This can be a confusing field in which many specialists offer differing forms of closure treatment for varicose veins… Simply put the aim of treatment at this level is to occlude the leaking vein so no further reflux occurs through it after treatment thereby alleviating the symptoms and either preventing future damage or reversing/ameliorating the tissue damage caused by chronic venous insufficiency.

Four major forms of varicose vein therapy are currently available each with its own merits and disadvantages:

Non-thermal, non-tumescent based techniques include the use of technologies that avoid the use of heat to close the refluxing vein, and so avoids the necessity for repeated local anesthetic injections, and injections of large quantities of fluid into the skin and the discomfort associated with this.

Surgery under local and/or general anesthesia is still utilized but in few cases only where other modalities of treatment are not feasible or appropriate.

  1. Thermal ablation and destruction with involution and closure of the varicose vein using a heating element to perform the vein ablation—this technique includes radiofrequency vein ablation using a catheter derived heating element to produce the heat or a laser light that generates the heating effect that denatures the vein wall elements using heat and then results in fibrosis shrinkage and closure of the vein—a great variety of differing laser catheters are available that use varying wavelengths and fiber types to achieve their effects.