One of the first questions potential patients have about having their varicose veins treated is “What are my options, and which is the best?”. In this article, Premier Veins in Birmingham provide a quick overview of the current approved non-surgical procedures and how to approach choosing the right treatment for you.

What are non-surgical treatments for varicose veins?

Non-surgical treatments are walk-in-walk out procedures that improve the appearance and symptoms of varicose veins. They tend to be less painful than surgery and have a shorter recovery time, allowing you to return to normal activities quickly. In many cases, patients can have their consultation and treatment on the same day.

There are three common types of non-surgical treatment, all of which can be performed under local anaesthetic. Each procedure uses a different method to block the affected veins without damaging the circulation in your legs. You may need more than one treatment to resolve your varicose veins successfully.

Endothermal ablation

Endothermal ablation is an effective technique that applies heat to the inside of the vein to make it collapse and close off. This procedure uses either radiowaves (radiofrequency ablation) or a laser (endovenous laser ablation) to create the heat. The National Institute for Health and Care Excellence (NICE) recommends endothermal ablation as the first line of treatment for varicose veins. The procedure is not suitable for everyone, so you may need to explore alternative treatments with your consultant.

Radiofrequency ablation (RFA)

This technique typically causes less bruising and less post-treatment discomfort than laser and has a lower risk for perforation. RFA can also be used alongside UGFS to treat more troublesome superficial varicose veins.

Learn more about radiofrequency ablation

Endovenous laser ablation (ELA)

ELA is a relatively new treatment, so there is limited evidence for long-term effectiveness. It can be a more painful procedure than RFA and it may not be very effective at treating thread veins in the legs.

Ultrasound-Guided Foam Sclerotherapy (UGFS)

Foam sclerotherapy involves injecting a chemical foam into the affected vein to damage the lining and cause the vein to close off. It is a quick and cost-effective treatment for trunk varicose veins and reticular veins. NICE recommends using UGFS when endothermal ablation is unsuitable. You may not be able to have this type of treatment if you have a history of blood clots.

Learn more about foam sclerotherapy

Veinlite Transilluminated Microsclerotherapy (VTM)

Microsclerotherapy is the most effective treatment for small reticular veins and thread veins. It takes less than an hour to perform. The surgeon uses a light to make the problem vein translucent and easy to locate and then injects a liquid (sclerosant) into the vein, which helps the body absorb the vein naturally.

Learn more about microsclerotherapy

Which treatment should you have?

There is no one-size-fits-all treatment for varicose veins. The best procedure for you will depend on your diagnosis, your medical history, and your circumstances and preferences. For this reason, every treatment journey should begin with a thorough consultation that includes:

  • An in-depth and detailed look at the history of your problem
  • A clinical examination
  • Non-invasive investigations, including a duplex scan if appropriate
  • Discussing treatment options
  • Recommending your next steps
  • Taking the time needed to discuss fully any issues or concerns you have

Would you like to know more?

Premier Veins offer a free mini-consultation to give you a greater understanding of the tailored treatments that they offer, their costs, and which procedures may be suitable for you.

Contact Premier Veins on 0121 769 2646 or by email  – you’ve got nothing to lose!



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