Varicose Veins Treatment in Hyderabad, India

What are varicose veins?

Veins performs the function of carrying blood back to the heart. When these veins swell or twist, they cannot perform their functions properly leading to a condition known as varicose veins.

Understanding leg veins

The importance of leg veins lies in the fact that they carry blood from the bottom most parts of the body back to the heart. A skeletal-muscle pump of the leg works against gravity to pump the blood back to the heart. The construction of the veins is such that they allow blood to flow in one direction (back to the heart) and not the other. To achieve the stopping of flow in the reverse direction veins come with one way valves known as leaflet valves. These valves come in pairs and should combine perfectly to perform their function.

How do varicose veins occur?

When the veins swell, the valves do not combine properly leaving a gap for the blood to flow in the reverse direction. This backward flow of blood causes blood to collect in the leg veins leading to swelling. The deoxygenated blood makes the swelling look blue.

What are the causes of varicose veins?

The causes of varicose veins are many and may include

  • Aging - loss of elasticity leading to weak valves affecting their function
  • Heredity
  • Pregnancy - more blood produced during pregnancy flows to support the fetus and restricts supply to the legs leading to varicose veins
  • Hormonal changes during pregnancy
  • Menopause
  • Continuous standing
  • Injuries to the leg
  • Strain on the abdomen
  • Alcohol consumption leading to changes in blood viscosity
  • Obesity

Varicose veins seem to appear more in women than men because of the pregnancy factor.

How do we diagnose varicose veins?

Diagnosis consists of physical examination and noninvasive procedures.

In physical examination, physicians look for swollen legs and discoloration while standing. They also seek information from patients about

  • Aches and pains in the leg
  • Irritable skin
  • Any changes in menstrual cycle
  • Pregnancy
  • Any blood clots

Noninvasive procedures such as ultrasound test can detect

  • Improper blood flow
  • Imperfect leaflet valves
  • Presence of blood clot

Physicians with the help of the above diagnosis can isolate the cause and plan treatment.

Treatment

Treatment consists of lifestyle changes, minimally invasive and surgical intervention.

Usually, doctors do not advise any treatment if there is no discomfort. However, doctors may advise changes in lifestyle to prevent recurrence of the problem. These could include

  • Keeping legs in elevated positions while at rest
  • Strength exercise for legs
  • Reducing standing time
  • Reducing obesity
  • Eating a balanced fiber rich diet
  • Wearing proper dresses - no tight fitting dresses and no high heeled footwear

Typically, good lifestyle habits prevent the varicose vein conditions.

Minimally invasive treatments include

  • Use compression socks or stockings - allows blood to flow more freely to the heart
  • Sclerotherapy - blockage of larger or smaller veins as the case may be by using special liquids
  • Use of light energy to block veins through laser surgery
  • Use of RF and heat waves to block veins through endovenous ablation therapy
  • Blocking veins through endoscopic vein surgery

Surgical interventions include

  • Ligation and stripping - under general anesthesia, the surgeon ties the affected veins at both ends and removes the veins. The procedure does not affect blood flow as the deeper veins take over the function of the removed veins
  • Transilluminated powered phlebectomy - under local or general anesthesia, the surgeon uses special light to locate the troubled vein and remove it

Do all varicose veins need treatment?

All varicose veins do not need treatment especially if there is no discomfort to the patient. However, some patients seek intervention if they are uncomfortable with the physical look of varicose veins.

Endovenous laser therapy

This procedure uses laser energy through optical fiber to contract the affected veins thus eliminating the problems associated with varicose veins. The procedure allows the placement of anesthetic solution around the affected vein. After the transmission of energy and withdrawal of the laser energy, the patient is ready to leave the hospital. The procedure is simple and less time consuming. The post treatment consists of bandaging the surgical portion for 3 weeks.

Causes of recurrence

There are few causes of recurrence of varicose veins happen.

It is possible that the surgeon took out the wrong veins.

It is also possible that the technique used to remove the veins was not appropriate. Unfortunately, veins are not organs and so grow back after surgical removal. These veins have no valves in them.

Yet again, it is possible that new varicose veins appear. These veins can swell just as the other removed veins.

Varicose treatment in Hyderabad

The Dr Y V Rao Clinic in Hyderabad is the best clinic for treatment of varicose veins. The clinic houses the best equipment and the best experts for varicose vein treatments.