Establishing the most effective treatment method must necessarily start with a thorough ultrasound-doppler scan that will establish the diagnosis as well as the vein/veins underlying and causing the problem, we will also be able to know the characteristics of these veins including their diameter, content (whether or not containing blood clots), the relationship between these veins to the skin and to the deep venous system, nervs, tendons, etc. After we have all these information we can tailor the best treatment plan for that case.
Treatment methods may range from simple sclerotherapy injections (sclerotherapy), ultrasound-guided foam sclerotherapy, Endovenoses Laser Ablation (EVLA), Endovenous Microwave Ablation, micro-Phlebectomies (Eliminating the big branches of the main veins through small incisions of about 2-3 mm) or combinations between these methods that are adjusted according to the needs of each case.
These methods have in common that they are all minimally invasive methods, and immediately after the procedure the patient can continue their normal activities, work, travel, and normal life.
In the case of endovenous laser ablation or micro-phlebectomies, the anaesthesia used is local anaesthesia, and immediately after the procedure, the patient stands up and leaves, being able to walk, run, dance, etc.
The fact is, using the modern methods of treatment, if varicose veins are correctly treated, then the recurrence rate is no more than 3%.