your normal daily activities.


Like endovenous ablation, microphlebectomy is used as an alternative to vein stripping and requires only local anesthesia. After small incisions are made into the leg, the malfunctioning vein is removed, resulting in an almost immediate reduction in symptoms and appearance. You can remove the bandage a day after the procedure, but you’ll wear compression stockings for about five days. Strenuous exercise is not recommended for at least a week, but a brisk walk can help you heal by boosting circulation in the legs.

Is it Time to Treat Your Varicose Veins?

All of these treatments are safe and effective in eliminating unsightly and uncomfortable varicose veins. Depending upon your individual situation, you may need several treatments or a combination of treatments. 

At Siragusa Vein & Laser, we take the time to educate our patients on each therapy so they can make an informed decision. Before we recommend a treatment, we do a thorough diagnostic workup to build a comprehensive picture of your vascular health and ensure we’re giving you the best advice. Contact us today for a free vein screening.

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