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Treatments

Varicose Veins Treatment

Varicose Veins Treatment | Sclerotherapy / EVLA / Avulsion

Visible varicose veins affect around 20% of the population, with an equivalent percentage hiding invisible ones which cause untold discomfort. If painful varicose veins are left untreated, troublesome sores and ulcers can develop. Treatment is incredibly quick- there’s no need to wait.

Varicose veins treatment available at The McIndoe centre:

  • EVLA (Endeovenous Laser Ablation)
  • Ultrasound guided foam sclerotherapy
  • Sclerotherapy

EVLA

Endovenous Laser Ablation or Endovenous Laser Therapy, commonly known as EVLA, is one of the most common methods of vein removal. Its minimally invasive and highly effective because of the way it heats the veins up rather than ‘stripping’ them away. The laser works to kill the walls of the veins until your body absorbs the dead tissue. At this point the veins will be destroyed. 

EVLA is usually carried out under local anaesthetic as a walk in and out procedure and can be completed in a treatment room in approximately 30 minutes. It may take up to an hour. You may experience mild pain for up to five days later but this can be controlled with pain killers.

What are the possible complications of EVLA?

This is a very safe procedure, but there are some risks associated with EVLA. They can be any of the following:

  • Deep vein thrombosis (DVT) but this is can be prevented by wearing compression stockings. Light walking also helps to prevent this. 
  • Skin burns.
  • Numbness in thigh area.
  • Bruising.
  • Redness and tenderness of the skin which can be treated with medication.
  • Infection at wound site. 

Ultrasound guided foam sclerotherapy

This is a non-surgical minimally invasive treatment for larger veins. Your surgeon will inject a special foam into your vein which involves creating foam by agitating the drug (sclerosant) with a small volume of air. When the foam is injected into the vein, it will shrink and seal off. An ultrasound scan identifies the vein during the treatment. More than one vein can be treated during this procedure.

This has been a hugely successful treatment for us where conventional sclerotherapy doesn’t work. This may not be an appropriate treatment if you have had deep vein thrombosis. 

What are the possible complications of foam sclerotherapy?

There are some common problems caused by foam sclerotherapy which can include:

  • Blood clots in other leg veins.
  • Headaches.
  • Lower back pain.
  • Changes to skin colour where the treated veins were.
  • Fainting.
  • Short-term blurred vision.
  • You may feel a tightening along your leg.
  • Pain and bruising along the line of the vein.
  • Swelling and lumpiness which can cause discomfort. This can be settled with anti-inflammatory pain killer.
  • The procedure may leave brown marks on your skin.

These risks can all be minimised by wearing compression stockings and bandages. 

Sclerotherapy

This procedure is used to treat the appearance of spider veins and small-medium varicose veins.

  • A fine needle is used to inject a sclerosant (solution) into the vein which causes it to perish and disappear over a course of several treatments.
  • The appearance of spider veins begin to fade in two/three months, you may need to return for further treatment.
  • You will need to wear compression stockings which will be provided for up to one week or longer.

Recovery after treatment

After laser and foam treatments you can resume normal activities straight away. You may experience tightness in your legs and they may be a bit bruised and painful.

You’ll need to wear compression stockings or bandages for up to two weeks if you’ve had foam treatment.

We recommend light walking/activity after the treatment, but don’t do anything that you feel will over exert you. 

How long will the effects of treatment last?

Varicose veins can come back, either in the same place or in other parts of your leg, but the chances of this are very slim.

Acknowledgements Author: Dr Mo Faris, MS, FRCR MRCP MBBS BSc


Cost

The guide price is correct as of 26th May 2017

Treatment Stage Consultant Fees Hospital Fees
One leg (unilateral) Both legs (bilateral)
Initial consultation (including diagnostic scan) £200.00
Ultrasound guided foam sclerotherapy £800.00 £1,200.00
Subtotals £200.00 £800.00 £1,200.00
Total £1,000.00 £1,400.00
8 week follow up appointments for Varicose Veins are free of charge / follow up appointments after 8 weeks will be £75
Treatment Stage Consultant Fees Hospital Fees
One leg (unilateral) Both legs (bilateral)
Initial consultation (including diagnostic scan) £200.00
Endovenous Laser treatment £2,300.00 £3,000.00
Subtotals £200.00 £2,300.00 £3,000.00
Total £2,500.00 £3,200.00
8 week follow up appointments for Varicose Veins are free of charge / follow up appointments after 8 weeks will be £75
Treatment Stage Consultant Fees Hospital Fees
One leg (unilateral) Both legs (bilateral)
Initial consultation (including diagnostic scan) £200.00
Endovenous laser treatment combined with ultrasound guided scler £2,700.00 £3,600.00
Subtotals £200.00 £2,700.00 £3,600.00
Total £2,900.00 £3,800.00
8 week follow up appointments for Varicose Veins are free of charge / follow up appointments after 8 weeks will be £75

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