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Can Varicose Veins Be Treated Without Surgery

July 11, 2025

A person sits on a bed, looking thoughtfully at their leg and gently touching the visible varicose veins.

For many people, living with varicose veins is both physically uncomfortable and emotionally distressing. These bulging, twisted veins often cause pain, swelling, or a heavy feeling in the legs.

Beyond appearance, they can also raise concerns about deeper health issues, such as circulation problems.

If you have varicose veins and want to explore treatment options, you might wonder – can they be treated without surgery? The good news is that advances in medical technology now offer several non-surgical options.

This blog will guide you through these treatments, helping you make informed decisions about your varicose vein care.

What Are Varicose Veins

Varicose veins are enlarged, twisted veins that typically appear on the legs and feet, causing uncomfortable symptoms. They occur when the valves in veins that regulate blood flow fail to work properly. This leads to blood pooling in the affected veins, causing them to become swollen and visible. Common symptoms include aching, throbbing, or a feeling of heaviness.

Risk factors for varicose veins include age, pregnancy, obesity, prolonged standing, and a family history of the condition.

Why Seek Varicose Vein Treatment

Beyond cosmetic concerns, untreated varicose veins may result in complications. These can include skin ulcers, chronic pain, and, in severe cases, deep vein thrombosis (DVT), where a blood clot forms in a deep vein.

Early varicose vein treatment can alleviate symptoms and prevent complications.

Can Varicose Veins Really Be Treated Without Surgery

Yes, many non-surgical or minimally invasive treatments can effectively manage and even eliminate varicose veins. These options are less invasive than traditional surgery and often involve shorter recovery times.

Here is an overview of the most commonly used varicose vein treatments.

Endovenous Laser Therapy (EVLT)

Endovenous laser therapy treats varicose veins by using laser energy. A thin fiber is inserted into the vein, and laser heat causes the vein walls to collapse and seal shut.

Blood is rerouted to healthier veins, and the treated vein is eventually absorbed by the body.

EVLT is suitable for medium to large varicose veins. It is performed as an outpatient procedure using local anesthesia, and most patients can return to normal activities within a day or two.

Sclerotherapy

This procedure involves injecting a solution, such as polidocanol or sodium tetradecyl sulfate, into the varicose vein. The solution irritates the varicose vein lining, causing it to collapse and fade over time.

Sclerotherapy is often recommended for smaller varicose veins or spider veins and requires multiple sessions. These varicose vein treatment sessions cause minimal discomfort and do not require anesthesia.

Radiofrequency Ablation (RFA)

Radiofrequency ablation uses heat generated by radio waves to treat varicose veins. A catheter is guided into the vein, and heat causes the vein wall to close.

This technique is effective for medium to large varicose veins. RFA is typically performed using local anesthesia and involves minimal downtime.

Compression Therapy

Compression stockings are often used as a first step or in conjunction with other treatments. They apply pressure to the legs, improving blood flow and relieving swelling or discomfort.

Compression therapy is suitable for individuals with mild symptoms or those seeking a supportive measure following treatments such as EVLT or sclerotherapy. While it does not eliminate varicose veins, it is an effective way to manage symptoms.

Are Lifestyle Changes Helpful for Varicose Veins

While lifestyle changes may not eliminate varicose veins, they can help manage symptoms and prevent the condition from worsening. Here are some changes you can incorporate into your routine:

  • Exercise regularly to promote healthy circulation.
  • Avoid sitting or standing for long periods and take breaks to move around.
  • Maintain a healthy weight to reduce pressure on your veins.
  • Elevate your legs to improve blood flow and reduce swelling.

These practices work best in combination with medical treatments.

How Do You Choose the Right Treatment

The right varicose vein treatment depends on factors such as the size and location of the veins, your symptoms, and overall health. Consulting with a vein specialist is essential to determine the most appropriate option for your condition.

Varicose Vein Treatment in Boca Raton, FL

You no longer have to live in discomfort caused by varicose veins. Modern, minimally invasive varicose vein treatments like EVLT, sclerotherapy, and RFA offer effective solutions without the need for traditional surgery.

At the Advanced Heart and Vascular Institute, we provide personalized and compassionate care to help you find the best treatment for your varicose veins. Our experts, Dr. Eli S. Levine, Dr. Michael A. Schechter, and Dr. Eric A. Kupferstein, are committed to guiding you every step of the way.

Contact us today at (561) 235-5621 or use our appointment request form to schedule your consultation and take the first step toward healthier, happier legs.

 

 

 

 

Compression:https://www.advancedhvi.com/2024/07/19/treatments-for-vein-disease-in-the-legs-from-compression-stockings-to-sclerotherapy/

 

 

Filed Under: Varicose Veins Tagged With: circulation problems, Compression Therapy, Endovenous Laser Therapy (EVLT), minimally invasive varicose vein treatments, Radiofrequency Ablation, Sclerotherapy, spider veins, varicose vein care, Varicose Vein Treatment, Varicose Vein Treatment in Boca Raton

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The cardiologists at Advanced Heart and Vascular Institute in Boca Raton, FL, specialize in the treatment of congestive heart failure and peripheral arterial disease. Our physicians also provide heart and vascular non-invasive testing and invasive cardiac procedures.