When self-care measures and compression stockings don’t provide sufficient relief, or if the varicose veins are more severe, medical procedures may be necessary. Several procedures are available:

• Sclerotherapy: This procedure involves injecting a solution or foam into the varicose veins, which causes them to scar and close. Over time, the treated veins fade. Multiple injections may be needed for larger veins, but the procedure is typically performed in a healthcare professional’s office with no need for anesthesia.
• Laser Treatment: Using strong bursts of light, this treatment causes the vein to fade over time. It’s a non-invasive method that requires no cuts or needles.
• Catheter-based Procedures: These are commonly used for larger varicose veins. A catheter is inserted into the vein, and either radiofrequency or laser energy is used to heat the catheter’s tip, sealing the vein shut. This procedure is highly effective for larger veins.
• High Ligation and Vein Stripping: This surgery involves tying off a varicose vein and removing it through small incisions. Although the vein is removed, deeper veins still carry blood flow.
• Ambulatory Phlebectomy: In this outpatient procedure, small varicose veins are removed through tiny punctures in the skin. It’s typically done under local anesthesia with minimal scarring.

Each of these procedures offers a way to manage varicose veins, helping to alleviate discomfort and improve the appearance of affected areas.