non-surgical treatment

conservative treatment

If you decide not to have any intervention to treat your veins there are still a number of things that you can do to improve your symptoms.

  • Avoid prolonged standing
  • Wear well fitting compressive stockings
  • Walking is good for your veins as it stimulates the calf muscle pump
  • Elevate your legs when resting
  • Lose weight if overweight

non surgical treatment

sclerotherapy

Sclerotherapy involves injecting a solution into the vein using a fine needle. The vein walls subsequently adhere to each other closing off the abnormal segment of vein. This process can take a few weeks for spider veins, to several months for large veins.

standard Scleropytherapy

Standard Sclerotherapy is suitable for treatment of small varicose veins & spider veins. These can be treated by directly injecting the veins visible on the skin. Most people need more than one treatment session per leg.
Each session takes approximately 30mins.

Some people may also have larger varicose veins. These larger varicose veins should be treated first.
Larger veins can be treated by Surgery, Endovenous Laser Treatment or Ultrasound Guided Sclerotherapy.
The type of treatment necessary is determined by an ultrasound examination which gives an accurate assessment of vein abnormalities.

Example of Standard Sclerotherapy:
Most people require at least 2 treatments per leg and each session takes about 30mins.
There must be at least 4 weeks between treatments on the same leg.
Treatment on the other leg can be done within 2 weeks.

For example:
first session treat left leg;
2 weeks later treat right leg;
2 weeks later treat left leg again;
2 weeks later treat right leg again.

You may need blood trapped in the treated veins drained about 2-3 months after the initial treatment.

Compression:
Following each treatment session you will be required to wear a special compression stocking to assist the sealing off of the treated veins. The stocking will need to be worn continuously for 3-4 days. It will need to be worn for another 7-10 days, but during this time it may be taken off for showers or baths and in bed at night. Daily walking for 45-60 minutes is necessary while wearing the stocking.

ULTRASOUND GUIDED SCLEROTHERAPY

Ultrasound Guided Sclerotherapy is suitable for treatment of larger varicose veins. The procedure is performed with the patient lying on a treatment couch. The ultrasound technician localises the abnormal veins using an ultrasound transducer. The doctor then guides a fine needle to the centre of the vein and injects a precise amount of solution causing the vein to close off at that point. The procedure involves minimal discomfort. Usually 6-8 injections are required and it takes 15-30 minutes.

Example of Ultrasound Guided Sclerotherapy:
Most people require one treatment per leg.
Two weeks later the leg is reassessed with the ultrasound and occasionally a repeat treatment may be necessary to close off any remaining veins.
Once the first leg is successfully treated the other leg can then be treated.
You may need trapped blood in the treated veins drained 2-3 months after the initial treatment.
People with small varicose veins and spider veins may then have Standard Sclerotherapy.
There is an ultrasound reassessment 4-6 months and one year; further treatment is occasionally necessary.
No long haul flights (ie longer than 5 hours) within 4 weeks of either Ultrasound Guided Sclerotherapy or Endovenous Laser Treatment.

Compression:
Following each treatment session you will be required to wear a special compression stocking to assist the sealing off of the treated veins. The stocking will need to be worn continuously for 3-4 days. It will need to be worn for another 7-10 days, but during this time it may be taken off for showers or baths and in bed at night. Daily walking for 45-60 minutes is necessary while wearing the stocking.

ENDOVENOUS LASER TREATMENT

Endovenous Laser Treatment is suitable for treatment of larger varicose veins. The procedure is performed with the patient lying on a treatment couch. The vein is numbed using injection of local anaesthetic. A laser fibre is subsequently put into the centre of the vein which seals the vein walls together. This is followed by Ultrasound Guided Sclerotherapy to treat any residual varicose veins. The procedure usually takes 60 minutes.

Example of Endovenous Laser Treatment:
One leg is treated at a time.
One week after the laser treatment any remaining varicose veins are treated by Ultrasound Guided Sclerotherapy.
Two weeks later the leg is reassessed with the ultrasound and rarely a repeat treatment is necessary to close off any remaining veins.
You may need trapped blood in the treated veins drained 2-3 months after the initial treatment.
People with small varicose veins and spider veins may then have Standard Sclerotherapy.
There is an ultrasound reassessment 4-6 months and one year; further treatment is occasionally necessary.
No long haul flights (ie longer than 5 hours) within 4 weeks of either Ultrasound Guided Sclerotherapy or Endovenous Laser Treatment!

Compression:
Following each treatment session you will be required to wear a special compression stocking to assist the sealing off of the treated veins. The stocking will need to be worn continuously for 3-4 days. It will need to be worn for another 7-10 days, but during this time it may be taken off for showers or baths and in bed at night. Daily walking for 45-60 minutes is necessary while wearing the stocking.

Side Effects from Standard Sclerotherapy, Ultrasound Guided Sclerotherapy and Endovenous Laser Treatment: there are a number of possible side effects including aching legs, pigmentation, fine spider veins matting, ulceration, minor burning of the skin (Endovenous Laser Treatment only), bruising, allergic reactions, deep vein thrombosis, migraine, phlebitis.

There are no known long term side effects from the sclerotherapy solution.

faqs

Will treated veins recur?

There is no treatment that guarantees a long-term cure for varicose veins. Veins treated adequately by standard sclerotherapy occasionally recur. Larger varicose veins treated by Ultrasound Guided Sclerotherapy and Endovenous Laser Treatment can recur, but respond well to further treatment. Larger varicose veins can recur after surgery. It is important to avoid smoking, maintain normal body weight, regular exercise and a healthy diet. An annual “venous check-up” is recommended to detect the development of new veins.

What should I do before my treatment appointment?

  • Do not apply moisturiser to your legs on the day of the treatment.
  • You may prefer to wear trousers after the appointment, as they will conceal the stocking.
  • You may prefer to wear shorts during the treatment, as some of the injections maybe given in the upper thigh.
  • You may bring a CD of your own music to play during the treatment.
  • You will be provided with the compression stocking after your treatment.

What should I do after a treatment?

  • A compression stocking will be put on your leg immediately after each treatment.
  • Walk for at least 20 minutes immediately after the treatment.
  • Walk for at least a total of 45 minutes every day you are wearing the stocking, including the day of treatment. Maintain normal daily activities.
  • When showering you may either not cover the stocking or role the stocking down to the mid thigh and cover with a plastic bag. If the stocking gets wet, it can be easily dried with an hair dryer while still on your leg. You may prefer to have an extra stocking.
  • Avoid standing for long periods.
  • Avoid strenuous physical activity (eg aerobics and weight lifting) for the first week after treatment.
  • Leg waxing can be performed 2 weeks after treatment
  • Bring your stocking to ALL future treatment and follow-up appointments.
Treating all types of venous leg conditions from large varicose veins to small spider veins
  • Endovenous Laser Treatment
  • Ultrasound Guided Sclerotherapy
  • Micro-Sclerotherapy
  • Duplex Ultrasound Venous Mapping

Appointments can be made
directly or by referral from your regular doctor.

THE VARICOSE VEIN CLINIC

Level 1, Ascot Central
Ellerslie Racecourse Drive, Remuera, Auckland 1051
(Off Greenlane Road East)

Phone: 09 520 9465
Fax: 09 625 6410