I recently saw a patient who had been told the only way to get rid of her large, unsightly varicose veins was through surgery. This is not true – there are other options available.
First, it’s important to understand what causes those large, ropey veins called varicose veins. Most people with varicose veins have venous reflux disease. However, not all patients with venous reflux disease have varicose veins. In fact, only 40% of patients with venous reflux disease actually have varicose veins. About 20% of patients do not have any visible veins in their legs but have the debilitating symptoms of venous reflux disease. These symptoms include throbbing, aching, cramping, burning, fatigue, heaviness, restlessness, tiredness, itching, and swelling.
A leaky valve problem in a leg vein is usually the underlying cause for varicose veins and venous reflux disease symptoms. The leaky valve in the vein leads to an increase in venous blood pressure. This high pressure causes veins near the surface of the skin to dilate over time and increase in noticeably in size every 2-5 years. After a period of conservative management, definitive treatment can be performed. It is very important to treat the underlying cause of venous reflux disease first. Treatment will eliminate the symptoms of venous reflux almost immediately and may cause the varicose veins to shrink so much that they are no longer noticeable and further treatment isn’t necessary.
A key to successful treatment is properly identifying the underlying veins responsible for the varicose veins and other symptoms. Vein Specialists of Arizona specialize in the proper diagnosis and treatment of all aspects of venous reflux disease. The Venefit procedure (formerly called VNUS Closure) is the treatment option that can be used. Venefit is performed in the office in 15/30 minutes without pain and allows patients to resume activity right away. treatmentt options include Radiofrequency Ablation or Endovenous Laser Ablation- both can be done in 15-20 minutes in the office.