Varicose veins are thickened, knotty veins that visibly bulge just under the skin. Often they are mainly a cosmetic problem, but they can also lead to symptoms such as cramps or dangerous complications. Find out here how you can prevent varicose veins and how they can be removed.
Remove Varicose Veins: Invasive Measures
If the veins are already
knotty, you should have the varicose veins removed to avoid complications such
as blood clots (thrombosis), water retention (edema) or open
legs. Warning: removing varicose veins yourself is not a good
idea. See a vein
specialist ( phlebologist ). He
can operate on varicose veins and pull them, for example. But there are
other methods of removing varicose veins as well.
Removing varicose veins: stripping
When pulling varicose
veins, the doctor makes two small incisions in the affected vein, inserts a probe
and pulls out the varicose vein - either completely or only part of it,
depending on how large the pathologically changed part is.
Remove varicose veins: phlebectomy (tick method)
Here the doctor makes
small incisions along the diseased vein and pulls them out with a special hook.
Remove varicose veins: CHIVA method
An outpatient,
vein-preserving way to get rid of varicose veins. The doctor searches for
the affected vein using ultrasound, then makes an incision and ties it off.
Removing varicose veins: external valvuloplasty (EVP)
If the doctor performs a
so-called external valvuloplasty (EVP), he sews a cuff around the vein where
the large superficial leg vein (rose vein) opens into the groin. This
narrows the vessel diameter, which should make the venous valves functional
again. The vein is preserved during this procedure.
Obliterate varicose veins (sclerotherapy)
When varicose veins become
obliterated, the doctor injects an agent into the diseased vein, which causes
inflammation there. The vessel sticks together, causing the varicose veins
to close.
Remove varicose veins: saline solution
With this, varicose veins
can be injected away. The doctor obliterates the vein by injecting a
highly concentrated saline solution into the diseased vein. This is done
on an outpatient basis and without anesthesia.
Remove varicose veins: radio wave therapy
With this method, the doctor
obliterates the varicose veins using heat. He makes a small incision to
insert the probe into the diseased vein. The radio waves heat the blood
and the vein walls close. The doctor can carry out this procedure on an
outpatient basis and with local anesthesia.
Remove varicose veins: laser therapy
It is also possible to laser
the varicose veins. The procedure is similar to that for radio wave
therapy. Instead of radio waves, a laser generates the vein-occlusive
heat, which is many times higher.
Glue varicose veins together
In this case, instead of
obliterating the varicose veins, the doctor sticks them together with a special
adhesive that he inserts into the vein via a catheter, a thin tube. The
patient is only anesthetized locally and then immediately "ready for
action" again.
Correct behavior after varicose vein surgery
How you should behave after
varicose vein surgery or sclerotherapy depends on the method used. After
an operation, for example, the patient should wear a compression stocking for a
while, keep the leg up and not let any water get on the operated leg for the
first few days.
Other methods, such as
gluing, do not require compression stockings. If in doubt, ask your doctor
- if he does not already tell you how to behave in the days after the varicose
vein removal.
Treating Varicose Veins: Conservative Methods
In addition to invasive
measures such as stripping or sclerosing, there are also varicose vein
treatments without surgery, the so-called conservative methods. What helps
against varicose veins depends on the severity, shape and trigger of the
disease. In general, conservative measures are more suitable for mild
varicose veins.
General measures against varicose veins
First of all: It is not
possible to cure varicose veins by taking medication. Naturally there are
remedies (for example with horse
chestnut or sweet clover ) to treat varicose veins
naturally, but their effect has not yet been proven. Fighting varicose
veins with cream is possible and if the varicose vein ointment has a cooling
effect, the application can also feel pleasant. However, little research
has been carri out on whether and how well such products actually help with
varicose veins.
Massaging the legs for
varicose veins can reduce the feeling of heaviness, strengthen the connective
tissue around the veins and promote the removal of blood from the legs. Be
careful when doing this: Varicose veins are sensitive. You should avoid
strong knocking and kneading, otherwise bruises may occur.
Varicose veins: these home remedies are there
One of the oldest home
remedies for varicose veins is Kneipp, i.e. stepping in cold water. As an
alternative to the Kneipp pool, you can also rinse your legs cold in the
bathroom at home. In general, the cold is considered to be helpful for varicose
veins; those affected often find cool quark compresses, for
example, pleasant.
Exercise is important to
stimulate blood flow back to the heart. Regularly putting your legs up can
also have a positive effect on the veins and at least alleviate the
symptoms. Wearing stockings with varicose veins that exert light pressure
on the leg veins (compression stockings, support stockings) also supports the
backflow of blood and can help prevent water retention.
Those affected often see
varicose veins as a cosmetic problem and do not go to the doctor or go late if
they already have (serious) symptoms. As these can severely impair the
quality of life, you should go to the doctor as a precaution if you discover
varicose veins.
Varicose veins: when to see a doctor?
At the latest when the tissue around the varicose veins is
red, warm and swollen , you should make an appointment in
the practice to find out whether it is a phlebitis or “just”
varicose veins.
Varicose veins: which doctor is the right one?
An experienced family doctor
can definitely be the first point of contact, but also an internist, a vascular
specialist (angiologist) or a vein doctor (phlebologist).
Varicose veins: treatment costs
For procedures such as
stripping, i.e. for varicose vein surgery, the costs are covered by (statutory)
health insurance. If you would like to have the varicose veins lasered,
you usually have to pay the costs yourself. The prices for this vary
between a few hundred and several thousand euros, which among other things
depends on the severity of the varicose veins and the associated treatment
costs and the necessary follow-up treatment. However, some health
insurance companies voluntarily cover the costs of sclerosing varicose veins.