Treatment of leg varicose veins without surgery

Doctor Name

Dr.Hossam Elmahdy

Treatment with laser therapy, injection therapy, or their combination using techniques like CLACS, along with lifestyle changes, are among the most popular methods for treating leg varicose veins without surgery.
Poor daily practices such as prolonged standing or sitting during work or study can lead to the emergence of varicose vein issues, which cause the unsightly appearance of the legs. With the advancement of modern medical techniques, it has become possible to address varicose vein problems through simple and safe methods.

How do varicose veins occur?

Varicose veins form as a result of swelling and enlargement of the veins, causing them to fill with blood due to increased pressure on the veins in the lower part of the body while standing or walking.

Here are some facts about varicose veins:

Women are more susceptible to varicose veins than men.
Varicose veins affect approximately 30% of women and 10% of men according to statistics.
Ulcers resulting from varicose veins may affect about 20% of those with varicose veins.
There are approximately 3.5 million Egyptians affected by varicose veins.

What are the symptoms of varicose veins?

Swollen and bulging veins clearly visible on the surface of the skin in the legs.
Feeling of heaviness in the feet.
Pain in the legs.
Occasional cramps or throbbing in the legs.
Itching sensation in the affected leg.
Changes in skin color.

Age, as the risk of developing varicose veins increases with age.
Gender, as women are more susceptible to varicose veins than men.
Prolonged standing or sitting.
Lifting heavy objects.
Excessive weight gain or obesity, as it puts extra pressure on the veins, weakening their walls.
Pregnancy, which is considered a risk factor for females due to the pressure from the weight of the fetus on the leg veins of the mother.

Complications of varicose veins may include:

Varicose veins can lead to numerous complications if the treatment plans are neglected. Some of the most significant risks of varicose veins include:

Chronic skin ulcers and tissue hardening directly under the skin.
Formation of blood clots within the affected veins, with increased risk when they cause pulmonary embolism.
Bleeding due to ruptured veins close to the skin, especially upon impact or injury.
Varicose veins also cause heaviness and swelling in the legs, impairing the patient’s mobility and leading to rapid fatigue.

Steps for dealing with varicose veins:

Lifestyle changes: Following a healthy lifestyle helps alleviate pain and improve the condition by engaging in exercise, avoiding prolonged standing or sitting, losing excess weight, avoiding tight clothing, and elevating the legs.
Wearing compression stockings: Wearing compression stockings is one of the first steps in the treatment process. The pressure helps move blood effectively within the legs.
Non-surgical treatments: Such as injection therapy, laser treatment, and the latest Clacs technology.

Treatment of varicose veins with injections

Treatment of varicose veins with injections aims to eliminate varicose veins and improve the appearance of the legs. It is one of the oldest methods used to remove varicose veins and is also one of the safest methods as it does not involve surgery. This treatment involves injecting the inner lining of the vein, causing it to harden and eventually disappear.

The treatment begins with injecting a solution that helps in hardening the veins. The concentration of the injection material varies depending on the size of the treated vein. Dr. Hossam El Mahdy performs the injection step under ultrasound guidance. The solution causes severe spasm of the vein, disturbing the blood vessel lining to stick together and close the dilated vein.

Patients may feel a slight discomfort for a minute or two, especially when injecting larger veins. The procedure takes approximately 15 to 30 minutes, depending on the number and location of the injected veins, as well as the patient’s medical condition.

Preparation before varicose veins injection treatment includes undergoing necessary medical tests and examinations, clarifying any health issues, and fasting for 6 hours before the procedure.

Preparation before varicose veins injection treatment

undergoing necessary medical tests and examinations, clarifying any health issues, and fasting for 6 hours before the procedure.

Recovery after injection:

The patient is advised to walk and move their legs immediately after the injection to prevent blood clots.
Compression stockings are worn for two weeks after the procedure.
Recovery after varicose veins injection treatment does not require a long recovery period. Patients can resume their daily activities on the same day of the procedure. However, it is recommended to avoid strenuous exercise for two weeks after the procedure.
Avoiding sun exposure after the procedure, as it may cause dark spots to appear on the skin.

Results of varicose veins injection treatment:

The final results appear within 3 to 6 weeks after the procedure. The treated veins do not reappear, but new veins may develop. Regular follow-up with the doctor is necessary to assess the results and determine if the patient needs additional treatment sessions.

Candidates for varicose veins injection treatment:

Before starting any treatment for varicose veins, the patient must undergo several tests and imaging studies to determine if they are suitable candidates for this type of treatment.
Some individuals are not suitable candidates for varicose veins injection treatment, especially pregnant women or those who have had blood clots in the past. It is essential to investigate the cause of the blood clots and determine the health of the area that needs treatment.

Laser treatment for varicose veins:

The use of lasers has increased recently in many fields. In the treatment of varicose veins, laser is used to focus light on the dilated vein to completely close it. The variety of laser wavelengths has helped control tissue penetration and its impact, reducing the need for painkillers after the procedure due to the low pain levels.

Surface laser is applied directly to the skin to treat small veins. However, deeper and larger veins are treated using endovenous laser therapy, which involves inserting the laser into the vein through a catheter, from a small opening in the thigh, to directly treat the affected vein.

The latest CLaCS technology:

CLaCS is the latest technology adopted in several European countries and has proven its success over the years by combining laser and injections. CLaCS has multiple advantages that make it unique in treating varicose veins, including its ability to identify veins that may cause varicose veins in the future and treat them in the same session. This completely prevents the recurrence of varicose veins by relying on a vein detection device that reveals the feeding veins not visible to the naked eye.

CLaCS technology also stands out for its ability to ensure patients do not feel pain during the injection or laser application steps, thanks to the use of a specialized cooling device. This device supplies cold air to the area to prevent pain.

Therefore, Dr. Hossam El Mahdy, Professor of Vascular Surgery and Varicose Vein Treatment at Cairo University, is keen on providing the tools used in this technology. He was one of the first doctors in Egypt and the Middle East to work with this unique technology and has many success stories to share.

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