How to treat Severe Varicose Veins

Treatment Options for Severe Varicose Veins:

1. Conservative Management

  • Compression stockings: These help improve blood flow and reduce symptoms like swelling and pain.

  • Lifestyle changes: Regular exercise, weight management, elevating legs when resting, and avoiding prolonged standing or sitting can help.

  • Avoid tight clothing: Clothes that restrict blood flow around your waist, legs, or groin should be avoided.

2. Medical Procedures

When conservative measures aren’t enough, several medical treatments are available:

  • Sclerotherapy: A solution is injected into the vein to scar and close it, rerouting blood to healthier veins.

  • Endovenous laser therapy (EVLT) or radiofrequency ablation (RFA): Minimally invasive procedures using heat to close off varicose veins.

  • Vein stripping and ligation: A surgical procedure where the affected veins are tied off and removed through small incisions.

  • Ambulatory phlebectomy: Removal of smaller varicose veins through tiny punctures.

  • Foam sclerotherapy: A foam solution is injected for larger veins.

3. In Severe or Complicated Cases

  • If varicose veins lead to ulcers, bleeding, or significant skin changes, more aggressive treatments and wound care might be necessary.

  • Sometimes, vascular surgery or interventions may be recommended.


When to See a Doctor

  • Pain, swelling, or heaviness in the legs.

  • Skin ulcers or sores near varicose veins.

  • Bleeding or sudden swelling.

  • If you have risk factors like blood clots.

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