Varicose Vein Treatments
Sclerotherapy is a varicose vein treatment usually for the smaller veins including thread and spider veins.
During sclerotherapy a liquid, often in a foam state, is injected into your varicose vein, with the aim to destroy it and force your blood to reroute through healthier veins. It’s also known as ultrasound-guided foam sclerotherapy as the foam is injected into your veins using ultrasound guidance. When the vein has collapsed it is reabsorbed into local tissue and fades over time.
Sclerotherapy is performed under local anaesthetic. If required, your surgeon can treat more than one vein at a time. Your treated veins should fade within a few weeks, with full results after a month. Sometimes sclerotherapy treatment is needed more than once before the vein fades. There is a chance the vein may reappear.
Endonvenuous laser therapy (EVLT), also known as endovenous laser ablation (EVLA), is a simple laser treatment that seals affected varicose veins.
EVLT is typically carried out under local anaesthetic. A catheter is inserted into your vein using ultrasound guidance, then a tiny laser is passed through the catheter to the top of your varicose vein. The laser heats up the vein and closes it moving along until the entire length of the vein is closed.
Straight after EVLA your legs might feel tight and you may have some bruising and pain around the treated area.
This type of varicose vein surgery may be recommended if sclerotherapy and endothermal ablation treatments aren’t suitable for you or you’d like the problem completely removed, however EVLT is a more common procedure.
This type of varicose vein surgery is usually performed under general anaesthetic. It takes about an hour to operate on one leg. Your vascular surgeon will make an incision in your groin and the back of your knee or ankle. They’ll seal the top of your vein and then carefully remove it using a thin flexible wire that’s passed through the bottom of your vein.
Once the vein has been removed your blood will re-route through other healthy veins.