New Laser Treatment Shows Promise for Varicose Veins

Laser therapy is one of the treatment options for varicose veins, especially for smaller varicose veins and spider veins. The procedure uses a focused beam of light to heat and seal off the affected vein, causing it to collapse and eventually fade away. Here’s an overview of how laser therapy for varicose veins works:

Types of Laser Therapy:

There are two main types of laser therapy used for treating varicose veins:

1. Endovenous Laser Treatment (EVLT): This is a minimally invasive procedure where a laser fiber is inserted into the affected vein through a small incision.
2. Surface Laser Treatment: Also known as non-invasive laser therapy, this involves directing laser energy at the surface of the skin over the affected veins.

Procedure Overview:

Endovenous Laser Treatment (EVLT):

1. Anesthesia: Local anesthesia is administered to numb the area around the vein.
2. Insertion of Laser Fiber: A small incision is made near the affected vein, and a thin laser fiber is inserted into the vein using ultrasound guidance.
3. Laser Energy Application: The laser fiber is activated, emitting laser energy that heats the inside of the vein, causing it to collapse and seal shut.
4. Compression: After the procedure, a compression bandage or stocking is applied to support the treated area and help reduce swelling.

Surface Laser Treatment:

1. Preparation: The skin over the affected veins is cleaned.
2. Application of Laser: A handheld device is used to deliver laser energy directly onto the skin above the veins. The laser energy penetrates the skin and targets the blood vessels beneath, causing them to heat up and close.
3. Post-Treatment Care: No incisions are made, so recovery is typically quicker than with EVLT. Compression garments may still be recommended to minimize swelling.

Benefits:

• Minimally Invasive: Both procedures involve little to no cutting.
• Short Recovery Time: Patients can usually return to normal activities within a few days.
• High Success Rate: EVLT has a high success rate, typically over 90%.
• Minimal Scarring: Surface laser treatments leave no scars, and EVLT leaves very small scars.

Risks and Complications:

• Bruising and Discomfort: Mild bruising and discomfort are common after the procedure.
• Nerve Injury: Temporary numbness or tingling can occur near the treated area.
• Deep Vein Thrombosis (DVT): Rare but possible, especially with EVLT.

Post-Treatment Care:

• Compression Garments: Wearing compression stockings for a period after the procedure can help reduce swelling and improve circulation.
• Activity: Walking and other light activities are encouraged to promote healing and prevent blood clots