Can Sclerotherapy be used to treat varicose veins?
No, sclerotherapy is only meant to treat small spider veins. Varicosities are quite large and the amount of chemical needed for sclerotherapy would lead to serious side effects.
Can laser be used to treat varicose veins?
No, laser is only used to treat superficial spider veins
Vein stripping
The oldest procedure to treat varicose veins is vein stripping. The procedure is generally used in individuals who have “thick rope” like varicose veins. The procedure is done under anesthesia and has a downtime of a few days. The vein is tied off in the groin and the remainder is pulled away. After surgery, bruising and mild pain is common. While many people seem to have a negative attitude towards vein stripping, it is perhaps the gold standard for treating varicose veins in the entire leg. It also has the lowest incidence of recurrence. After surgery, it is recommended that one wear compression stockings on a regular basis.
Ambulatory phlebectomy: Some individuals only have large bluish veins at a few spots on the leg. For these individuals, isolated small stabs or incisions can be made to remove the obvious veins. The procedure does require anesthesia but has little downtime. Special instruments are used to remove the varicosities and the results are okay. Recurrences are common. It is highly recommended that one wear compression stockings after the procedure
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