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Conservative measures

Discomfort caused by varicose veins can be reduced by elevating the legs and/or wearing elastic compression stockings.

Sclerotherapy

Sclerotherapy is a common treatment for spider veins and medium size veins. A fine needle is used to inject an irritating solution into the vein. This creates a reaction that scars and seals the unwanted vessel and the body absorbs these veins - they eventually disappear.

In this method in the sclerotherapy, compression stockings must then be worn-as in all other surgical methods-in order to accelerate the healing process and to make it as smooth as possible. Sclerotherapy can be ultrasound guided.

Surgery

Vein stripping: The surgical removal of varicose veins via a flexible probe is called vein stripping. The „pulling“ of the damaged veins is a standard intervention and is carried out, depending on the severity, either outpatient or inpatient and in several steps.

An incision is made below the varicose vein, a flexible probe is threaded up the vein to the first incision, and the vein is grasped and removed.

Ambulatory phlebotomy: The surface varicose vein is hooked through small incisions in the skin and is pulled out under local anaesthesia.

Endovenous procedures

Laser treatment: Laser therapy is nowadays an essential step in the treatment of venous diseases. It is a minimally invasive treatment alternative to surgical stripping of the superficial varicose veins. Following anaesthesia of the skin, a laser fiber is inserted into the saphenous vein. As the fiber is withdrawn, the laser is fired. Because of the heat the vein walls are glued and the vessel is „shut down“.

Radio frequency Ablation works according to the same principle but uses radio frequency instead of laser.