About varicose veins

Blood is pumped from your heart to your legs through arteries. Once it has supplied oxygen and nutrients to your legs, blood returns to your heart through your veins. To do this, the blood in your veins must flow upwards, against gravity. The muscles in your legs help this upward blood flow. Each time your calf and thigh muscles contract when you're walking, veins deep inside your leg are squeezed. One-way valves help prevent blood from flowing back down your veins.

Blood from the outer layers of your legs flows into superficial veins, which are connected to deeper veins inside your leg by perforator veins. When blood doesn't flow properly from your superficial veins to your deep veins, pressure can build up in your superficial veins. This results in blood collecting (pooling) in your veins, and these are called varicose veins.

Varicose veins are very common and affect up to three in 4 people at some time in their lives. They are slightly more common in women. For most people they are a problem mainly because of the way they look.


 Varicose veins treatment with laser in Montreal

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Symptoms of varicose veins

Symptoms of varicose veins may vary from person to person. They can include:

· aching or discomfort in your legs

· itchy or restless legs

· swelling of your ankles


Large varicose veins don't always cause more

discomfort than smaller varicose veins, and

some people don't have any symptoms at all.

These symptoms may be caused by problems

other than varicose veins. During our visite, we

will evaluate You for other causes of your



Complications of varicose veins

Having varicose veins doesn't always mean that you will get complications. However, your varicose veins won't get better without treatment, and they will get worse over time.

Complications of varicose veins include the following.

· Thrombophlebitis - your superficial veins can become painful and reddened due to inflammation or blockage of your veins.

· Bleeding - your varicose veins can bleed if you cut or bump your leg. You should raise your leg above the level of your heart and apply pressure to the bleeding area to help stop the bleeding.

· Varicose eczema - this is brown or purple discolouration of the skin that often becomes permanent.


Causes of varicose veins

The reason varicose veins develop isn't fully understood. If you have varicose veins, it's thought that your vein walls are weak, and that this causes the valves in your veins to expand and separate, damaging them. This damage to your valves means that blood can't travel up your veins as well or as easily as it should, and is more likely to pool.

You're more likely to develop varicose veins if you're older or if you have a job requiring a lot of standing. Women are more likely to develop varicose veins because the female hormones (chemical messengers) relax the walls of the veins. Women who are pregnant or very overweight are much more likely to develop varicose veins. This is because of the increased pressure on your veins.

Diagnosis of varicose veins

Our phlebologist will ask you about your symptoms and examine you. He may also ask you about your medical history.

Varicose veins are easy to see in your leg. However, to work out the position and extent of any valve damage that you have, our doctor may perform some tests including the following.

· A Doppler test is an ultrasound technique that uses sound waves to produce an image of the inside of your leg. This gives your doctor information about the direction of blood flow in your vein and whether your valves are working properly.

· Colour duplex ultrasound scanning is used to look for any abnormalities in the structure of your vein, and to look at the bloodflow through it.


Treatment of varicose veins

If you do decide to have treatment, our doctor will explain your options to you and help you decide which treatment is best for you. The most common treatment options are listed below.

Non-surgical treatments

Compression stockings

Compression stockings may relieve the swelling and aching of your legs but they won't prevent more varicose veins from developing. Compression stockings can help the blood in your veins to flow up towards your heart, and some people won't need any other treatment.

Varicose vein surgery

This involves removing any superficial veins which have become varicose veins. There are many types of operation you can have, depending on which veins need treatment. The most common is called ligation and stripping.

The operation is usually done as a day case under general anaesthesia. This means you wil l be asleep during the procedure.

 The operation cause a significant amount of pain and you will need to take  at least around 2 weeks off work.

Sclerotherapy (liquid or foam)

This involves injecting a medication Thromboject into your varicose veins which damages the veins, causing them to close. Liquid sclerotherapy is often used to treat smaller varicose veins. For larger veins, foam sclerotherapy is now used.

The operation is usually done as a day case under local anaesthesia. This completely blocks feeling from the treatment area and you will stay awake during the operation.

You will be given compression stockings to wear after your treatment. Our doctor will advise you on how long you will need to wear them for.

Studies have shown that this treatment is very effective at treating varicose veins .

This treatment does not cause any pain et you will not need to miss your work or any other sport related activities.

Endovenous laser treatment in Montreal

This uses a fine laser which is passed inside your varicose vein. The laser heats the inside of your vein causing damage to the vein wall. This causes the vein to close. This is the most effective treatment.

The operation is usually done under local anaesthesia and you will not need to miss your work or any other activities.

Radiofrequency ablation

This involves using a high frequency electrical current to heat the wall of your varicose vein. This damages the vein causing it to close.

The operation is usually done as a day case under local anaesthesia. 

Our doctor will explain your options to you and help you decide which treatment is best for you.

Prevention of varicose veins

Although there are no scientifically proven ways to prevent varicose veins, the following suggestions may be useful:

· don't stand still for long periods of time

· take regular exercise, such as walking

· maintain a healthy weight



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