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aricose eins reatment


There are many types and patterns of varicose veins and likewise, several varicose veins treatments. Veins carry used blood from different organs of the body back to the heart. When the blood reaches the heart, the waste product, carbon dioxide, is released, and the fresh blood is transported back throughout the body via arteries at a much higher pressure than veins. When we sleep there is less pressure in leg veins than when we stand or sit. We have between 200-300 one way vein valves in each leg. In legs, these valve regulate the one way direction of blood from superficial veins into larger deep veins. If for any reason, such as heredity and life style and pregnancies, these valve loose their integrity then blood which at times is under high pressure can reflux form deep veins into superficial veins. In case of this backflow into superficial veins and since vein walls are very thin and elastic, they can expand like a balloon. Thus we see appearance and progression of unwanted veins such as spider veins and varicose veins. Correction of the abnormal reflux and the removal of varicose veins will alleviate symptoms such as leg pain, swelling, itching, cramping and heaviness and can stop progression of skin changes and if a patient has a leg ulcer from varicose veins, the ulcer can then heal.

Correct Evaluation, The fundamental Step
Before jumping to treatment, and since many reflux sources can exit, the treating physician must do a detailed ultrasound/Doppler/color-duplex scan of legs vein with the patient in standing position. Dr. Fattahi personally performs such reflux mapping at the first visit of the patients with varicose veins. He remaps legs veins in subsequent visits when necessary so that no stone is left unturned. That is one major reason for our high rate of success in treating varicose vein which brings patient to our clinic from remote places, including different states and countries when all treatments have failed. Furthermore, Dr. Fattahi is the inventor of foam washout sclerotherapy which is aimed at making foam sclerotherapy a safer treatment than regular sclerotherapy.

Surgical Treatments
Considering the availability of safe and non-surgical treatment methods for varicose veins, surgical techniques such as ligation stripping which require general anesthesia side form being very invasive, have lost their major role in treatment of varicose veins. Varicose veins surgery, under general anesthesia, removes varicose veins from the body. This was done by a procedure known as ligation and stripping. Stripping is passing a stripper string into the damaged vein from the groin and removing it through an incision made at the ankle. Most patients who have undergone this treatment have a very negative idea about the experience and how they felt afterwards.

Non-surgical Alternative
From around 2000, endovenous ablations started being more know and popular in treatment of varicose veins. First came RF technique which was followed by laser ablations. Both treatments can be done under local anesthesia at doctors office and without need for general anesthesia. A catheter/fiber is introduced inside the varicose veins and then upon removal it is activated whereby direct heat is applied to inner lining layer of the varicose veins which results in closure/ablation of the varicose veins. Patients can resume normal activities in most cases right after treatment. Use of radially applied laser to inner lining of the varicose veins was an advancement and is being used at our clinic. Then, remaining superficial varicose veins can be removed and treated by phlebectomy or sclerotherapy. In some cases of varicose veins, there is no need to laser ablation or RF treatments and only sclerotherapy can treat all branches of unwanted varicose and cosmetic spider veins. A detailed evaluation and ultrasound mapping at your first visit should provide with an idea of what treatment methods are bets in your particular case which is most likely different from person to person.