Page 1

Medical Treatment Needed For Varicose Veins The formation of varicose veins begins with the disease called venous reflux disease. Venous reflux disease is when the blood in your superficial veins begins to flow backwards. This is caused by a malfunction to the valves in your arteries that keep the blood flowing in the correct direction, back up to your heart. When the blood begins to flow backwards, it is not reaching your heart and it can begin to pool and cause the varicose veins. Varicose veins occur when the branchlike veins that are located off of the saphenous vein (also known as the GSV) begin to swell and become enlarged.

Factors that Cause Varicose Veins There are several factors that can contribute to your chances of having varicose veins, although the veins sometimes occur from unknown reasons as well. It is important to be aware of these factors and understand their implications. One major factor that can increase the risk for varicose veins is having a family history of varicose veins. As with most medical conditions, genetics plays a huge role. If you are unsure whether or not varicose veins have affected any of your family members, do your research so that you are aware of whether or not you are at risk. Another risk factor for varicose veins is having had multiple pregnancies. This is because during pregnancy, your blood volume increases and causes the veins to swell. Then, as is the natural course of pregnancy, you will gain weight and the stomach becomes bigger and causes more strain on the legs from having to support the extra weight. This can cause the veins to compress and possibly lead to varicose veins. While there is a chance that the varicose veins might improve after the pregnancy, the more pregnancies you have had, the less likely the varicose veins are to disappear.

Other Factors Other factors that could be a cause of this disease could include your age, as those who are older tend to get more varicose veins than those who are younger, as well as your weight. When you are overweight, your legs have more pressure on them to support the weight and this could cause the veins to compress and the varicose veins to occur. Other factors can include multiple pregnancies and sitting or standing for long periods of time.

Three Main Procedures There are three main procedures that can be used in the treatment of varicose veins; sclerotherapy, endovenous ablation, and phlebectomy. Sclerotherapy is the injection of a dilute medication into the varicose vein or spider vein. The medication’s purpose is to irritate and scar the damaged veins from the inside out so that the veins can no longer fill with blood. The blood that would normally travel through these veins would travel through healthier veins and then back into the heart. The veins that were treated will eventually close up and be absorbed into your body. This is one of the oldest and most successful medical treatments used, and it is used for several conditions. Endovenous ablation is a thin catheter that is inserted into the infected vein, which then heats the vein and causes it to close up. By closing the vein, the blood will cease to flow backwards and the symptoms associated will no longer occur. Phlebectomy is a small incision next to the varicose vein and tugging the vein out of the leg with a small tool. All of these procedures are successful ways of treating varicose veins or spider veins that are caused by venous reflux disease. You will talk with your provider about which treatment would work best for your situation.

About CFIM The mission of Center for Interventional Medicine is to provide the greater Washington D.C. region with the most advanced, minimally invasive treatments performed using radiologic guidance, under the direction of a skilled and compassionate staff. Using the latest technology, CFIM offers a broad range of minimally invasive outpatient treatments performed under local anesthetic and intravenous sedation. Patients are given the personalized attention and the time needed to have all of their questions answered and calm any apprehensions they may have. Click here to understand the knowledge and experience of our providers.   

Medical treatment needed  
Medical treatment needed