Everything You Should Know About Small Varicose Veins

What are varicose veins?
Swollen, twisted veins that appear under the surface of the skin are called varicose veins.
They are a result of weak valves which cause pooling of blood and increased pressure in the veins. Varicose veins commonly occur in legs but can also develop in other parts of the body.

What are small varicose veins?
Small varicose veins or spider veins, as the name suggests, are damaged veins that are small in size (0.1 mm to 3 mm) and may appear on the surface of the legs or face. Small varicose veins are usually painless and harmless, but some people might need to treat them for cosmetic reasons.

Spider veins are often blue, purple, or red and develop in the form of thin lines, webs, or branches. They may be flat or slightly raised.

They may cause discomfort but are painless most of the time.

Long periods of sitting or standing can cause blood to pool within the leg veins, increasing the pressure within the veins. The increased pressure can cause the veins to stretch which results in weakening and damaging of the veins.

What are the symptoms?

Depending on their severity, varicose veins can cause various symptoms. These may include:

  • Pain
  • Itching
  • Bleeding
  • Swelling of the legs or ankles
  • An achy or heavy feeling within the legs
  • Cosmetic concern

Varicose veins can also increase the risk of blood clots, thereby causing circulation problems in leg.

Complications After Varicose Veins Treatment

Varicose veins are enlarged and twisted veins that appear on the legs. Any of your superficial leg veins can become varicose veins. Varicose veins are found only in the legs because our upright posture builds up pressure in the leg veins. 

Spider veins are a mild variation of varicose veins. For most people, varicose veins and spider veins are a cosmetic concern but in some they cause pain and discomfort. Left untreated, these varicose veins can lead to serious problems such as leg vein blockages and non-healing wounds on the legs in the future.

Your doctor may suggest treatment for varicose veins if your veins are sore, irritated, red or swollen, and inflamed. Some people also do it for cosmetic purposes since they may not like the way the vein looks. Two procedures that are used to treat varicose veins are Endovenous Laser Treatment (EVLT) and Cryo Laser and Cryo Sclerotherapy (CLACS).

What is Endovenous Laser Treatment?

Endovenous Laser Treatment is a procedure that uses heat from a laser to reduce the swelling of varicose veins. A laser sends thin beams of radiation in the form of light. It shrinks, closes, and seals off the varicose veins. The blood flows to the other veins instead. 

What are the risks of this treatment?

Theoretically speaking, the treatment is associated with the following complications – 

  • Mild post procedure pain/bruising
  • Nerve damage 
  • Skin burns
  • Deep Vein Thrombosis 

However, in expert hands, such complications are rarely seen.

What is Cryo Laser and Cryo Sclerotherapy (CLACS)?

CLACS stands for Cryo Laser and Cryo Sclerotherapy. It is a state of the art treatment for spider veins and small varicose veins. There are four essential elements in this treatment :

  • Vigorous cooling of the skin to reduce discomfort from laser and injection
  • The use of augmented reality to visualize feeder veins so that they can be treated.
  • The application of a transdermal laser to the feeder veins and spider veins.
  • Injection of the feeder veins and spider veins with a chemical sclerosant (sclerotherapy).

What are the risks of this treatment?

CLACS is an extremely safe, painless procedure that can be done on an OPD basis. The only risk associated is hyperpigmentation over the treated area which too is far less as compared to the traditional sclerotherapy treatment.

Surekha Varicose Veins Clinic is the first center in India to offer the CLACS procedure in India. The technique was pioneered by Prof. Dr. Kasuo Miyake of Sao Paulo, Brazil in 1999. Over the years, CLACS has been used to treat thousands of patients with extremely good and long-lasting results. Available in 

Signs and Symptoms Of Varicose Veins

Signs and Symptoms Of Varicose Veins

In India, it is estimated that around 25-30% of the population is suffering from vein disease. Chronic venous disease is a common problem affecting the general population throughout the world. The unfortunate part is that many aren’t aware of the disease and whom to approach for the right guidance and treatment.

Varicose veins are enlarged and twisted veins that appear on the legs. Any of your superficial leg veins can become varicose veins. Varicose veins are found only in the legs because our upright posture builds up pressure in the leg veins.

Spider veins are a mild variation of varicose veins. For most people, varicose veins and spider veins are a cosmetic concern but in some they cause pain and discomfort. Left untreated, these varicose veins can lead to serious problems in the future. Sometimes these do not cause pain and may present with the following signs in your legs –

  • Dark purple and blue colored veins
  • Veins that feel like cords and appear twisted, bulging

When varicose veins cause symptoms, these are the ones that may occur –

  • An achy or heavy feeling in your legs
  • Burning, throbbing, muscle cramping, and swelling in your lower legs
  • Worsened pain after sitting or standing for a long time
  • Itching around one or more of your veins
  • Skin discoloration around a varicose vein

How can you take care of varicose veins and reduce the pain?

Self-care:  Exercising, elevating your legs, or wearing compression stockings could help you ease the pain. It may prevent it from getting worse.

If these self-care measures have not worked and if your pain is not controlled, you may want to visit your doctor!

At Surekha Varicose Veins Clinic, Dombivli, vein disorders are treated using minimally invasive laser treatments such as Endovenous Laser Treatment (EVLT), Foam Sclerotherapy, and Cryo Laser and Cryo Sclerotherapy (CLACS). Every patient is different and each has findings that require specific treatment for relief of symptoms and correction of vein problems. We provide minimally invasive treatment that provides you with the best result possible.

Best Laser Treatment for varicose veins

LASER TREATMENT FOR VARICOSE VEINS

LASER TREATMENT FOR VARICOSE VEINS

Chronic venous disease (spider veins, varicose veins, leg ulcers) is a common problem affecting the general population throughout the world. In India, it is estimated that around 25-30% of the population is suffering from such vein disease. The unfortunate part is that many aren’t aware of the disease and whom to approach for the right guidance and treatment.

Varicose veins are enlarged (dilated) and tortuous veins which are located just under the surface of the skin – usually on the leg and are cosmetically unsightly. Weak valves, which are unable to function optimally, are the basic reason for the formation of such varicose veins. Heredity, professions that involve prolonged standing hours (shopkeepers, teachers, policemen, etc), pregnancy, obesity – are some of the common reasons for weakened vein valves.

A doctor can use a laser treatment for varicose veins. A laser is a highly focused beam of light. The laser heat damages the wall of the diseased vein and turns the vein into scar tissue. After a year or so, the scarred vein disappears completely. The blood circulation is continued through the normal healthy veins, thereby curing the patient of various symptoms such as leg pain, swelling etc.

At Surekha Varicose Veins Clinic which is located in Dombivli – a suburb of Mumbai – vein disorders are treated using minimally invasive treatments such as Endovenous Laser Treatment (EVLT), Foam Sclerotherapy and CLACS (Cryo Laser and Cryo Sclerotherapy). Every patient is different and each has findings that require specific treatment for relief of symptoms and correction of vein problems. A single treatment or a combination of the minimally invasive approaches may be necessary.

Endovenous Laser Treatment (EVLT)

Varicose veins are traditionally treated by open surgery – Trendelenburg operation – which involves ‘stripping’ of the vein with or without perforator ligation depending on the pathology. EVLT (Endovenous Laser Treatment) offers a safe, easier, less morbid, and cosmetic alternative to open surgery. Discretion, however, is warranted in case selection. Venous Colour Doppler (ultrasonography of the leg veins) is the gold standard to evaluate varicose veins and is mandatory prior to the laser treatment. EVLT is painless, scarless, and has better results as well. The patient can also resume routine activities in 24 hours! There are no or minimal complications involved in the laser treatment for varicose veins. Another major advantage of laser treatment is that, in patients with bilateral varicose veins, both limbs can be treated at the same time; in surgery, one has to wait 3 months before treating the second limb.

Cryo Laser and Cryo Sclerotherapy (CLACS)

Surekha Varicose Veins Clinic now offers the CLACS procedure – Cryo Laser and Cryo Sclerotherapy. CLACS is a revolutionary treatment for spider veins and small varicose veins (less than 3mm diameter) of the leg. The technique was pioneered by Prof. Dr Kasuo Miyake of Sao Paulo, Brazil in 1999. Over the years, CLACS has been used to treat thousands of patients with extremely good and long-lasting results. Now done in nearly 30 countries around the world, Surekha Varicose Veins Clinic is the first centre in India to introduce this novel, state-of-the-art treatment. CLACS is a painless, ‘walk-in, walk-out OPD procedure. There are no specific precautions after treatment. A patient may return to work and usual activities within 4 -6 hrs. Exercise is permitted as well after 24 hrs.

Prevention is better than cure :-

Unfortunately, the varicose vein is a disease caused due to valve degeneration and subsequent valve weakness. No matter what procedure you choose, it can only treat the existing varicose veins. Once treated, the chances of the diseased vein resurfacing are extremely rare but the valves in other veins may develop weakness over a period of time. This too has a low probability, especially after the forties and in women after the childbearing age has passed by. One can, however, take the following precautions which can keep the leg veins healthy –

  • Keep weight under control.
  • Regular calf muscle exercises.
  • Regular walk of 30 minutes daily.
  • Ankle joint movements when sitting for long hours.
  • Keeping legs raised (using pillows/leg rest), whenever possible.
  • Avoid high-heeled footwear.
  • Use graduated compression stockings if the profession involves prolonged standing/walking.
varicose veins

Keeping Leg Veins Healthy in Covid-19 Lockdown

Pandemic, Paranoia and Problems

The Covid-19 pandemic has changed the way the world lives. Our priorities have changed and rightfully so. Preventing ourselves from the yet to be fully understood novel disease is important but getting paranoid about it will not help. The World Health Organisation and many scientists have pointed out that the pandemic will last for atleast two years. Use of face mask, Physical distancing and Hand sanitation are our best defence against this virus till science comes up with a vaccine or cure.

One of the fallout of the pandemic is other health issues are being neglected by patients since there is fear of contracting Covid infection while visiting doctors and hospitals. Many patients who suffer from varicose veins of legs too are being affected and are developing painful complications such as leg pain, swelling, ulcer and even vein blockages! Delaying the treatment and lack of exercise or activity in the lockdown period are the two main reasons for this.

Varicose Veins and Blood circulation

Varicose Veins in legs result in poor blood circulation which in turn causes various painful complications such as leg pain, swelling, ulcer and even vein blockages!

Following are some measures which can be taken at home in this lockdown period to improve blood circulation in leg veins:

Avoid prolonged sitting

If you are working from home, avoid sitting for prolonged periods. After 30 minutes, make sure you walk about for 5 minutes and stretch your body.

Calf muscle strengthing

The calf muscles play an important role in returning blood in leg veins to heart. Do calf muscle strengthing exercise – support your back against a wall and raise both heels (“tippy toe” movements). Do 15 to 20 repetitions, twice daily.

Compression stockings

Use of correct stockings, one which provide “graduated compression” will help in improving the blood circulation.

Appropriate clothing

Avoid wearing tight, ill fitting clothing which will decrease venous blood return from legs.

Leg elevation

This is an effective and the easiest way to improve blood circulation in leg veins. It can be done in following manner:

On a pillow cushion

Start by lying down on your bed or a couch and place your legs on a stack of pillows. Be sure to keep your feet at a level above your heart to get the most benefits. You can do your office work, watch television or even meditate in this position. Do not elevate your legs on a hard surface without a cushion because the edges of the desk or table can dig into your skin. This can cause bruising along with leg pain and will do more harm than good to your circulation.

Against the wall

Lay on the floor with your bottom against the wall and lift your legs straight up in the air as you rest them on the wall. It is important that you place a pillow beneath your head to feel more comfortable and prevent neck or back injury. Keep this pose for only five to ten minutes at a time so that you do not put added stress on other parts of your body. Aim to get in at least ten minutes of elevation at a time, two times a day for improved circulation.

While sleeping

Place pillows at the foot of your bed for your legs to rest on. Make sure the pillows extend from heel to knees to avoid strain on back. For those who are concerned with kicking the pillows during the night, you can place pillows directly under the mattress.

Prevention is better than Cure

It is important to understand our leg vein problems with scientific information and take right measures to prevent them from increasing. And as far as the Covid19 pandemic is concerned, it is important to realize that pragmatism not panic, change not chaos, world co-operation not fervour nationalism will help humanity to triumph over this crisis.