Varicose veins affect the superficial venous system of the legs. They are used as places nodular-lobed, blue-colored strands of the skin’s surface. In many cases, the disease is a disorder of the two strains of large veins in the inside leg and calf. It can both be alone or a saphenous vein affected. In addition to changing many side branches, which branch of the saphenous veins. This creates the characteristic picture of the spread over the whole leg varicose veins. When varicose veins can be a feeling of heaviness in the legs, fluid retention (edema) in the ankles and tingling, itching, night cramps occur or stabbing pain. It is typical that the symptoms increase before menstruation and at warm temperatures. Women can develop varicose veins during pregnancy pronounced. Ultimately, the disease even with advancing age.

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What are varicose veins?
Varicose veins (varices) caused when the veins (blood vessels that carry blood back to the heart) to expand. Dilated veins have inoperable or even damaged venous valves. This leads to an increased volume of blood in the leg. This condition usually leads to the formation of additional varicose veins and skin damage to the open leg. In addition, the deep veins of the leg system is overloaded and damaged.

What forms of varicose veins it?

Varicosis
In this form the great saphenous varicose veins (great saphenous vein on the inside of the upper and lower leg) or the small saphenous vein is dilated (short saphenous vein in the calf area).

Varicosis of lateral saphenous branches
Side branches, which open into the saphenous vein, are
varicose-like expanded.

Reticular varices
Reticulate varicose veins, which in total
Leg can occur.

Cular veins
Formation of fine capillaries in the skin.

What are the health effects have varicose veins?
The varicosis of lateral saphenous branches and varicose veins are among the forms that have a considerable clinical significance and be manifested by a feeling of heaviness, leg swelling and skin discoloration. Due to the damage to the skin can become an open leg. Also, the dangerous deep-vein thrombosis, a possible consequence of varicose veins.
Cular veins or reticular tend to be regarded as a cosmetic problem. These can be removed at the request of the patient.

What tests are needed?
First detected by a vascular ultrasound, which veins are damaged and must be treated. Further is detected by means of electronic measuring methods, Lichtreflektionsrheographie and venous occlusion plethysmography, the operability of the venous system. These modern studies are painless and harmless. Only in rare cases, an X-ray examination with contrast (venography) is required.

What treatments are available?
It is between active (laser therapy, sclerotherapy, surgery) and conservative (compression stockings, medications, etc.) different treatments. Which form of treatment is chosen depends on the type and extent of the veins and tissue damage, general condition, age and desire for treatment of patients.
Medicines (pills, ointments) can only alleviate the symptoms but not cure the varicose veins. Their effect is insufficient in most cases. Associations, and compression stockings are often sufficient to treat and prevent the deterioration can be a venereal disease. These must be worn regularly during the day.

Sclerotherapy (Sclerotherapy)
In this treatment, a drug in a vein is diseased injected. This drug causes damage to the vessel – inside wall. Then a bandage is applied so that the damaged vein glued. This method has good results when cular veins.

Operation
At the operation of the varicosis is suppressed by a cut in the groin the connection to the deep vein and pulled the diseased vein through a stripper wire. This operation is usually performed under general anesthesia. Smaller varicose veins (branches) are removed by the so-called miniphlebectomy with tiny incisions under local anesthesia.

Laser / EVA 980
In recent years, the laser therapy significantly enhanced and increasingly replacing the operation. The laser treatment of large varicose veins has been made possible by the so-called Endovenous laser vein therapy. This is inserted under ultrasound guidance, a thin laser fiber into the diseased vein. The vein will retract slowly under the influence of the fiber by laser-bright closed. The procedure can be performed under general anesthesia (also available in local anesthesia).
In this treatment method is a self-financing of compulsory insured patients is necessary because the costs are not covered by health insurance.

As a specialist vascular clinic, we are able to offer you all the possibilities of vein treatment. Please talk to our doctors what type of treatment is best for you. You will receive a further clarification on the proposed treatment.