Health

Traditional surgery, foam or laser injections? Knowing how to treat varicose veins

In all cases of varicose veins, the patient should undergo testing for an accurate diagnosis and hear more than one opinion before procedures. Photo: Bigstock

Those who suffer from diseased veins – traditionally called varicose veins – know that the difficulties extend beyond the discomfort of looking in the mirror. “We feel very tired in the leg because it’s like it’s getting heavier,” describes Erica Rocha, 38-year-old pastry chef. “And the case tends to worsen if it is not treated quickly,” adds angiologist José Fernando Macedo.

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He said dilated veins that don’t receive treatment can cause inflammation, clots, become sores and even cause pulmonary embolism. “In other words, in a more serious condition, it can obstruct an artery in the lung and put the patient’s life in danger,” warns the specialist from the Institute of Angiology and Vascular Surgery of Curitiba (IACVC).

Therefore, the advice for all cases of varicose veins is the same: “consult a vascular surgeon to find out which treatment is best suited to your situation”, specifies the angiologist, beforehand that the patient must undergo examinations to obtain precise diagnosis. and listen to more than one opinion before performing any procedure. “Especially in cases with indication of traditional surgery, which removes the saphenous vein”.

saphenous vein removal

According to the specialist, this is the method that shows the most effective long-term result and is indicated to treat deep varicose veins in any patient up to 60 years of age. “This is the so-called gold standard treatment that prevents the return of varicose veins in those with associated hereditary factors, for example.” However, it does require complete rest for two weeks, in addition to leaving bruising and a swollen leg sensation for about 30 days.

“I underwent this operation in 2001 and, in addition to being painful, the convalescence lasted more than a month with several restrictions,” says massage therapist Leoni Teresinha Fregonese. So, “when I started to feel pain and fatigue in the other leg last year, I went for a different treatment so I wouldn’t stop working.”

This time, she received foam injections directly into the dilated veins, a technique called sclerotherapy. “The process takes longer because it is done little by little, but I manage to maintain my normal activities after the sessions by using compression stockings”, explains the person from Paraná, who has done a year and a half since the session. beginning of the sessions and is to appreciate the result. “It’s less aggressive and I continue my routine”.

In addition to these benefits, Dr. José Fernando explains that this option provides safety for elderly patients, patients with venous hypertension or who have had leg ulcers in the past. “But you have to wear elastic stockings for 48 hours after the injection and do weekly revisions until the vein is completely closed,” he says, citing the option of radio frequency and laser for those who want to fight varicose veins in a less invasive way. .

In this procedure, the specialist inserts a catheter into the diseased vein and uses heat to close it. “It is a process which makes that the blood is redirected towards healthy veins”, explains the angiologist. “But to define the best method, it is necessary to assess each situation individually, avoiding future complications.”

prevention of varicose veins

In addition, it ensures that the ideal is to prevent the appearance of varicose veins through good nutrition and regular physical activities that strengthen the muscles of the legs. “After all, the calf is known as our ‘peripheral heart’ because it pushes blood back to the heart, and it has to be strong for that,” he stresses, indicating exercises such as cycling and walking to reduce flaccidity in this region. and increase the power of venous return.

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