First choice treatment options are lifestyle changes, compression stockings, and sclerotherapy. Patients are recommended to quit tobacco, try to lose excess weight, and keep their feet elevated to reduce swelling. Compression stockings encourage circulation by applying pressure to the legs, ankles, and feet. Sclerotherapy involves injecting a special solution that diminishes the appearance and effectively treats spider veins, reticular varicose, and subcutaneous varicose veins.
If conservative measures are ineffective, patients can choose surgical varicose vein treatment. There are two types of varicose vein surgeries: those that close the veins and those that remove them. The former category includes endovenous laser ablation therapy (EVLA) which is one of the most popular procedures for varicoses. Removal of the veins can be performed through ambulatory phlebectomy or vein stripping and ligation. The right procedure is chosen based on several things, like age, the extent of the symptoms, and desired goals.