[tabs tab1=”Conservative Treatment” tab2=”Sclerotherapy” tab3=”RFA” tab4=”Endovenous Laser Ablation” tab5=”Laser Treatment”]
What is Conservative Treatment?
Conservative treatment includes measures to maintain venous health that do not involve procedures. These measures include:
- Walking or other cardiovascular exercise of the legs
- Avoidance of prolonged sitting or standing
- Leg elevation
- Compression hose
- Maintaining a proper weight
Who should undergo conservative treatment?
Some patients such as those who are confined to a bed or wheelchair are not candidates for definitive vein treatments, making conservative treatment the only option. Documentation of conservative treatment in a medical record is often a requirement of insurance companies before pursuing definitive treatments. Since vein disease is progressive, maintaining venous health, particularly with exercise, weight control and the use of compression hose during long travel or immobility, can be beneficial even after definitive treatments.
[tab]Varicose veins can be injected with a product that causes chemical irritation on the inside of the vein and in so doing causes blockage of that vein. In principle only the superficial side branches are treated in this way,and if the main vein (saphenous vein) shows reflux the result of sclerotherapy alone will be quite limited. The main vein must be treated first. Sclerotherapy is effective in the treatment of a few residual veins after a surgical procedure or in the case of limited recurrence.
“Double Injury Technique”
The answer is that ELVeS is simply a better choice for the treatment of varicose veins. It combines the effectiveness of surgery with the minimally invasive, in-office ease of sclerotherapy. ELVeS is a safe, routine procedure that uses fewer injections, less local anesthesia and offers a faster recovery time.
To make injection treatment as effective as possible we use a visualisation system:
Light is placed on the skin, in a somewhat darkened environment. The veins are then readily visible and can be correctly injected.
The treated veins must be well compressed after a session of sclerotherapy, in order to prevent the formation of clots in the vein. The formation of blood clots in the treated veins can lead to patches of pigmentation on the skin, local pain and possibly recanalisations, i.e. re-opening of the treated vein. This formation of clots must consequently be prevented as far as possible. If it nevertheless occurs, it is best treated by evacuation of the clots (by puncture or a small incision).
After Using The Transivein Method We Then Use The Compression Treatment,
consists in applying local compresses or wearing a good support stocking. Several sessions of sclerotherapy are often necessary to achieve the desired result. A mixture of sclerosant and air has been used in the past few years. By mixing Aethoxysklerol with air we obtain a viscous foam suspension. Use of foam is three times as effective as Aethoxysklerol alone. Thicker or deeper veins can consequently be treated by sclerothrapy. They sometimes have to be injected under echographic guidance, in which case we speak of echo-guided foam sclerosis. This technique is also used for the treatment of reflux in the saphenous vein (see above).
Radiofrequency Ablation (RFA) Procedure
Today, the radiofrequency ablation (RFA) procedure is an alternative method in the treatment of varicose veins. The procedure also known as endovenous RFA is a minimally invasive technique to treat varicose veins. The procedure involves making a very small incision near the knee and threading a small catheter in the vein up to the groin. Radiofrequency waves are applied and the vein is heated.
The heat destroys the vein and with time, the vein disappears. This novel procedure is done as an outpatient, involves a small incision and results in rapid recovery.
How does the RFA procedure work?
The RFA probe is inserted into the vein and when the probe is activated it heats up the vein. The heat energy generated by the RFA probe causes the vein to collapse. Once the vein is collapsed, it is replaced by a thin fibrous scar.
What is endovenous laser ablation?
Endovenous laser ablation is a minimally invasive procedure performed in a physician’s office or clinic, for the treatment of varicose veins. A laser fiber is inserted through the skin and directly into the vein that is causing the bulgy, unattractive, and often painful varicose veins. The laser heats the lining within the vein, damaging it and causing it to collapse, shrink, and eventually disappear. This technique typically is used to treat the large varicose veins in the legs and take less than 30 minutes to perform.
What makes the ELVeS® Laser Treatment for varicose veins the choice of doctors and patients everywhere?
How does ELVeS® offer a better patient experience?
- Maximum patient comfort less post-operative pain, bruising and swelling
- Excellent medical and cosmetic results
- Quick return to normal activities
- Short treatment time
How does ELVeS® work?
Your physician will use ultrasound to map the varicose vein. A thin fiber is inserted into the vein, and laser light energy will be emitted through the fiber, closing the vein. As the faulty vein closes, blood flow is rerouted to surrounding healthy veins. Veins on the surface of the skin that are connected to the treated vein usually shrink after treatment. The entire process takes about 45 minutes, and can be performed in your physicians office.
What happens afterward?
After the procedure, you’ll be able to resume normal activities immediately, with the exception of rigorous exercise. Most patients feel no pain, though some experience minimal discomfort. Slight bruising may also occur. Any pain that is felt can be treated with non-prescription pain medication. As for the results, laser ablation has been performed on over 180,000 patients in the U.S. The procedure has proven highly effective with outstanding patient satisfaction levels. Recurrence rates in the treated veins are very low. With proper monitoring and prevention, recurrence drops to almost zero.[/tab]