State-of-the-Art Spider Vein and Varicose Vein Treatment Options in San Antonio

Appropriate treatment of vein disorders requires an accurate determination of the pattern of vein failure. In order to do this a history and physical along with a detailed duplex ultrasound exam must be completed.

In general the largest incompetent veins are treated first. This may be accomplished in several ways including endovenous laser ablation, minimally invasive vein removal (microphlebectomy) or sclerotherapy depending on the size and location of the largest failed veins. Occasionally definitive treatment is not possible. In these cases conservative management options are available.

It is important to note that after significant treatment of larger veins is undertaken, re-evaluation by ultrasound should be accomplished. The findings of this exam will determine changes in flow patterns caused by treatment and will allow treatment of smaller problems before they become clinically evident.

Sclerotherapy Ambulatory Phlebectomy Endovenous Thermal Ablation

Conservative Treatment in San Antonio

In cases in which definitive procedures are not undertaken for some reason, there are several conservative measures that may be taken to help control symptoms and slow progression of superficial venous disease.

There are several types of compression therapy that may be used to counter the pressure in diseased veins. The most common of these is graduated compression hose which are designed to apply the most pressure around the foot and ankle and gradually less pressure higher up the leg. These are medically designed and are not just tight hose. TED hose which are designed for bedridden patients are not a substitute for graduated compression hose. Graduated compression hose may be prescribed and are available over-the-counter at lower compressions.

For more severe cases, there are different types of wraps and devices that may be used. These should be prescribed by a physician.

Other methods of management include elevating the legs whenever possible and the use of anti-inflammatory pain medications such as Aleve and Advil if they are tolerated. Regular exercise will utilize the calf pump to pump blood out of the legs thereby lowering pressure in the veins.