20 doctors weighed in:

My wife has small varicose veins at multiple places and surgery is not recommended. Is there a cure?

20 doctors weighed in
Dr. John Landi
Phlebology
6 doctors agree

In brief: Varicose veins

If your wife has varicose then she should see a vein specialist.
There are many ways to treat VV's but in order to treat them, a full venous evaluation is necessary including a venous ultrasound looking for malfunctioning valves of the saphenous system. Usually recommendations to not treat veins are given by those without experience in their treatment. Most VV treatment are minimally invasive.

In brief: Varicose veins

If your wife has varicose then she should see a vein specialist.
There are many ways to treat VV's but in order to treat them, a full venous evaluation is necessary including a venous ultrasound looking for malfunctioning valves of the saphenous system. Usually recommendations to not treat veins are given by those without experience in their treatment. Most VV treatment are minimally invasive.
Dr. John Landi
Dr. John Landi
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Dr. Oliver Aalami
Surgery - Vascular
5 doctors agree

In brief: Treatment. No Cure.

Spider veins / telangectasias (small varicose veins) can be treated locally.
It is important to make sure your wife doesn't have underlying venous insufficiency, which i don't she has. This is usually treated first. Next the small spider veins can be treated with either foam sclerotherapy, laser therapy or a combination thereof.

In brief: Treatment. No Cure.

Spider veins / telangectasias (small varicose veins) can be treated locally.
It is important to make sure your wife doesn't have underlying venous insufficiency, which i don't she has. This is usually treated first. Next the small spider veins can be treated with either foam sclerotherapy, laser therapy or a combination thereof.
Dr. Oliver Aalami
Dr. Oliver Aalami
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2 comments
Dr. Lornell Hansen
I agree with Dr. Aalami and very few patients require surgery these days. Most patients can be treated with minimally invasive procedures such as endovenous laser ablation or radiofrequency. These procedures can be done in the clinic under local anesthesia with very low risk.
Dr. Ted King
Even though there are many treatments that can help to control vein disease, it is important to remember that none of these will cure the problem as Dr. Aalami said.
Dr. Craig Schwartz
Phlebology
3 doctors agree

In brief: Absolutely

Both spider veins and true varicose veins can absolutely be successfully treated.
The most important thing is to have an ultrasound to determine if she has underlying reflux or insufficiency, which can be cured by laser closure or ablation. Spider veins can be treated by superficial laser and injection sclerotherapy. Understand however, that she will likely develop new spider veins as she ages.

In brief: Absolutely

Both spider veins and true varicose veins can absolutely be successfully treated.
The most important thing is to have an ultrasound to determine if she has underlying reflux or insufficiency, which can be cured by laser closure or ablation. Spider veins can be treated by superficial laser and injection sclerotherapy. Understand however, that she will likely develop new spider veins as she ages.
Dr. Craig Schwartz
Dr. Craig Schwartz
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1 comment
Dr. Ted King
There is no cure for vein disease. The best we can do is control it. No matter how effective the treatment, no one an guarantee that you will never get another varicose or spider vein.
Dr. Khashayar Salartash
Surgery - Vascular
1 doctor agrees

In brief: Compression stocking

The only way to prevent further worsening of the varicose veins is to wear compression stockings.
Even this is no guarantee but it will decrease the chance of recurring veins.

In brief: Compression stocking

The only way to prevent further worsening of the varicose veins is to wear compression stockings.
Even this is no guarantee but it will decrease the chance of recurring veins.
Dr. Khashayar Salartash
Dr. Khashayar Salartash
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Dr. Ted King
Phlebology
1 doctor agrees

In brief: No guarantee

I have to agree with dr. Aalami, there is no cure for vein disease.
Although there are very effective treatments, as all of the others have talked about, nothing will guarantee that you will never develop more vein trouble as time passes. See a vein specialist for treatment recommendations but expect new trouble to pop up over time, even with very good treatment results.

In brief: No guarantee

I have to agree with dr. Aalami, there is no cure for vein disease.
Although there are very effective treatments, as all of the others have talked about, nothing will guarantee that you will never develop more vein trouble as time passes. See a vein specialist for treatment recommendations but expect new trouble to pop up over time, even with very good treatment results.
Dr. Ted King
Dr. Ted King
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Dr. Michael Korona
Radiology - Interventional
1 doctor agrees

In brief: Can help

See dermatologist for possible laser or injections to make less visible.

In brief: Can help

See dermatologist for possible laser or injections to make less visible.
Dr. Michael Korona
Dr. Michael Korona
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Dr. Norman Chideckel
Surgery - Vascular

In brief: Varicose veins

if these are spider veins, they are more common in women due to hormonal changes.
Treatment would be sclerotherapy to close these veins, but this is a local treatment and will not impact on the possibility of new vein development. Use of bioflavonoids, commonly found in certain fruits and vegetables, such as berries, and citrus fruits, are of benefit. These work to strengthen blood vessel walls

In brief: Varicose veins

if these are spider veins, they are more common in women due to hormonal changes.
Treatment would be sclerotherapy to close these veins, but this is a local treatment and will not impact on the possibility of new vein development. Use of bioflavonoids, commonly found in certain fruits and vegetables, such as berries, and citrus fruits, are of benefit. These work to strengthen blood vessel walls
Dr. Norman Chideckel
Dr. Norman Chideckel
Thank
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