A thorough check-up and physical examination of the varicose veins at fault is initially performed. During this same first consultation, an ultrasound exam will allow an in-depth evaluation of the deep venous network and locate the reflux problem areas. Once this is determined, a personalized treatment plan will be established as needed.
Sclerotherapy is utilized to treat most varicose veins. The procedure involves injecting a sclerosing chemical inside the vein that obliterates it and causes it to scar. Once the defective veins are eliminated, the blood flow is redirected to the healthy veins.
Micro-sclerotherapy can be used for minuscule veins like the ones found in telangiectasia (spider veins) and varicosities. For this indication, a milder sclerosing agent is utilized.
Finally, ultrasound-guided sclerotherapy, also known as echophlebology, is used to treat veins that are difficult to see and reach. By using an ultrasound machine, deeper veins are easier to visualize, dramatically lowering the need for surgery. This technique is appropriate for saphenous veins and their tributaries buried deep below the skin.
A combination of these modalities may be required to optimize the result. Immediate return to activities of daily living is recommended to activate and normalize circulation. There is no need to take time off from work.