A member asked:

What is the best treatment for varicose veins?

12 doctors weighed in across 5 answers
Dr. James White answered

Specializes in Cosmetic Surgery

Evaluation: Varicose veins is a term that is used by patients and physician to cover a wide variety of vein problems. From spider veins to ropy veins to frank venous aneurysm. Physician examination to include focused ultrasound review of the veins is key. Ultrasound review must include review of venous flow patterns looking for venous reflux or backward venous flow. Treatment is then based on findings.

Answered 2/2/2016

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Lower the pressure: The best treatment for varicose veins is to lower the venous hypertension. To find out where this pressure is originating, a phlebology specialist or vascular surgeon will perform a duplex ultrasound to pinpoint the abnormality. This is corrected with gradient compression stockings, sclerotherapy, endovenous thermal ablation or phlebectomy. Your physician will advise based on your evaluation.

Answered 7/9/2015

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Dr. Ted King answered

The best one for you: The best treatment is varicose veins is the one that is best for you. It completely depends on what your needs are and that might be very different from someone else needs. The best way to know what is best for you is to have an evaluation with a vein specialist with a venous ultrasound so the most effective treatment can be chose for you, as drs. White and presant said.

Answered 2/5/2013

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Dr. Joel Gotvald answered

Specializes in Vascular Surgery

Varicose veins: There is not really a single "best" treatment, as treatments are tailored to your specific anatomy. Ultrasound is needed. The most common treatments are endovenous ablation with laser or radiofrequency energy, stab phlebectomies, and sclerotherapy. Often a combination of therapies is needed. Vascular surgeons are considered the "vein experts" as they can offer all possible treatment options.

Answered 6/26/2014

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Varicose veins: Treatment depends on cause Surface veins- sclerotherapy or laser Superficial veins-thermal ablation

Answered 1/5/2019

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