Laser Treatment For Varicose Veins

How to Prevent Varicose Veins?

Though it is not usually possible to completely eliminate the risk of varicose veins, taking preventative measures can be helpful to reduce the chances of recurrence.

• Include walking and exercising in daily activities to keep the legs moving and make it easier for the veins to pump up the blood to the heart. Moving reduces venous pressure. Try peddling with the feet or stretching your ankles if taking breaks is not a viable option.
• Practice good posture to promote healthy blood flow. Avoid crossing your legs for long periods while sitting, as it can restrict circulation.
• Try lifting or elevating your legs so that the veins don’t have to work against gravity to circulate blood.
• Wear supportive compression hosiery or socks during the day or night, as suitable.
• Live a healthy lifestyle to manage the risk factors that increase the chances of developing varicose veins in the legs.
• Pregnant women should sleep on their left side to prevent varicose veins from developing. If the condition already exists, sleeping on the left side will reduce the pressure on the pelvic area, which will provide relief from the symptoms.
• Manage blood pressure levels and keep them under control to minimize the risk of developing varicose veins.

If an individual has a family history of vein problems or he/she has pain or swelling in the vein, contact a vascular doctor promptly.

Benefits of Laser Treatment for Varicose Veins

Some key benefits of laser surgery for varicose veins include the following:

• Minimally Invasive: The technique is more beneficial than traditional surgical methods as it is minimally invasive and results in minimal scarring and a shorter recovery time.
• Outpatient Procedure: Laser treatment for varicose veins is usually performed on an outpatient basis, allowing patients to return home the same day of the procedure.
• High Success Rate: Laser surgery for varicose veins has high success rates in reducing the appearance of varicose veins and alleviating associated symptoms, such as pain, swelling, and heaviness in the legs.
• Quick Recovery: Most individuals recover within a day or two after the procedure and can resume most activities within a week.

Preparation Before Laser Treatment For Varicose Veins

Prior to laser treatment for varicose veins, a consultation with a healthcare professional specializing in vein disorders is necessary. The doctor will determine the patient’s suitability for the procedure and provide some basic instructions, such as:

• Get the necessary test done so that the doctor can evaluate the progression of the condition. 
• Discontinue blood thinning medications at least a week before the procedure. 
• Don’t take any over-the-counter medications without consulting the doctor. 
• Shower before the surgery of varicose veins using antibacterial soap. 
• The patient can eat a light breakfast before the procedure.

If there is any other thing that the patient needs to take care of, he/she will be informed by the doctor’s team.

Recovery After Varicose Veins Laser Treatment

The recovery of varicose veins after laser treatment can vary depending on several factors, including the severity of the varicose veins, the extent of the treatment, and individual healing capabilities. In general, the recovery period is relatively short, around 1-2 weeks, compared to traditional surgical procedures. The general timeline is given below:

• On the Day of Surgery: After the laser treatment, the patient may experience some mild discomfort, redness, and swelling in the treated area. This is normal and typically subsides within a few days.
• First Week: During the first week, the patient is likely to be advised to wear compression stockings or bandages to promote healing and reduce swelling. Follow the doctor’s instructions regarding physical activities.
• 1 to 2 Weeks: Most individuals can resume normal daily activities within a few days to a week. However, strenuous activities, heavy lifting, and exercise may need to be avoided for a slightly longer period, typically around two weeks.

The treated varicose veins gradually fade and disappear over time. The final results may take several weeks to months to become visible. Some patients may require multiple sessions of laser treatment spaced several weeks or months apart, depending on the extent of the condition.

Risks & Complications Associated With Laser Treatment For Varicose Veins

While Laser Treatment For Varicose Veins is generally safe, there are some risks and potential complications to be aware of:

• Bruising and Swelling: It is common to experience bruising and swelling around the treated area, which typically subsides within a few weeks.
• Skin Discoloration: Temporary skin discoloration may occur as a result of the laser treatment and usually resolves within a few months.
• Nerve Injury: In rare cases, damage to nearby nerves can occur, leading to temporary or permanent numbness or tingling in the treated area.
• Infection: Although rare, there is a risk of infection at the site of the incision. Proper wound care and hygiene can help minimize this risk.
• Deep Vein Thrombosis (DVT): DVT, a blood clot forming in the deep veins, is a potential but rare complication of any vein treatment. Walking and early mobilization after the procedure help to reduce the risk.

Most of the risks and complications can be mitigated by following the doctor’s advice, as they will provide instructions to reduce the risks and ensure a safe and successful procedure.

Varicose Veins Surgery

There are different surgical techniques for varicose veins, including vein stripping and ligation and ambulatory phlebectomy. The specific procedure recommended will depend on the size, location, and severity of the varicose veins. Both techniques are safe and effective.

During the surgical treatment, anesthesia is administered by the doctor, and small incisions are made in the groin area or along the path of the affected vein. If vein ligation and stripping are done, the malfunctioning vein is ligated or tied first to halt the blood flow and then removed from the body.

In the case of ambulatory phlebectomy, the veins are marked first, and several incisions are made along the vein to remove it in small, multiple segments. Once the targeted vein is removed, the incisions are closed with sutures or surgical tape. Dressings may be applied to protect the incisions. The duration of varicose veins surgery might vary from 60 to 90 minutes and is generally performed on an outpatient basis.

Benefits of Varicose Veins Surgery

Though surgery is a more invasive approach to treating varicose veins, it also has its own benefits, which are given below:

• Effective Treatment: Surgical intervention offers a highly effective method for treating varicose veins, particularly in cases of large or severe varicose veins that are twisted.
• Symptom Relief: Surgery can provide long-lasting relief from symptoms associated with varicose veins, such as pain, swelling, cramping, and heaviness in the legs.
• Improved Appearance: Surgery can improve the appearance of varicose veins, as the vein is removed and won’t be visible underneath the surface.
• Definitive Solution: Unlike laser treatment, surgical treatment doesn’t require multiple sessions to provide desired results.

Lifestyle Changes After Laser Treatment For Varicose Veins

After getting varicose veins surgery, whether surgical or non-surgical, the individual needs to make certain lifestyle changes to improve the outcome of the treatment and prevent the recurrence of varicose veins. Here are some general guidelines given to people:

Regular Exercise: 

• Engage in low-impact exercises such as walking, swimming, or cycling to promote healthy blood circulation.
• Exercise helps strengthen the calf muscles, which aids in pumping blood back to the heart.
• Consult the doctor to determine the appropriate exercise regimen.

Weight Management:

• If the individual is obese or overweight, he/she needs to maintain a healthy weight or work towards achieving it, as excess weight puts additional pressure on the veins, worsening the condition.
• Follow a balanced diet and consider seeking guidance from a nutritionist or dietitian for healthy weight management.

Avoid Prolonged Sitting or Standing:

• Avoid sitting or standing in one position for a long time, as it can affect blood circulation through the veins and contribute to blood pooling in the veins.
• If the individual’s work requires long hours of sitting or standing, he/she should take frequent breaks and try to move around as much as possible to improve blood circulation. Leg stretching can also be helpful.

Leg Elevation: 

• Elevate legs above the heart level whenever possible, especially while sleeping or during periods of rest. This improves circulation.
• Elevating the legs will also help to reduce the swelling in the affected leg by preventing the pooling of blood and providing relief from the discomfort.

Wear Compression Stockings:

• The doctor is likely to recommend wearing compression stockings on a regular basis to help improve blood flow, reduce swelling, and alleviate the symptoms of varicose veins.
• Wear the appropriate compression level as prescribed by the vascular doctor. A higher compression level can halt the blood flow, and a lower compression level won’t be helpful.

Avoid Tight Clothing & Footwear:

• Avoid wearing tight-fitting clothes, especially around the waist, groin, and legs.
• Tight innerwear can also restrict blood flow and contribute to the development or worsening of varicose veins.
• Opt for shoes that are comfortable and offer good arch support.
• Avoid wearing high heels and shoes that restrict leg movements or put excessive pressure on the feet and legs.

Dietary Modifications:

• Follow a balanced diet rich in fiber, vitamins, and minerals to support overall cardiovascular health.
• Include foods that promote healthy blood circulation, such as fruits, vegetables, whole grains, and lean proteins.
• Limit the consumption of processed foods, salty foods, and excessive amounts of sodium, as they can contribute to fluid retention and worsen swelling.
• Stay hydrated by drinking an adequate amount of water and other healthy drinks throughout the day.
• Proper hydration also helps to maintain blood viscosity and promote efficient circulation.

Smoking & Alcohol Cessation:

• It is important for the individual to quit smoking entirely or at least cut back on smoking gradually. Smoking considerably affects nerve health, which in turn impacts blood circulation and overall vascular health.
• Limit alcohol consumption as excessive alcohol intake can cause dehydration and decrease the viscosity, which in turn, impacts the blood flow.

Follow-Up Care:

• Take regular follow-ups with the doctor even after the condition has improved to ensure that there are no signs of recurrence.
• Follow the doctor’s instructions regarding medication, wound care, and specific post-treatment guidelines.

Home Remedies:

People often try various home remedies and self-care tips to see if they make any difference in the appearance of varicose veins. They may not eliminate the veins entirely but may be helpful in providing relief from the symptoms and delaying the progression of the condition. Some common varicose veins self-care measures and home remedies are mentioned below:

• Exercise for varicose veins is a very effective solution as it improves blood circulation naturally and strengthens the leg muscles. Try doing low-impact exercises, such as walking or swimming, cycling, yoga, etc., or talk to the doctor regarding exercises that can be helpful.
• Use pillows to lift the leg while resting or sleeping.
• Keep the skin well-moisturized and talk to the doctor about using topical antibiotics (neomycin), drying lotion (calamine), lanolin, benzocaine (numbing cream), or topical hydrocortisone creams.
• Watch out for skin sores on the leg or discoloration around the affected area.
• Try massaging the affected areas or the entire leg, which helps to keep the blood moving through the veins. Use specific creams and oils for varicose veins, such as cypress, geranium, and rosemary oil.
• Patients can also try alternating hot and cold therapy. Soak the leg in hot water for 3 minutes, followed by cold water for 30 seconds.

It should be noted that lifestyle changes alone may not eliminate the chances of developing varicose veins entirely, especially if there is an underlying predisposition or venous insufficiency present. However, adopting these changes can improve overall vascular health, alleviate symptoms, and reduce the likelihood of varicose veins progression.

Varicose Veins Laser treatment Cost

The Varicose Veins Laser Treatment Cost in India depends on the technique used, the severity of the condition, the city where the patient is getting treatment, the surgeon’s experience, and the hospital’s facilities. Here is a general estimate of different types of treatment methods for varicose veins:

• Sclerotherapy- Rs. 5,000 to Rs. 15,000 per session
• Laser or Radiofrequency Ablation- Rs. 50,000 to Rs. 1,50,000 for both legs
• Endovenous Laser Treatment (EVLT)- Rs. 30,000 to Rs. 70,000 per leg
• Vein Ligation & Stripping- Rs. 40,000 to Rs. 2,00,000 or more for both legs
• Ambulatory Phlebectomy- Rs. 45,000 to Rs. 1,50,000 for both legs

The cost given above is only an estimate, and the actual cost of treatment will vary depending on the facility chosen and the technique used.

Laser Treatment For Varicose Veins Coverage Under Insurance

The coverage of varicose veins surgery under insurance depends on various factors. Generally, only the procedures deemed medically necessary are covered by health insurance. If a patient is getting treatment for an asymptomatic condition, the insurance company may not provide approval to cover the cost of treatment. Some key points that are considered while determining the insurance coverage for varicose veins are given below:

• Pre-authorization: In many cases, insurance companies require pre-authorization or pre-approval before undergoing Laser Treatment For Varicose Veins. This means the individual may need to provide medical documentation, including diagnostic tests and evaluations, to demonstrate the medical necessity of the treatment.
• Medical Necessity: Insurance coverage for Laser Treatment For Varicose Veins is typically based on medical necessity. If the varicose veins are causing significant symptoms, complications, or impairing your ability to carry out daily activities, there is a higher chance of coverage.
• Conservative Treatment Requirement: Some insurance plans may require the patients to try conservative or non-invasive treatment options, such as compression stockings or lifestyle modifications, before considering coverage for more invasive treatment methods like laser ablation or vein removal surgery.
• Coverage Limitations: Insurance coverage for Laser Treatment For Varicose Veins may have limitations or exclusions. For example, certain procedures, such as purely cosmetic treatments, may not be covered. It is essential to review the insurance policy or contact the insurance provider to understand the specific coverage limitations and exclusions.
• Co-payments, Deductibles, and Out-of-Pocket Costs: Even if Laser Treatment For Varicose Veins is covered under your insurance plan, you may still be responsible for co-payments, deductibles, or out-of-pocket expenses. These costs vary based on specific insurance plans and policies.

To determine the extent of insurance coverage for Laser Treatment For Varicose Veins, it is recommended to talk to the insurance provider.

Varicose Veins Guidelines

Diagnosis and management of varicose veins in the legs: NICE guideline

Varicose Veins: Diagnosis and Treatment