Varicose Veins Laser Treatment in Mumbai
What are Varicose veins ?
Veins are blood vessels that transport blood from various body parts to the heart for re-circulation.
Varicose veins are changes occurring in normal veins, which when diseased, no longer work the way they are supposed to. Inside your veins are very small valves that open and close to help keep blood flowing in one direction – back towards the heart.
Sometimes, these tiny valves begin to malfunction, allowing blood to back up and “pool” behind the valves. Over time, the vein walls become weak and veins begin to bulge, causing the raised, welt (swollen vein) like appearance we see as varicose veins. Spider Veins are similar but smaller.
Varicose veins are normally swollen and enlarged. They often are lumpy, bulging or twisted and sometimes may be red, blue/purple.
To understand simply, imagine a road where traffic lights control movement of traffic in one direction. However, when traffic lights malfunction, a traffic jam happens.
Similarly, when valve in the veins do not work properly, blood movement is obstructed which many a times result into Varicose veins.
What Causes Varicose Veins?
Mostly Varicose veins occur with age, however they also can be caused by significant weight gain as well as professions that require you to stand or sit for a long time each day.
Genetics can also play a role in varicose vein development, and women are more likely to have them than men. Smoking and taking oral contraceptives or hormone replacements also increase your risk of developing varicose veins.
Number of factors which increase probability of having varicose veins:
- Professions or Occupations which require a lot of standing like Security guards, Professors, Airhostess, Factory workers, Nurses etc.
- Obese people that is people with BMI greater than 30 (>30) are more likely to get vein problem.
- Pregnancy, puberty, and menopause leads to hormonal changes and they may influence occurrence of varicose vein. Postmenopausal hormonal replacement also have been considered as cause of varicose vein issue.
- Birth control pills usage also leads to hormonal changes which again may increase probability.
- Heredity: Genetics are known to play a role in onset of vascular conditions and Varicose vein is no exception.
- Blood clot history
- Conditions that lead tomore than normal pressure in the abdomen such as constipation, tumors, garments like girdles etc.
Research has identified some other causes like injury/trauma to the skin, history of vein surgery, ultraviolet rays exposure
You can also read article about varicose veins on webmd.com.
Is Varicose Veins a Serious Health Problem?
Varicose Veins in itself may not be a serious problem unless you experience:
- heavy & uncomfortable legs with aching
- mild to heavy swelling
- throbbing and burning sensations in legs
- muscle cramps in legs
- dryness and itchiness over the vein
- slow healing sores, dark patches
- thickening of skin around calves or ankles
If you experience any or a combination of the above symptoms, it is advised to get treatment done as negligence may lead to development of:
- extremely painful ulcers
- blood clots which may develop into Deep Vein Thrombosis (DVT) and pulmonary embolism which are serious health problems
- bleeding in the veins requiring medical attention
To avoid any future serious health complication as described above you should see doctors and avail medical guidance.
How is Varicose Veins Diagnosed?
While primary evaluation for varicose vein is done by confirming the symptoms and physical inspection of the legs by medical professional. However clinically every patient is required to have a full and detailed duplex ultrasound scan carried out by specialist doctor i.e. an interventional radiologist.
It is necessary with ultrasound for varicose veins that the medical professional examines each vein in the leg including smaller perforator veins. It has been found that a non-specialist medical professional may overlook the minor veins which may be the real cause of varicose vein.
In certain specific conditions wherein varicose veins are thought to be originating from Pelvis, more specific tests are required.
What Doctor to see for Varicose Vein?
You should consult an expert as he only can assess your problem and advise if you need to avail dedicated treatment. If you have symptoms as described above, you may meet any of the following set of doctors
- A phlebologist who is a vein specialist
- A vascular medicine doctor, who focuses on the system of blood flow
- An interventional radiologist, who specializes in using imaging tools to see inside the body and do treatments with little or no cutting.
It is important to see the right expert because it is equally important to know when to start the treatment.
In early disease, depending on the clinical examination and a good doppler study, the expert will usually recommend appropriate stockings for prevention.
It is also necessary to know the right time to proceed to intervening into definite treatment to prevent complications.
The technique used by Interventional radiologists are some of the most advanced and have proven to have given best results to the patient.
Interventional radiologists are specially trained to perform all treatment procedures related to varicose veins. Most treatments performed by them provide immediate relief to the patient and enable resuming normal life with minimal rest period.
As per guidelines by National Institute for Health & Care Excellence, United Kingdom interventional procedures by an interventional radiologist should be attempted first before reviewing any other treatment option.
You can connect with us for getting a free online doctor advise for your problem. We will be happy to provide you guidance for the problem.
Types of Treatment Offered for Varicose Veins
- Endovenous laser ablation treatment (EVLT): A minimally invasive treatment, EVLT uses heat to close off challenging veins and release the symptoms they lead to. Imaging guidance (guided by x-ray images) is used by the interventional radiologist to thread a thin laser fiber inside the problem vein using a tiny needle. After that, the radiologist numbs the vein to minimize uneasiness during the heating process. At the end, the heat due to the laser causes the vein to close. As the delinquent vein is closed, blood flows via the remaining healthy veins. While patient rests easily during the complete EVLT process, the patient can return to most of the routine activities instantly.
- Radiofrequency Ablation: With insertion of a small catheter into the vein, radiofrequency energy is transported to the vein wall, initiating it to heat, collapse and close shut. It is mostly done on an outpatient basis and very few times under local anesthesia.
- Non-thermal treatments: Also, some non-thermal treatment choices are available for varicose veins. Under these options different types of medically approved substances are used to enable closure of problematic vein. These treatments include:
VenaSeal cyanoacrylate: Specially made and approved medical glueis injected into the vein to make it close.
Clarivein: A small rotating catheter, which is a small, flexible tube, is used to inject in the vein a chemical solution which causes complete closure.
Varithena: Similar to the above too, insertion is made in the vein. However under Varithena, a foam like material is used to improve conditions & appearance.
The benefit of all of these techniques is the that multiple needle sticks for local anesthesia is totally avoided. Also, there is reduced risk for potential nerve damage that may happen with burns.
- Sclerotherapy (Spider Vein Tretament): Under Sclerotherapy a chemical irritant is directly injected into a vein to near to the vessel. Variety of medically approved materials can be used to irritate the vein lining causing it to shrink & close. The solution is injected through a very small needle. Also, this technique is frequently used to treat spider veins (telangiectasia) which are essentially smaller veins.
Which treatment option specifically should be adopted depends on various factors and your specialist doctor should be able to help you make correct choice.
Why Endo Venous Laser-ablation Treatment(EVLT)
A continuous search for better medical treatment option is always on in the medical world, currently EVLT is among the most favoredand quickly becoming golden standard treatment among the varicose vein specialists.Major attributes which make EVLT as a choice treatment plan are
- It is minimally invasive procedure hence it has minimum effect on body compared to surgery.
- It is among the safest procedure for varicose veins with very high success rates..
- It is considered safe for mostly all category of patients including the patients who are not fit for surgery like aged patients.
- Does not leave scar marks on the patient’s body.
- In most patient’s the procedure does not require general anesthesia administration and hence it is better for the human body.
- It’s a procedure which is mostly done on outpatient basis hence patient’s revert to routine activities in no time.
However, there are various treatment protocols with respect to EVLT treatment issued by recognized institutions like NICE Guidelines, UK, which needs to be adhered to by interventional radiologists.
Care after EVLT
EVLT as described is mostly an outpatient procedure and hence patients return to their home the same day. While no specific care is required post EVLT as it is minimally invasive procedure, below mentioned steps may be recommended to patients for faster recovery.
- Use compression stockings as prescribed by the doctor. The stockings help improve blood flow in legs.
- Strenuous exercise is not preferred for some time (two to three weeks). However light exercise like walking is recommended and encouraged.
- Till surgical dressings (a day) are removed a patient may be advised to avoid use of public swimming pools.
Pregnant Woman – While symptoms can develop during the pregnancy, treatment should not be undertaken during pregnancy. Only non-interventional methods should be adopted, provided they are specifically approved by a trained specialist such as an Interventional Radiologist.
FAQ's you should know:
Can varicose return even after treatment?
The treatments offered presently for varicose veins and spider veins have very high success rates when compared to traditional surgical options.
However, with time more abnormal veins may develop as there is no medically approved cure for weak vein valves.
Diagnostics like ultrasound are used to identify the level of leakage in the valves (venous insufficiency). Medication under guidance can help contain this issue for the patients.
If a varicosed vein is blocked or removed, will it be bad for circulation?
No. Varicose veins are already malfunctioning, so that means they're already interfering with healthy, normal circulation.
By preventing blood from flowing through these diseased veins and rerouting it naturally through healthy neighboring veins, normal circulation can be restored.
One thing which supposedly has shown result in slowing the development of new varicose veins is to wear gradient compression support stockings as much as possible during the day.
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