Varicose Veins Treatment
Treatments for Varicose Veins
Conservative Treatment of Varicose Veins
Conservative treatment with well fitted graduated compression stockings can relieve most symptoms if worn daily; daily exercise by walking with well fitting shoes with insoles to maximise efficiency of the calf muscle vein pump, elevating the legs when sitting, and Paroven taken orally, may help relieve the aching discomfort caused by varicose veins.
However, none of these reverse the disease process.
Duplex Guided Foam Sclerotherapy &/or Visually Guided Sclerotherapy (DGFS/VGS).
WA Vascular Centre has developed a unique technique for treating Varicose Veins with this method, using Polidocanol. This has proven to give as good, or probable better results than published results for alternative treatments.
THIS IS THE PREFERED METHOD FOR TREATING VARICOSE VEINS AT WA VASCULAR CENTRE.
Common sclerosants for sclerotherapy of Varicose Veins are Polidocanol, hypertonic saline, sodium tetradecyl sulphate (STD; Sotradecol).
Polidocanol sclerosant offers a number of advantages. It does not cause burning with injection and is less likely than other agents to cause skin ulceration or pigmentation changes. It is more effective in sclerosing larger varicose veins if mixed as a foam with air – Duplex Guided Foam Sclerotherapy (DGFS) – and has been shown to be just as effective as surgery, but without the complications of surgery. A few treatments are usually required.
Polidocanol ( & STD) are detergents and act by washing away the lining of the vein allowing the two walls to stick together, which requires 4 weeks wearing compression stockings after treatment.
Contraindications to sclerotherapy. Pregnancy, pulmonary emboli, hypercoagulable states and allergy to the sclerosing agent. Patients at risk with a family (or personal) history suggestive of DVT are tested for thrombophilia prior to sclerotherapy and, if present, are given a post sclerotherapy course of Clexane.