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Varicose Veins Treatment with Sclerotherapy 

 Patient Information Guide  

 What Are Varicose Veins?
They are veins that do not work properly, they are veins that have incompetent valves, and Veins have one-way valves that help keep blood flowing toward your heart. If your valves are weak or damaged, blood can back up and pool in your veins.
This causes the veins to swell and can lead to varicose veins.
They can be dark purple or blue, and look twisted and bulging;  some you cannot see them, and other veins you can see just under the surface of the skin. These veins usually occur in the lower extremities; however they also can form in other parts of your body, this is the case of Hemorrhoids, and they are a type of varicose vein. 
Varicose vein is a medical condition that the sooner you take care of them the better results you can expect, now let’s look at how do they work.
How do Vein Work?
Veins are blood vessels that carry blood from your body's tissues to your heart. The heart pumps the blood to your lungs to pick up oxygen. The oxygen-rich blood is then pumped out to your body through your arteries.
From your arteries, the blood flows through tiny blood vessels called capillaries, where it gives up its oxygen to the body's tissues. Your blood then returns to your heart through your veins to pick up more oxygen.
A number of factors may increase your risk for varicose veins. These include family history, age, gender, pregnancy, overweight or obesity, and lack of movement.
According to the NIH (National Institute of Health) were parts of this article was extracted, states that varicose veins affect 1 out of 2 people over age 50. They are more common in women than in men.
Sometimes we hear the term “Spider veins” which are like varicose veins, but they are smaller.  They are within the capillaries. 
The problem with the so-called “spider Veins is that they could eventually become a full-grown Varicose veins,  and of course, taking care of them is not only important form a cosmetic point of view, but also form a health form of view.   
Varicose veins Signs.
Varicose veins usually cause different signs or symptoms. In some cases, varicose veins may cause complications, such as pain in the lower extremities,   cramps, burning sensation, blood clots, skin ulcers, and other more serious symptoms and conditions. 
Varicose veins are treated in a different form and there are different medical procedures, but they all consider that “The goals of treatment are to relieve symptoms, prevent complications, and improve appearance”.
The extent and complexity of a varicose veins case do not necessarily correlate with the extension seen of the varicose veins since minimal varicosities can bring high pain.
Varicose veins will usually cause many types of medical problems.  If your varicose veins cause few signs and symptoms, now, it will be the best time to take care of them,
When health is the issue, the sooner you take care of the problem the better it is, the more economical it will result, the less risk you will take, and the outcome will be the best.
 Are Spider / Varicose Veins  "COSMETIC" 

No, they are not, we repeat they are NOT COSMETIC  this is like saying that a tooth cavity is cosmetic,   This is a simple test

                                A.-    What will happen if you do not attend this problem?                                                                it will progress and has the real potential to endanger your life. 
                                B.- Spider and varicose veins will only get worse,                                                                                they do not disappear by magic, or on its own.  

The sooner you take care of a tooth cavity or of varicose veins or any illness whatsoever the better the outcome, the less cost and the less risk to your health. that is the simple truth.    
Many insurance Co wants to label Varicose Veins as a cosmetic procedure when they are absolutely not. 
The insurance company have worked very hard at creating the illusion that varicose veins are “cosmetic”, the objective of the insurance Co is not to pay, the less they pay the more money they make.
The insurance Co. is in the business of making money, to make more profit, every time, therefore the more claims they deny, the less payment the make, the more money they will make. 
Some of these companies take an illness like varicose veins, that has a definitive component of beauty of rejection towards how they look and therefore give an extra motivation to the patient to take care of them,  but the fact of the matter is that you have a good probability that if you do not take care of the varicose veins now, that you could  eventually, have to have a surgery,  and all the associated risk.
Varicose veins are not cosmetic; they could also develop into an ulcer.    These people have promoted the idea “That Drs should simply suggest simply making lifestyle changes, is sufficient,
I would ask in what medical study, do you support such a statement?   What kind of person will suggest this in order to make a profit?
In some cases, varicose veins can cause complications, such as pain, blood clots, or skin ulcers. If your condition is more severe, your doctor may recommend one or more medical procedures.
Whichever is your motivation to eliminate your varicose veins, improve your appearance, or eliminate your varicose veins to relieve pain, they are a medical condition that should be taken care of as soon as possible.
Type of Varicose Veins
Telangiectasias are small clusters of blood vessels. They’re usually found on the upper body, including the face.  These blood vessels appear red. They may form during pregnancy and often are found in people who have certain genetic disorders, viral infections, or other medical conditions, such as liver disease.  Because telangiectasias can be a sign of a more serious condition, see your doctor if you think you have them.
Spider Veins
Spider veins are a smaller version of varicose veins and a less serious type of telangiectasias. Spider veins involve the capillaries, the smallest blood vessels in the body.
Spider veins often show up on the legs and face. They usually look like a spider web or tree branch and can be red or blue.  Sometimes they become swollen when women have their menstrual period.
Varicoceles are varicose veins in the scrotum (the skin over the testicles). Varicoceles may be linked to male infertility. If you think you have varicoceles, see your doctor.
Other Types of Vein Problems
Other types of varicose veins include venous lakes, reticular veins, and hemorrhoids. Venous lakes are varicose veins that appear on the face and neck.
Reticular veins are flat blue veins often seen behind the knees. Hemorrhoids are varicose veins in and around the anus.
Who Is At Risk for Varicose Veins?
A number of factors may increase your risk for varicose veins, including family history, age, gender, pregnancy, overweight or obesity, and lack of movement.
Family History
Having family members who have varicose veins may raise your risk for the condition. About half of all people who have varicose veins have a family history of them.
Getting older may put you at higher risk for varicose veins. The normal wear and tear of aging may cause the valves in your veins to weaken and not work as well.
Women tend to get varicose veins more often than men. Hormonal changes that occur during puberty, pregnancy, menopause or the use of birth control pills may raise a woman's chances of getting varicose veins.
During pregnancy, the growing fetus puts pressure on the veins in the legs. Varicose veins that occur during pregnancy usually get better within 3 to 12 months of delivery.
Overweight or Obesity
Being overweight or obese can put extra pressure on your veins. This can lead to varicose veins.  this topic has been used by the Insurance companies to avoid paying for the sclerotherapy procedure.  Once you have varicose veins, that is that the internal valve of the vein is incompetent it will not restore by itself by dropping weight, it would be a miracle of science.  this is just an evasive tactic of the insurance companies to avoid paying 
Lack of Movement
Standing or sitting for a long time, especially with your legs bent or crossed, may raise your risk for varicose veins. This is because staying in one position for a long time may force your veins to work harder to pump blood to your heart.
Signs and Symptoms of Varicose Veins
The signs and symptoms of varicose veins include:
•            Large veins that you can see on your skin.
•            Mild swelling of your ankles and feet.
•            Painful, achy, or "heavy" legs.
•            Throbbing or cramping in your legs.
•            Itchy legs, especially on the lower leg and ankle.  Incorrectly diagnosed as dry skin.
•            Discolored skin in the area around the varicose vein.
Taking Care of Varicose Veins is also very important because, there is a possibility of having other types of illnesses that shows up as varicose veins, but are more serious,  such as PVD, or peripheral vascular diseases.   For example loss of hair in the lower extremities could be the case
Sometimes varicose veins can lead to dermatitis, an itchy rash. If you have varicose veins in your legs, dermatitis may affect your lower leg or ankle. Dermatitis can cause bleeding or skin ulcers if the skin is scratched or irritated.
Varicose veins also may lead to a condition called superficial thrombophlebitis. Thrombophlebitis is a blood clot in a vein. Superficial thrombophlebitis means that the blood clot occurs in a vein close to the surface of the skin. This type of blood clot may cause pain and other problems in the affected area.
How Are Varicose Veins Diagnosed?
Doctors often diagnose varicose veins based on a physical exam alone. Sometimes tests or procedures are done to find out the extent of the problem and to rule out other disorders.
Physical Exam
To check for varicose veins in your legs, your doctor will look at your legs while you're standing or sitting with your legs dangling. He or she may ask you about your signs and symptoms, including any pain you're having.
Diagnostic Tests and Procedures
Doppler Ultrasound
Your doctor may recommend a Doppler ultrasound to check blood flow in your veins and to look for blood clots. A Doppler ultrasound uses sound waves to create pictures of structures in your body.
During this test, a handheld device will be placed on your body and passed back and forth over the affected area. A computer will convert the sound waves into a picture of the blood flow in your arteries and veins.
Although rare, your doctor may order an angiogram to get a more detailed look at the blood flow through your blood vessels. For this procedure, dye is injected into your veins. The dye outlines your veins on x-ray images.
An angiogram can help your doctor confirm whether you have varicose veins or another problem.
What Treatment Are Available?
A number of treatments are available for varicose veins that are quick and easy and don't require a long recovery time.
Medical procedures are done either to remove varicose veins or to close them. Removing or closing varicose veins usually doesn't cause problems with blood flow because the blood starts moving through other veins.
You may be treated with one or more of the procedures listed below. Common side effects right after most of these procedures include bruising, swelling, skin discoloration, and slight pain.
The side effects are most severe with vein stripping and ligation. Although rare, this procedure can cause severe pain, infection, blood clots, and scarring.
Sclerotherapy uses a liquid chemical to close off a varicose vein. The chemical is injected into the vein to cause irritation and scarring inside the vein. The irritation and scarring cause the vein to close off, and it fades away.
This procedure often is used to treat different types of varicose veins, inexperience hand large veins do very well and avoid many surgeries.  It is done in your doctor's office; you may need several treatments to completely close off a vein.
Treatments are typically done every week. Following treatments, your legs will be wrapped in elastic bandaging to help healing and decrease swelling.
Microsclerotherapy is used to treat spider veins and other very small varicose veins.  A small amount of sclerosing agent is injected into a vein using a very fine needle 28/ 29. The substances scar the inner lining of the vein, causing it to close off.
Laser Surgery
This procedure applies light energy from a laser onto a varicose vein. The laser light makes the vein fade away. Laser surgery is mostly used to treat smaller varicose veins. No cutting or injection of chemicals is involved.
Endovenous Ablation Therapy
Endovenous ablation therapy uses lasers or radio waves to create heat to close off a varicose vein.
Your doctor makes a tiny cut in your skin near the varicose vein. He or she then inserts a small tube called a catheter into the vein. A device at the tip of the tube heats up the inside of the vein and closes it off.  
You will be awake during this procedure, but your doctor will numb the area around the vein. You usually can go home the same day.
Endoscopic Vein Surgery
For endoscopic vein surgery, your doctor will make a small cut in your skin near a varicose vein. He or she then uses a tiny camera at the end of a thin tube to move through the vein.
 A surgical device at the end of the camera is used to close the vein.
Endoscopic vein surgery usually is used only in severe cases when varicose veins are causing skin ulcers. After the procedure, you usually can return to your normal activities within a few weeks.
Ambulatory Phlebectomy
For ambulatory phlebectomy, your doctor will make small cuts in your skin to remove small varicose veins. This procedure usually is done to remove the varicose veins closest to the surface of your skin.
You will be awake during the procedure, but your doctor will numb the area around the vein. Usually, you can go home the same day that the procedure is done.
Vein Stripping and Ligation
Vein stripping and ligation typically is done only for severe cases of varicose veins. The procedure involves tying shut and removing the veins through small cuts in your skin.
You will be given medicine to temporarily put you to sleep so you don't feel any pain during the procedure.
Vein stripping and ligation usually is done as an outpatient procedure. The recovery time from the procedure is about 1 to 4 weeks.
How Can Varicose Veins Be Prevented?
You can't prevent varicose veins from forming. However, you can prevent the ones you have from getting worse. You also can take steps to delay other varicose veins from forming.
Avoid standing or sitting for long periods without taking a break. When sitting, avoid crossing your legs. Raise your legs when sitting, resting, or sleeping. When you can, raise your legs above the level of your heart.
Do physical activities to get your legs moving and improve muscle tone. This helps blood move through your veins.
If you're overweight or obese, lose weight. This will improve blood flow and ease the pressure on your veins.
Avoid wearing tight clothes, especially those that are tight around your waist, groin (upper thighs), and legs. Tight clothes can make varicose veins worse.
Avoid wearing high heels for long periods. Lower heeled shoes can help tone your calf muscles. Toned muscles help blood move through the veins.
Wear compression stockings if your doctor advises you to. These stockings create gentle pressure up the leg. This pressure keeps blood from pooling in the veins and decreases swelling in the legs.

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