Best Hospital for Vascular Disease Treatment in Chennai

4 Minimally Invasive Types of treatments for Varicose Veins

Varicose veins are a common occurrence in adults, occurring when the valves of your veins fail to
work properly and allow blood to pool in them. This pooling causes the vein walls to become swollen
and twisted – leading to unpleasant symptoms such as aching legs, heaviness, throbbing, cramping
and swelling. The condition can affect any age group, but it is most commonly seen in adults.
There are several minimally invasive treatments available at the best hospital for varicose vein
treatment in Chennai today that offer effective relief without having to undergo traditional vein
surgery. These treatments include:


Sclerotherapy is known as one of the best treatments for varicose veins in Chennai. It involves
injecting a solution into the veins, causing them to collapse and seal shut. Patients who undergo
sclerotherapy typically feel minimal discomfort during the procedure, as only local anaesthesia is
used so that no pain is felt during the injections themselves. After the procedure, patients may
experience swelling and tenderness in the affected area, which usually subsides within a few weeks.

Radiofrequency Ablation

Another minimally invasive treatment for varicose veins is Radiofrequency ablation (RFA) which
delivers heat to the affected area to seal them closed. During the procedure, a catheter with an
electrode at its tip is inserted through small incisions into the vein and radiofrequency energy is then
applied to heat and collapse the walls of the vein, thus sealing it shut. RFA is often preferred over
traditional surgery since it involves a shorter recovery time and fewer risks of complications.

Laser Treatment

Laser Treatment for varicose veins uses a special device to deliver an intense burst of light energy
directly onto the vein, causing it to collapse and shrink. This procedure is typically performed in an
outpatient setting and does not require any form of sedation. The benefit of laser treatments is that
they can be completed quickly, with minimal discomfort or downtime afterward. During the
procedure, patients may feel some mild heat or stinging sensations in their legs; however, this
should subside shortly after treatment ends.

Endovenous Thermal Ablation

It is another best varicose vein treatments in Chennai that utilizes heat to close off the affected vein.
It is typically used for larger, more severe varicose veins and is performed under local anesthesia.
The procedure involves inserting a small catheter into the vein and slowly advancing it up the vein
toward the groin. Using ultrasound imaging to ensure accuracy, radiofrequency or laser energy is
then released through the catheter to heat up and collapse the affected vein walls. This not only
closes off the targeted vein but also improves blood flow in other nearby veins.

Thus, varicose veins are a common problem caused by poor circulation and weakened valves in the
veins of the legs. They can be painful, unattractive, and cause discomfort during everyday activities.
Luckily, minimally invasive treatments are available, but each treatment has its benefits and
drawbacks, so it is essential to discuss your options with a qualified healthcare provider before
making a decision.

Ways to Manage Your Varicose Veins

Varicose veins occur when the veins in the human body become enlarged, dilated, and overfilled with blood. The veins appear swollen and raised, have a bluish-purple or red colour and are often painful. It is a common condition in women.

Causes of varicose veins

Varicose veins occur when the veins fail to function. Veins have one-way valves that prevent blood from flowing backward, and when these valves fail, blood begins to collect in the veins rather than continuing towards the heart.’

Some potential causes for varicose veins include:

1. Pregnancy

2. Menopause

3. Age over 50

4. Standing for long periods

5. Obesity

6. Family history of varicose veins


The primary symptoms of varicose veins are visible on the legs. Some may have pain, swelling, heaviness, or even achiness over or around the enlarged veins. In severe cases, if the veins bleed significantly, ulcers can form.


Varicose veins treatment includes self-care measures, compression stockings, and surgeries or procedures. Treating varicose veins is often done as an outpatient procedure, hence, the patients can go home on the same day.

Self-care – exercise and raising the legs when sitting or lying can help ease the pain of varicose veins and might prevent them from getting worse.

Wearing compression stockings the whole day is the first approach to try. It squeezes the legs, helping veins and leg muscles move blood more efficiently. These are available at most pharmacies.

Doctors even recommend surgery or other procedures like:

1. Sclerotherapy – In this procedure, the health care provider injects the varicose veins with a solution or foam that scars and closes those veins. Within a few weeks, the treated varicose veins fade.

2. Laser treatment – Varicose veins laser treatment in Chennai provides laser treatment by bursting light onto the vein, which makes the vein slowly fade and disappear. It does not require any cuts or needles.

3. Catheter-based procedures using radiofrequency or laser energy – Besides laser treatment for varicose veins in Chennai, this procedure is the preferred treatment for larger varicose veins. A thin tube (catheter) is inserted into an enlarged vein and heats the tip of the catheter using either radiofrequency or laser energy. When the catheter is removed, the heat destroys the vein, causing it to collapse and seal shut. When people search for a varicose vein clinic near me, they often get the names of the clinic that provide this kind of surgery.

  • Lifestyle and home remedies :
  • Moving or walking is a great way to encourage blood flow in the legs. Hence, the doctors recommend an appropriate activity level.
  • Managing weight or shedding excess pounds takes unnecessary pressure off the veins.
  • Avoiding salt or following a low-salt diet to prevent swelling caused by water retention.
  • Choosing proper footwear and avoiding high heels is better for the veins.
  • Avoiding long periods of sitting or standing and changing position frequently encourages blood flow.

Hence, if you are looking for a suitable remedy laser treatment for varicose veins in Chennai is considered the best for its quality and safety procedure.

Is It Safe to Treat Varicose Veins During Pregnancy?

One of the top five leading causes of varicose veins is pregnancy. About 40% of pregnant women are affected by varicose veins. There is a high possibility that varicose veins that more commonly appear during pregnancy would regress in the postnatal period. Moreso, the primary concern during pregnancy is the safety of the mother and unborn child. Hence, it is ethical to inform pregnant women about this possibility and also make them aware that interventional treatment of varicose veins is not absolutely necessary during pregnancy. Normally, a pregnant woman should not be considered for interventional treatment of varicose veins unless in exceptional circumstances such as bleeding varicosities, where interventions could become unavoidable. However, a vascular surgeon for the best varicose vein treatment in Chennai is required to assess the risk and benefits of the interventional treatment to be offered in pregnant women.

It is safe to naturally treat varicose veins during pregnancy

Increased blood volume during pregnancy puts increased pressure on the veins and harms them. Varicose veins are seen commonly as enlarged veins in the legs but can appear on the buttocks and vaginal area during pregnancy. Hormonal changes during pregnancy, like increased progestin levels, can dilate or open the veins and lead to varicose veins. The additional pressure that the uterus puts on the inferior vena cava during pregnancy can further contribute to varicose veins. All these changes are more likely to reverse and become normal within a few months of childbirth. Varicose veins during pregnancy are generally harmless, but the itchy, heavy, and uncomfortable feeling of affected areas can become a bother. Natural remedies that help alleviate the causes of varicose veins during pregnancy are safe treatment methods to find relief and avoid severity. 

Preventative measures are the best treatment options for varicose veins during pregnancy

Varicose veins can be hereditary, and the circulatory changes that occur during pregnancy are unavoidable. Factors that can increase the risk of developing varicose veins during pregnancy include:

1. Diet – Intake of too much sodium or too less fiber or water can make the body retain water and increase the risk of varicose veins during pregnancy.

2. Weight – Carrying excess body weight is a more common cause of varicose veins.

Though these factors may make a woman susceptible to varicose veins, there are some ways to prevent or minimize them.

Stay in motion to treat varicose veins during pregnancy

Sitting or standing in the same place for too long is one of the worst things to do that affects the veins during pregnancy. To get the blood flowing through the veins, it is necessary to keep moving every 30 minutes or so.

Daily exercise is a safe way to treat varicose veins during pregnancy 

It will work wonders if a workout routine is set up at the beginning stages and carried throughout pregnancy. Extra endorphins can help balance hormones that go off balance at times of pregnancy. Simple exercise such as walking for 30-60 minutes a day is a great way to help manage weight during pregnancy. Exercise is also a great way to keep the blood flow consistent and keep veins healthy. 

Use compression Stockings during pregnancy to safely treat varicose veins 

Compression stockings work as a fabulous tool during pregnancy. Work that demands sitting or standing for long periods of time while being pregnant can hamper blood circulation and wearing compression stockings at such times can keep the circulation moving. Support hose can help counteract the increased pressure within the veins. Full hose or thigh-high stockings are the best option during pregnancy. Compression garments are generally advised as part of treatment for varicose in Chennai. Can be worn in the morning and taken off while going to bed. Putting on compression stockings when heading out for daily walk is also a good aid for vein health.

Everyday tips to treat varicose veins during pregnancy

There are other steps that can help relieve symptoms or prevent varicose veins from getting worse during pregnancy. They include:

1. Feelings of heavy aching legs that seem to have given up at the end of the day are main symptoms of varicose veins. Vein issues that may result from tired legs can be combated by lying down with legs elevated above the level of the heart to take the pressure off the veins and allow gravity to aid the natural flow of blood from the lower legs all the way up to the heart. Feet can be propped up on a pillow to help the blood flow while sleeping.

2. Sleeping on the left side will prevent the uterus from pushing against the veins in the abdomen, helps keep pressure off from the main veins, keeps blood out of the legs, and thus supports in maintaining the circulation strong. 

3. Cut down on salt because too much salt in the food pulls more fluid into the blood vessels which may increase the pressure in the veins. Excess fluid can move out into the tissues of the leg and ankle, making them swell. 

4. Drinking plenty of water helps the body to maintain proper fluid balance. Staying hydrated by drinking plenty of water will help prevent the discomfort and strain of constipation leading to varicose veins or hemorrhoids in pregnancy.

5. Avoiding high heels and other uncomfortable shoes can prevent strain on the calf muscles and the pooling of blood in the veins of the legs. Using comfortable shoes that allow feet and veins to breathe can avoid restriction of calf muscle movement and prevent varicosities.

6. Sitting cross-legged with one leg over the other blocks the flow of blood through the veins in the legs and can cause pressure to build up. So, it is better to not sit cross-legged.

Varicose veins of pregnancy usually disappear on their own in the months following the baby’s birth. If it so happens that varicose veins continue to cause problems or are unsightly, minimally invasive procedures like varicose veins laser treatment in Chennai can be pursued to eliminate varicosed vessels for good.

What Causes Varicose Veins to Reoccur After Treatment?

Varicose veins are enlarged, twisted veins that most commonly appear in the legs. They occur when the valves in the veins that help blood flow in one direction fail, causing blood to back up and pool in the vein. It can cause the vein to become enlarged, twisted, and painful. Varicose veins can also lead to other serious health problems, such as blood clots, ulcers, and skin changes. Hence, it is imperative to get the best vein treatment in Chennai at the earliest possible.

Unfortunately, varicose veins are a chronic condition that can worsen over time. Even after treatment in the best hospital for vein problem, you may find them growing again. It is known as post-operative neovascularization. These new veins have no valves which cause the varicose veins to come back. 

Cause of reoccurrence

Several factors can contribute to the reoccurrence of varicose veins after treatment.

  • 1. One of the most common is simply genetics. If you have a family history of varicose veins, you are more likely to develop them yourself.
  • 2. One common cause is repeated injury to the area. Other causes can include an injury to the leg that disrupts the valves inside the vein. If you injure your leg or foot, it can damage the valves in your veins and cause them to become weak or damaged. 
  • 3. It can also be due to an increase in weight that stresses your veins, causing them to rupture and develop varicose veins.
  • 4. Another factor is pregnancy. The reason being is that it can put a great deal of stress on your veins. Pregnancy leads to weight gain, which can cause an increase in the pressure inside your veins.
  • 5. It can also happen if you are standing for long periods.
  • 6. Finally, some people may be prone to varicose veins because of the structure of their blood vessels. For example, people with deep venous reflux are more likely to develop varicose veins than others. 


If your varicose veins have reoccurred, you will require the best varicose vein treatment in Chennai. There are a few different varicose vein issue solution available, and the best one for you will depend on the severity of your condition. Some of the most common treatments include:

  • 1. Wear compression stockings. It can help reduce the amount of swelling and discomfort.
  • 2. Take regular breaks during extended periods of sitting or standing.
  • 3. Elevating your legs reduces swelling and improves your blood flow.
  • 4. Regular exercise and cardiovascular activity help to strengthen the muscles in the legs and thighs which support your veins. 

For severe cases, surgeries or alternative methods are recommended:

  • 1. Sclerotherapy is a medical treatment that involves injecting a solution into the vein, which causes the vein to collapse and fade away.
  • 2. Varicose veins laser treatment in Chennai is another treatment. It uses lasers to heat up and destroy the vein.

Hence, varicose veins can reoccur after treatment for various reasons. While there is no guaranteed way to prevent varicose veins from returning, patients can take measures to reduce their risk and get the best treatment.

What are the symptoms of Pelvic Congestion Syndrome?

Pelvic congestion syndrome (PCS) is a condition of chronic pelvic pain that occurs approximately in one third of all women in their child bearing age. The main reason behind PCS is enlarged veins in the abdomen that has the potential to lead to significant disability. Pain and other symptoms of PCS are caused by veins of the pelvic region that have stopped working from carrying blood from the pelvic area to the heart. This leads to building up blood inside these veins that enlarge, change shape and become like varicose veins. Women who have given birth to more than one child are at higher risk of PCS that may need medical attention like varicose vein treatment in Chennai.

Pelvic vein dilatation causes symptoms of Pelvic Congestion Syndrome

PCS is a complex condition associated with ovarian and pelvic vein dilatation that can result from varicose veins in the pelvis, thighs, gluteal or vaginal areas. Pregnancy is the most common risk factor for PCS. There are many reasons why pregnancy might bring this condition on:

  • There are structural changes in the pelvis during pregnancy that can affect some blood vessels, and increase the risk of developing varicosities.
  • Body usually gains fluid and weight to support the baby but veins may not be able to cope with the volume of fluid. As a result, veins get engorged and valves get damaged, allowing blood to flow back through them, making them varicose.
  • Hormonal alterations along with physical changes during pregnancy are believed to trigger the development of pressure in veins around the ovaries. The reproductive hormone oestrogen is made more during pregnancy, and that has the ability to weaken the walls of veins in the area and cause them to widen. 

The presence of venous varices with pelvic pain in premenopausal women may not indicate that they are causally related to PCS. Dilation and incompetency of pelvic veins are common findings even in women with no symptoms of PCS. Hence, identifying patients with chronic pelvic pain due to pelvic congestion syndrome has been challenging in arriving at the right diagnosis.

Pelvic pain is common and there are many different problems with the reproductive system, like ovaries and uterus, or the urinary system, like the bladder or the gastrointestinal system, such as the large intestine or due to muscles or bones of the pelvis that cause the pain. Many possible causes for pelvic pain need to be considered before arriving at a diagnosis because several factors, even mental health conditions, such as depression, can be linked to chronic pelvic pain.

In the presence of chronic pelvic pain, physical examination that finds uterine tenderness, ovarian tenderness and cervical motion tenderness on direct palpation during bimanual examination usually supports the diagnosis of PCS, indicating the need for laser treatment for varicose veins in Chennai. 

Pelvic pain is the main symptom of Pelvic Congestion Syndrome

Pelvic congestion syndrome is marked by pelvic pain that starts during or after pregnancy and shows up intermittently or stays constant, lasting for at least 3 to 6 months, the intensity of pain going up with each subsequent pregnancy. Pain is experienced in the pelvic or abdominal region, occurring throughout the menstrual cycle. Any change or activity that increases abdominal pressure, like walking, postural changes, lifting, and long hours of standing position can increase the intensity of pain.

Pelvic pain from PCS is usually felt as a heavy, aching or sometimes a sharp feeling that gets worse after a later pregnancy. Additionally, pain is usually felt only on one side of the pelvis, more commonly on the left side or at times on both sides and the pain seems to intensify and get worse by the end of the day. Other factors that increase the pain are:

1. Change in posture

2. While or after having sex

3. Long hours of standing

4. Walking

5. Pain before or during menstrual periods

Pelvic congestion syndrome (PCS) is generally considered as the condition, if the pain worsens when sitting or standing and is relieved with lying down. Some patients may also experience pain with urination (dysuria) or during/after sexual activity (dyspareunia). Another feature of PCS is pain which is felt while in standing posture as dull, aching or “dragging” pain in the pelvis or lower back gets worse around the time of menstrual period.

Other symptoms of Pelvic Congestion Syndrome

It is believed through studies and research that ovarian vein may cause PCS. Varicose veins that cause PCS may be found on the ovaries and along the female reproductive tract. Many women have varicose veins in their reproductive tract that may cause pain and other symptoms of pelvic congestion syndrome, while others may have no symptoms. Hence PCS requires a multidisciplinary team approach to evaluate and advise varicose vein treatment in Chennai. Signs and symptoms of PCS vary from woman to woman but pelvic pain is often accompanied by other symptoms that include:

1. Swollen vulva

2. Distorted veins around the external genitalia such as vulva/buttocks or thighs and legs

3. Irritable bladder with a feeling of sudden urge to urinate

4. Irritable bowel that can cause recurrent abdominal pain and diarrhoea alternating with periods of constipation

5. Haemorrhoids/piles

6. Low back pain

7. Vaginal discharge

8. Abnormal vaginal bleeding

9. Fatigue/lethargy

In a study conducted on 57 women suffering from pelvic pain, the combination of a history of pain after sexual intercourse, along with tenderness over adnexa during physical examination was observed to be 77% specific and nearly 94% sensitive in differentiating the symptoms of pelvic congestion syndrome from other pathologies of pelvic origin. Symptoms of PCS usually happens in women of childbearing age between 20 and 45 and more common in women with more than one child.

Symptoms of PCS can be eliminated or improved for a higher quality of life. Along with hormonal medications, minimally invasive therapies for nonsurgical embolization such as laser treatment for varicose veins in Chennai can permanently seal off the veins from inside. 

The Best Compression Stockings for Varicose Veins

Compression stockings play an important role in controlling the symptoms of varicose veins. If the right compression stockings are used in the proper way, the action of squeezing the vessels to make the upward flow of blood easier through legs can prevent the pooling of blood that causes vein issues.

Wearing the correct size of compression hose that gives the right amount of pressure is the key to having the best effect of compression stockings for varicose veins. Stockings that are ill-fitting, being too tight or too loose can cause varicose veins or worsen varicose veins symptoms such as itching and burning. Varicose vein treatment in Chennai includes compression stockings that feels firm but not tight on the leg. Choosing the right compression stocking can be a confusing aspect as it involves an understanding of the level of compression needed for effectiveness. 

Best compression stockings have graduated markings

The graduated compression level of the garment can be known from the range of numbers indicated on the compression stockings. For instance, if the range of numbers shows “20-30 mmHg”, it means that the amount of compression will not decrease below 20 mmHg and not rise above 30 mmHg. It is the measurement of pressure that reads in unit of measurement called “millimetres of mercury” (mmHg), also used more commonly in measuring blood pressure. Stockings have graduated compression that is strongest at the ankle and gets lighter as the graduation moves up the leg.

This is a very special way of knitting that allows a compression stocking to assist circulation to improve and carried out of the legs. If the graduated compression went down towards the feet instead of moving up from the feet, the effects would be highly devastating. Medical compression stockings manufacturers of reputed companies or brands usually graduate the compression properly.

Low level compression for best everyday stockings

Everyday compression stockings to help with mild swelling and leg fatigue from varicose veins due to long periods of travel, sitting or standing would be best at a low-level compression of 15 – 20 mmHg. Since they are used as casual everyday compression socks, they are made to look like dress socks and casual cotton socks available in different styles to choose from for both men and women. Women may choose sheer fashion styles to suit their clothing and occasion. 15-20 mmHg level of compression is also available as sports compression socks.

Alongside varicose vein laser treatment in Chennai, this 15-20 mmHg compression stocking has become a popular choice among people while flying and for travel. Comfort and availability of numerous styles have attracted more and more people to choose a little of 15-20 mmHg compression for their lifestyles.

Medical Grades of compression stockings for varicose veins

The severity of varicose veins is the deciding factor for selecting the best suitable pressure range of compression stockings. While excess pressure can have a reverse negative effects, too little pressure may prove to be futile in providing necessary relief. The vascular specialist can assess the varicose vein condition and recommend the most suited medical grade of pressure range for using compression stockings. 

Grade I

Initial signs of varicose veins are best managed by mild compression that relieves constant, minimal heaviness in the legs. The 20-30 mmHg level of compression is the first medical grade that provides competent compression for varicose veins without being too strong on the legs. This is the most widely used medical grade stockings because the 20-30 mmHg level of compression is great for managing swelling in the legs from spider veins and varicose veins. Pregnant mothers with varicose veins also benefit from this grade of compression stockings to alleviate heaviness, swelling, and aching in their legs. 

Grade II

Swelling, burning, and heaviness of the legs from varicose veins need moderate compression. A stronger medical grade of 30 – 40 mmHg level of compression is recommended for varicose vein health symptoms that range from moderate to severe. The kind of fabric used for the stocking is to be taken into account when choosing the 30-40 mmHg compression. It is a good idea to select a stocking made of a more durable material to support a stronger compression level. Compression stockings that are 30-40 mmHg made of poor-quality fabric may be more prone to snags and holes. Natural fabrics such as natural rubber are stronger especially if the compression stockings are considered for more severe varicose vein symptoms.

Grade III

Firm and stronger compression is required to treat severe symptoms of varicose veins and venous ulcers. People considering this level of 40-50 mmHg compression should necessarily consult a vein specialist and seek medical advice because it offers a very strong compression that is medically recommended as varicose vein treatment in Chennai only for severe symptoms of varicose veins, wound management, and lymphedema. It is always suggested to use prescribed compression stockings as the doctor recommends for the condition.

Other factors for choosing the best compression stocking 

  • The size of the compression stockings should be appropriate to the legs, being fit enough to regulate blood circulation but not too tight. Inappropriate size can cause damage to the skin or have no effect on venous circulation.
  • The length of compression stockings can be chosen according to the suitable region of the limb affected by the varicose vein. A wide variety of styles that are knee length, thigh length, and pantyhose for both men and women are available.
  • Fabric choice can be varied for compression stockings according to the grade and pressure range required. Exclusive fashion styles include dress sock styles, sports sock styles, and opaque styles.

Compression stockings, when used according to the particular situation on a regular basis is a safe and practical way that offers a remarkable difference in dealing with varicose vein symptoms. Compression stockings accompany as an effective aid in varicose vein laser treatment in Chennai to reduce swelling in the legs, enhance blood circulation and lower the risk of getting blood clots.

Are Vein Treatments Covered by Insurance?

Veins play an integral role in the body’s ability to function well. With advancing age or lifestyle conditions, it is common for vein issues and irregularities to develop. Patients who develop vein irregularities often ponder if treatment is of utmost essential owing to concerns about the affordability of treatment and enquire if the cost of vein treatment is covered by insurance.

On experiencing abnormal vein or uncomfortable symptoms, it will be first necessary to approach the center for varicose vein treatment in Chennai to undergo a vein examination that can identify the issue and determine whether medical treatment is necessary. Vein disorders can sometimes be indicative of an underlying health disorder. Unhealthy veins can affect their primary function to carry blood from various parts of the body back to the heart. If these concerns are believed to be merely cosmetic,  medical attention is often assumed to be unnecessary. However, they fail to understand that if the vein disorder is left untreated, it can threaten circulatory health and endanger overall wellbeing.

Are vein treatments medical or cosmetic?

Vein treatment is said to be medical if it is required to protect or maintain health or to ease the discomfort for better wellbeing. Painful or uncomfortable symptoms from varicose veins such as swelling, tenderness, or heaviness in the legs will be eligible for medical treatment covered by insurance. To know if treatment is medically necessary, venous ultrasound is usually recommended as part of vein screening to determine the health and quality of veins. Evidence of swelling, ulcers, or backward blood flow revealed by the ultrasound will make necessary treatment, medically covered by insurance.

Vein treatments that are performed to address concerns related to looks or aesthetic appearance are called cosmetic treatments. These procedures are performed to address emotional concerns, such as self-consciousness or lack of confidence but are not considered medically necessary. Since the treatment is not a medical requirement, the procedure will be considered cosmetic. However, if the vein appearance is backed by underlying risks for future health conditions, it can be covered by health insurance.

Is varicose vein treatment covered by insurance?

Varicose veins are large, ropy veins that bulge and appear as lumps under the surface of the skin. Varicose veins may not always be visible on the surface of the skin and often patients complain of symptoms such as pain, heaviness, and swelling that get worse by the end of the day. Such signs of vein disease manifest often but happen in the absence of ropy varicose veins. An examination at the laser vein clinic near me can help determine if there may be pathology under the skin that may meet medical criteria. Discomfort and painful symptoms as a result of varicose veins can worsen if left untreated and may cause further damage to health and can be even debilitating when it gets severe. Though control measures such as compression stockings can help to promote blood flow, medical treatment to eliminate the problem vein is the only way to restore vein health. The health insurance provider will always cover the cost of the procedure for these reasons.

Criteria for medically necessary vein treatment

It is important for patients to understand if their symptoms and presentation meet medical necessity criteria for varicose vein treatment that is covered by insurance. Following is a simplified and convenient questionnaire, where a yes to all the four categories of questions means that the patient is eligible to meet the medical requirement.

  • * Do varicose veins present any of the following symptoms?
    • -> Leg pain
    • -> Heaviness
    • -> Persistent swelling
    • -> Nighttime cramps
    • -> Aching or throbbing
    • -> Restless legs
    • -> Pigmentation or discoloration
    • -> Leg ulcers
    • -> Bleeding from ruptured veins
    • -> recurrent blood clots or phlebitis

    • Do symptoms affect productivity or quality of life?
  • * The symptoms that are severe enough to affect a person’s ability to do their daily routines or work are considered to affect their quality of living.
  • * Have conservative management methods been tried to resolve the vein condition?
  • * Conservative measures include compression stockings, leg elevation, exercise, weight loss, anti-inflammatory medication, vasoactive agents, or home remedies. Many insurance providers expect 6 to 12 weeks of wearing medical-grade compression stockings prior to being approved for treatment. 
  • * What does ultrasound examination demonstrate?
  • * Ultrasound examination should document underlying venous insufficiency.

Is spider veins treatment covered by insurance?

Spider veins are the very fine red and blue veins found on the skin surface. Typically, spider veins are considered to be cosmetic issues that are not covered by insurance. But spider veins are never to be dismissed as merely an aesthetic problem. Patients who have varicose veins under the skin may have only visible spider veins on the surface. Spider veins often develop as an external manifestation of an underlying serious condition, such as venous insufficiency. It is crucial to undergo a vein examination if the development of spider veins on the face or legs is noticed. This can check if medical treatment will cure the problem and ensure that there is no progression of the vein condition. Vein treatments for spider veins not only help to disappear unsightly lines and restore smoother, more natural-looking skin but also eliminate abnormal veins and cure the venous disorder. Insurance providers will cover the cost of the treatment when it is thus determined to be medically necessary for health.

Venous insufficiency is a progressive disease and hence it is covered by most insurance programs. It is different from sclerotherapy which is deemed to be only for cosmetic treatment.  It should also be noted that the criteria to meet medical necessity is given in general and each insurance policy may have a difference in structure. The insurance company can vary the criteria for meeting medical necessities.  It is important to check with the insurance provider to determine what the specific policy requirements are. For most medical insurers to authorize vein treatments, it is necessary that the varicose veins laser treatment in Chennai demonstrates a level of medical necessity. 

Do Veins Come Back After Laser Treatment?

Laser treatment for varicose veins is a less invasive technique to seal off bulging, uncomfortable and damaged veins and it works better than the standard surgery that involves removing the damaged vessels. Simple laser treatments take care of superficial veins that cause spider veins or varicose veins. Endo Venous Laser Treatment (EVLT) is proven to have excellent success at treating deeper varicose veins, with high rates of long-term results. However, there is a general fear that the laser treatment fails to seal a vein completely, allowing the blood flow to gradually return, causing varicose veins to reappear. To reassure, it has been proven from studies that the chances of veins coming back from the vein that has been treated by laser are very low, between 2 to 5%. The doctors at the venous ulcer treatment in Chennai specialize in varicose vein laser treatment.

Benefits of laser treatment over other techniques for varicose veins
The non-surgical laser treatment technique is a part of the overall comprehensive management program for varicose veins. Laser surgery closes and shrinks the varicose vein and causes scar tissue within the vessel and thus seals off the vein. Once a varicose vein has been closed off from the blood supply, it is permanently treated, the valve cannot reopen and the vein will not become varicose again. Blood then flows through other neighboring veins instead. Laser therapy is a safe and time-proven method without much discomfort to improve the overall appearance of varicose veins and get relief from its symptoms. There are many benefits to use laser treatments for varicose veins that are large or small if done by a certified surgeon. A certified laser surgeon with experience can provide benefits of laser treatment over other techniques that include:

* 98% long term success rates
* Extremely efficacy
* No hospital stay
* Performed at the out-patient clinic
* No general anaesthesia
* No downtime or time away from work

Importance of venous health assessment

A venous health assessment can help detect diseased veins and select appropriate strategies to prevent veins from coming back in the future. Venous health assessment conducted for varicose veins and wound healing treatment in Chennai is comprehensive and consists of 3 main components:

* A detailed study of medical and family history is important to understand every individual’s risk profile for varicose veins.

* A physical examination of the legs is to check if varicose veins are sore, red, and swollen. Laser surgery is best suitable if the skin over the varicose veins is irritated.

* And a duplex ultrasound scan that takes at least 20 minutes per leg. Conducting a detailed scan is to ensure that all abnormal veins are detected and treated.

With the right vein being identified by duplex ultrasound scanning, only the right technique used in the right way can get the best results. This is the reason to make sure that the best assessment is conducted for the best treatments to be recommended based on the results.

Do veins grow back after stripping?
In most areas of surgical removal of a part of the body, it is completely gone and is not expected to grow back again. The reason is that most things that are removed surgically are organs. Veins, unlike organs, are part of the connective tissue of the body and can grow back again after any trauma. Veins are programmed to grow back again as part of the healing process. When varicose veins are removed by stripping technique, the body does not acknowledge that it needs to be removed permanently. The body only understands the process as a trauma that occurred, subsequently allowing it to grow back the veins naturally. When veins grow back again this way, they do not develop valves in them. That is how varicose veins removed by stripping may not give a permanent effect, as the removed veins can grow back again without any valves in them. High ligation and stripping of the great saphenous vein have frequently led to new blood vessel growth in the groin area involving pelvic varicose veins.

Source: Phlebology 2015 Sep;30(8):569-72.

Chances of veins to come back after laser treatment
If varicose veins have a chance to return after undergoing laser treatment aimed to permanently fix the abnormal veins, there are direct causes that need to be considered. The causes of varicose veins coming back post-laser treatment can be divided into two broad groups as patient-related factors and doctor/treatment-related factors.

* Patient-related reasons – The risk factors of the patient that were present before the laser treatment will still be present after the procedure. If genetics, age, hormones, or lifestyle habits include being risk factors, there are chances likely to develop one or more new varicose veins at some point in the future. Recurrent varicose veins or abnormal veins to appear again after treatment means that veins that were previously working at the time of the treatment subsequently become varicose. New varicose veins form when more valves fail other parts of the venous system due to disease progression. Losing weight and being more active are ways to avoid getting more varicose veins.

* Treatment-related reasons – An incorrect diagnosis can lead to incorrect treatment. The reappearance of new veins or continued development of the treated vein can be the result. Inadequate treatment of an abnormal vein can lead to strain on surrounding veins, causing damage to these veins making them visible and symptomatic. When concerning veins, it is recommended to consult with the vein experts before a decision on the procedure is taken. Vein specialists who can diagnose and treat the many forms of venous disease are the best experts.

It is important to remember that varicose veins are not a short-term ailment like a virus or infection, and hence, to ensure that the condition remains stable and does not come back, there is a need for a comprehensive assessment and long-term management plan to be instituted. Vein specialists at the venous ulcer treatment in Chennai carefully weigh the benefits and risks of every individual condition before deciding on a treatment plan as the best treatment strategy.

Laser Treatment for Varicose Veins in Chennai

As many of you might remember, veins carry blood from all parts of the body to the heart. Veins (and also arteries) allow blood to flow only in one direction. This is possible due to the valves present in them that allow the one-directional flow of blood through them. When the valves are damaged in any part of the vein, the blood gets blocked and the vein bulges resulting in a varicose vein. Due to the excessive accumulation of blood in the vein, the color of the vein may turn purple or dark red. Bulged veins show up on the skin, some look very light and thin and some are really large as if there are some worms under the skin. The twisted, enlarged, and often painful veins filled with blood are called varicose veins.

Varicose veins did have treatment even a decade ago. The surgeon used to make incisions on the legs or any part of the body where the varicose veins were present and pull out the vein(s). This procedure was often painful and took longer to heal. With the advancement in medical science and technology, varicose veins treatment has become less painful, less invasive with minimal blood loss, and heals faster.

Types of non-invasive treatments for varicose veins

Following are the non-invasive varicocele treatment options available currently (in our Chennai clinic):

  • Sclerotherapy. In this procedure, the veins are destroyed by injecting a liquid into the damaged vein. The liquid called ‘Sclerosant solution’ is made of Sodium Tetradecyl Sulfate. The liquid when injected into the vein causes it to collapse. The blood then flows through other veins instead of flowing and getting filled up in the damaged vein. The vein will be eventually absorbed the body. Sclerotherapy is used to treat small varicose veins that are near the surface of the skin. (Such veins are also called ‘Spider Veins’).

In cases where the veins are large, the liquid is turned into foam and injected as the foam usually occupies more volume than the liquid itself.

  • – Radiofrequency Ablation

In this procedure, the scarring or destroying of the defective veins is done with the energy released from the radiofrequency waves. Small incisions are made at the ends of the varicose veins and a small catheter is inserted into the veins. The end of the catheter emits radio waves that numb and destroy the vein by heating it and thickening it. The destroyed vein will eventually get absorbed into the body and will not be visible on the skin anymore.

  • – Endovenous Laser Ablation (Laser treatment for varicose veins)

In the laser treatment procedures for treating varicose veins, the energy to destroy the veins is given by the laser beam that is emitted at the end of the laser fiber catheter. Similar to radiofrequency ablation, small incisions are made at the beginning of varicose veins and the fiber catheter is inserted. As the catheter is moved, the laser beam destroys the walls of the damaged vein. Eventually, the vein will collapse and get absorbed by the body. Laser treatment for varicose veins is preferred when the veins are deeper in the leg or any affected area.

When is laser or other non-invasive treatment preferred for varicose veins?

There are few things to try by yourself when you see bulged veins on your body such as working out, dropping your weight (if you are overweight or obese), elevating your legs when sitting, wearing compression socks or stockings. If none of such home remedies for varicose veins give relief, you need to consult a good vascular surgeon for treating your varicose veins.

Your doctor/surgeon may recommend non-invasive surgery for varicose veins when:

  • – You are not happy with the look of your leg with swollen veins
  • – If you are experiencing pain and cramps
  • – If blood clots are forming frequently
  • – If your doctor sees that ulcers or sores are forming or have formed
  • – If the fatty tissue under the skin is hard or hardening due to the blood pressure from the vein

Risks of non-invasive varicose vein treatment

Every surgery comes with its own risks, some are very minor and some major. Risks associated with radiofrequency or laser treatment of varicose veins include:

  • – Blood clots
  • – Bruising
  • – Hematoma (a condition when the blood collects outside the blood vessels)
  • – Infection
  • – Skin burn
  • – Nerve injury or damage during the procedure.



FAQs on Laser Vein Treatment in Varicose Veins

What are varicose veins?
Varicose veins are enlarged, often swollen, twisted veins due to damage to the valves inside them. The valves in veins facilitate blood flow in only one direction, from the rest of the body to the heart. Most of the time, they pose a cosmetic problem but in some cases, varicose veins can cause pain and discomfort.

What is the difference between varicose veins and spider veins?
Varicose veins are usually large and appear twisted and bulged (due to the swelling). They are clearly seen as swelling along the vein. Spider veins are very tiny but visible blood vessels right under the skin. Spider veins typically develop on the face and legs while varicose veins are often seen on thighs, backs, and front of the calves (above the ankle and below the knee of legs).

What causes varicose veins (or veins to bulge)?
Veins and Arteries in the body have valves inside them. These valves allow blood to flow only in one direction. (Veins – from other parts of the body to the heart; Arteries – from the heart to other parts of the body). When the valves in the veins are damaged (for some reason unknown), the blood doesn’t flow to the heart and just gets stagnated in the region resulting in swelling of the vein along its path. Possible causes of varicose veins are heredity, pregnancy, hormonal changes in the body, overweight or obesity, sitting or standing for extended periods of time, age, injury to veins, etc.

What are the symptoms of varicose veins?
Typically varicose pose a cosmetic issue but some people with varicose veins feel aching or burning sensation in their legs, swelling of ankles, leg cramps, itching on the skin around the swollen vein area, etc. Skin ulcers can also be a result of varicose veins.

What are the treatment options for varicose veins?
Whatever may be the treatment method chosen, ultimate idea is to close (shut off) the damaged vein and divert the blood flow through good veins. The blocking of veins is done using any of the following procedures that your doctor thinks is right:
– Endovenous laser treatment
– Transilluminated powered phlebectomy
– Radiofrequency ablation
– Ligation and Stripping
– Surgical removal of varicose veins

What is the Nd: Yag laser used in treating varicose veins?
The Yag laser is used to treat or fade the spider veins. The tiny veins are blocked using the energy from the laser and eventually, the veins are absorbed by the body effectively removing the veins from the affected area. The laser works without cutting the top layer of the skin. (Non-ablative treatment).

What is the typical recovery time after Nd: Yag laser treatment for varicose veins?
The typical recovery time is 2 weeks after laser treatment. The patient may feel like a severe sunburn and the doctor will advise him/her to apply topical creams to reduce the burning sensation in the area.

Is there any clinic in Chennai that employs laser treatment for varicose veins?
Laser Vein Clinic is one of the finest vein clinics offering laser treatment for varicose veins, spider veins, venous ulcer treatment, and other vascular diseases. The doctors here are highly trained and highly experienced professionals practicing medicine for 28 years. If you compare varicose veins laser treatment before and after, you will see a marked difference.

What are the possible complications of varicose vein surgery?
In most cases, treatment for varicose veins has no side effects or complications. In some rare cases, the patient may see bleeding, blood clots in the vein of the leg causing inflammation, and a condition called ‘Chronic Venous Insufficiency’. Chronic Venous Insufficiency is a condition when the skin does not exchange oxygen, nutrients, and waste products with the blood properly because of poor blood flow.

What are the risk factors of varicose veins?
While there are no clear-cut reasons, medical experts have figured out some conditions that they believe might be risk factors for the development of varicose veins. They include:
– Menopause
– Pregnancy
– Age over 50 years
– A profession that involves sitting or standing for long hours
– Heredity
– Obesity or being overweight