Frequently Asked Questions

Frequently Asked Questions

What are veins?

Veins are vessels that carry blood back to the heart after oxygen has been given to the tissues. In contrast to veins, oxygen-rich blood reaches the tissues through the arteries. Human legs have two vein systems: one deep and one superficial.

What are varicose veins?

Varicose veins are superficial veins that become enlarged and twisted. These veins typically develop in the legs, just under the skin. They are usually harmless but sometimes can cause serious complications. Varicose veins are very common in the adult population.

Are varicose veins painful?

Visual/ palpable varicose veins present no pain. However, as time/condition progresses, varicose veins can cause pain:  “pain in rest,” pain during/after long-standing, pain during long flights, RLS – restless leg syndrome. At a later stage, pain can be caused by sub-dermal hemorrhage and skin sensitivity to impact/pressure. Long-time untreated varicose veins can cause SVT – a superficial blood clot – which is a source of pain by itself.

Are varicose veins dangerous?

Varicose veins do not present an immediate life risk but can cause medical conditions that can present a real danger if untreated, including venous blood clots, skin changes, and ulcers.

Are varicose veins curable?

Varicose veins are considered a chronic medical condition. Nevertheless, treating the source of varicose veins – venous leg reflux, and eliminating faulty sub-dermal veins, improves their medical and aesthetic condition, which can last for long periods. Venous professionals in the USA and Europe believe that the earlier varicose veins are treated – the better! This is the message emerging from recent medical conferences.

How are varicose veins treated?

Varicose veins can be removed surgically or closed with endovenous procedures. Endovenous procedures need no incisions and can be done by using heat (radiofrequency, laser or steam) or without heat, e.g., by catheter sclerotherapy with the newly developed ScleroSafe™ procedure – which does not require general or local anesthesia.

How do varicose veins differ from regular veins?

Varicose veins are enlarged, twisted, and swollen veins that often occur in the legs. They are caused by a malfunction in the vein valves, which leads to blood pooling in the vein and causing it to enlarge. They differ from regular veins in that they have become abnormal and can cause problems such as pain, swelling and skin changes.

Is Venous Reflux dangerous?

Venous reflux is not considered life-threatening but causes venous congestion, pain, pain in rest and RLS restless leg syndrome. It can also cause venous blood clots.

What causes Venous Reflux?

Saphenous reflux is caused by high venous blood pressure, where blood creates backflow into the saphenous vein, enlarging the saphenous diameter and damaging the saphenous valves

Can Venous saphenous insufficiency be cured?

Yes, by treating and eliminating the saphenous vein

What causes skin ulcers on legs?

Stagnant blood pooling in the sub-dermal venous system causes a chain reaction that causes infra molecular ulcers. In some cases, the subdermal perforator veins are damaged, and their valves become incompetent.

How is Venous Reflux treated?

Venous Reflux is typically treated through a combination of lifestyle changes, compression stockings, and medical procedures such as sclerotherapy, laser therapy, and surgery. The best treatment option for an individual will depend on the severity of their condition and any underlying health issues.

Is there a cure for varicose veins?

There is no one-size-fits-all cure for varicose veins, as treatment options will vary depending on the severity of the condition. However, various treatments such as compression stockings, sclerotherapy, laser therapy, and surgery can be effective in improving the appearance and symptoms of varicose veins.

Are varicose veins and venous reflux the same?

No, varicose veins and venous reflux are not the same. Varicose veins are enlarged, twisted veins that are often visible under the skin, while venous reflux is a condition in which the valves in the veins that are responsible for keeping blood flowing in the right direction do not function properly, causing blood to flow backward and pool in the legs. Varicose veins are a symptom of venous reflux, but not all cases of venous reflux will present with varicose veins.

What is Venous Insufficiency?

Venous insufficiency is a condition in which the veins are unable to pump blood back to the heart efficiently, leading to blood pooling in the legs and the development of varicose veins.

Can varicose veins disappear on their own?

Varicose veins are caused by a structural problem in the vein and do not go away on their own. Treatment is typically necessary to improve the appearance and symptoms of varicose veins.

What Is Sclerotherapy for varicose veins?

The elimination of a faulty vein by direct ultrasound-guided injection of sclerosant into the vein.

What is injected in Sclerotherapy?

In the Western world, the approved sclerosant for injection is either polidocanol or sotadecol.

Is Sclerotherapy safe?

Injections of a sclerosant into a superficial vein are considered safe, with known complications and adverse events – pigmentation, matting, propagation of the sclerosant into the deep system, DVT – deep vein thrombosis, PE – pulmonary emboli

Use of V-Block™ in the treatment of varicose veins

The V-Block™ blocks the bloodstream into the deep system and acts as a high safety measure during the elimination of the faulty saphenous.

What is non thermal non tumescent (NT-NT) technique?

Non-thermal non-tumescent technique (NTNT) is a minimally invasive treatment method for varicose veins that does not involve the use of heat or tumescent anesthesia. Instead of using heat, which is the approach taken in thermal treatments such as endovenous laser therapy (EVLT) and radiofrequency ablation (RFA), NTNT uses a special adhesive material to seal the vein shut.

How does NT-NT work?

During the NTNT procedure, a small amount of the adhesive is injected into the vein using a catheter. The adhesive then bonds to the vein wall, closing off the affected vein and redirecting blood flow to healthier veins. Over time, the closed vein is gradually absorbed by the body and disappears.

Why is NT-NT considered the best treatment for varicose veins?
  1. It is less invasive.
  2. It does not involve heating or destroying the vein.
  3. It does not require the use of tumescent anesthesia.
  4. It is more precise and targeted.
  5. It is less dependent on the surgeon’s skills.
  6. The recovery time is very short.
Who is qualified to treat varicose veins?

There are different types of healthcare professionals who can treat varicose veins, including:

  1. Vascular Surgeons: These are medical doctors who specialize in the diagnosis and treatment of conditions that affect the blood vessels, including varicose veins.

  2. Phlebologists: These are doctors who specialize in the diagnosis and treatment of conditions that affect the veins, including varicose veins.

  3. Interventional Radiologists: These are doctors who use imaging technology to guide minimally invasive procedures to treat varicose veins.

  4. Dermatologists: These are doctors who specialize in the diagnosis and treatment of skin conditions, including some types of varicose veins.

  5. Primary Care Physicians: These are general practitioners who can diagnose and provide initial treatment for mild to moderate cases of varicose veins. They may also refer patients to specialists if necessary.

It is important to choose a qualified and experienced healthcare professional to treat varicose veins. The type of treatment recommended will depend on the severity of the condition and the patient’s individual needs.

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