General Measures and Compression Stockings
Relief of symptoms may be achieved with self help mechanisms such as exercise, weight loss, elevation of limbs and avoidance of long periods of sitting or standing (Beckman 2002). Compression stockings may be all that is required to alleviate the symptoms of vein disease. Compression bandaging may be required for acute thrombosis or for active ulceration. Usually, the bandage is left in place for one-week intervals until the problem resolves.
Surgery
This is an option for some patients. Either due to extensive large veins or personal choice. At the initial consult Dr Berman would discuss this option and advise whether surgery may well be a better option. Dr Berman works closely with vascular surgeons and if necessary would liase directly with them re a patient’s particular problem.
Surgery in most cases involves ligation performed in conjunction with stripping of the great saphenous vein. Stripping is not regularly performed for the small saphenous vein due the fear of nerve damage. Stripping below the knee is now generally not performed due to the risk of damage to the saphenous nerve. Surgery has a greater risk compared to the non-surgical treatment of vein disease including: Deep vein thrombosis, scarring, infection, lymphatic drainage damage and varicose vein recurrence.
Laser Treatment
At this stage laser therapy for spider veins of the legs is not particularly effective.
