How do you treat large varicose veins?

Surgery: Stripping or removing the vein.

Ultrasound first: With large varicose veins, it important to have an ultrasound of your veins to see if there is any underlying vein trouble that is causing your visible veins. This is usually treated with endoveneous laser or rf. The rest can be treated with phlebectomy, sclerotherapy, or both. Traditional vein stripping surgery is rarely done in the us any more.

See vein specialist: I would recommended seeing a vein specialist will likely recommend an ultrasound of you leg veins to look for the cause of your varicose veins. Often, treatment may involve compression stockings (conservative treatment), laser or radiofrequency closure of the veins with bad valves that are causing the varicose veins, phlebectomy of surgical removal of the varicose veins, or sclerotherapy.

See Vascular Surgeon: You would need to see a vascular surgeon to be evaluated & treated. The first step is getting a venous reflux ultrasound to treat the underlying cause of the veins occurring. The most common treatment of the source is endovenous ablation, a office treatment done by the surgeon. You may also require phlebectomies of the branch veins off of the source vein & your surgeon can discuss this as well.

Close leaking valves: Varicose veins are a result of malfunctioning valves usually in the saphenous system. The first step in treatment would be to obtain a venous reflux ultrasound to make the diagnosis and help plan treatment which could be laser or radiofreqency closure of the valves usually with microphlebectomies and possible sclerotherapy or ultrasound directed sclerotherapy. You should see a vein specialist.