{"id":496,"date":"2014-04-11T20:26:24","date_gmt":"2014-04-12T00:26:24","guid":{"rendered":"https:\/\/elisebernier.ca\/?page_id=496"},"modified":"2021-09-23T08:02:51","modified_gmt":"2021-09-23T12:02:51","slug":"varicose-veins","status":"publish","type":"page","link":"https:\/\/elisebernier.ca\/en\/body-treatments\/varicose-veins\/","title":{"rendered":"Varicose Veins"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\">CAUSES AND SYMPTOMS OF VARICOSE VEINS<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In the first stage of the disease, the affected veins are called varicosities. They resemble red or bluish filaments on the surface of the skin. When the affected veins have a larger diameter, these are called varicose veins.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Varicosis is caused by the weakening of the superficial vein walls and by the ineffectiveness of the valve system. A blood leakage occurs, especially when standing up. The leak comes from the depth of the limb to the surface. This happens in the superficial veins, which gradually dilate to become real pockets of blood.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Symptoms<\/span><\/h3>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">This reflux of blood from the depth to the surface or from the top to the bottom in the superficial venous system and its stagnation in the venous \u201clakes\u201d explains the following:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Pain and heaviness, tingling and, more rarely, cramps.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Swelling of the ankles.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Cutaneous disorders: eczema and varicose ulcers, brown patches, blotches and induration (hardening of tissues).<\/span><\/li>\n<li>Development of thrombosis and even pulmonary embolism.<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Treating these varicose veins and closing the \u201cleaks\u201d improves venous circulation of the limb.<br \/>\n<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Causes\u00a0<\/span><\/h3>\n<p>Several factors can cause the development of varicose vein disease. Heredity is a factor, but also a trauma or accident. Some aggravating factors (obesity, standing stationary and prolonged, the number of pregnancies) can also cause the appearance of varicose veins. Heat (heated blankets, extended hot baths) can also cause venous dilation.<\/p>\n<p>It is essential to consult a phlebologist to solve the problem of venous insufficiency.<\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-weight: 400;\">Treatment options for varicose veins offered at our centres:<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In order to choose the type of treatment that is right for you, <a href=\"https:\/\/elisebernier.ca\/en\/cliniques-2\/dr-elise-bernier\/\">Dr. Elise Bernier<\/a> performs a complete examination of the affected veins. This examination is assisted by ultrasound and allows the assessment of incompetent veins, their depth, and location. This preliminary examination is important to determine the appropriate treatment.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Different treatment options are available at Dr. Bernier&#8217;s Centre de chirurgie et de m\u00e9decine esth\u00e9tique:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Microsclerosis<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Surface sclerosis<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Echosclerosis<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Lasers and phototherapy are also treatment alternatives offered at our centres.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Bernier usually starts with large varicose veins, which are very often the cause of varicosities.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\"><br \/>\n<\/span><strong>SCLEROSING AGENTS<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">They are used in sclerotherapy, which consists of injecting an irritant substance into the affected vein.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Classified according to their strength (light, medium, strong) or their action mode (chemical, detergent, osmotic), sclerosing agents can change strength depending on their form: liquid or foam.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Sclerosing foam is obtained by mixing gas (usually air) and sclerosing liquid. The foam form allows us to increase the sclerosing effect and to obtain better results more quickly while using less product.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\"><br \/>\n<\/span><strong>MICROSCLEROSIS<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Microsclerosis is the recommended treatment for telangiectasias (varicosities, small red or bluish vessels visible under the skin). Magnifying glasses and very fine needles are used to inject the sclerosing product.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\"><br \/>\n<\/span><strong>SURFACE SCLEROTHERAPY<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Sclerotherapy or sclerosis is the safest technique because it is the least invasive for treating varicose veins. It does not require convalescence or post-treatment care and gives little or no discomfort.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Surface sclerotherapy is used when it is possible to treat visible veins by simple injection without ultrasound guidance. However, the doctor must have ensured that they are not fed by leaks (reflux) from deeper veins using a Doppler examination.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">This treatment consists of injecting a sclerosing agent into the vein to be treated. This sclerosing agent can be in liquid form (for smaller veins) or foam (for larger varicose veins). The treatment takes about 10 to 20 minutes and doesn\u2019t require any special care. Depending on the extent of the varicose problem, the treatment may need to be repeated and the same vein may require several injection points along its path.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p>The sclerosing agent causes irritation of the inner wall of the diseased vein. Its diameter will thicken and become blocked. It will then turn into a fibrous and hard cord called sclerosis. The vein will decrease in volume and disappear. The blood that circulated there then takes the path of the normal veins.<\/p>\n<h2><span style=\"font-weight: 400;\"><br \/>\n<\/span><strong>ECHOSCLEROSIS<\/strong><\/h2>\n<p>Used in large dysfunctional vessels, the <span style=\"font-weight: 400;\">sclerosing foam<\/span> is effective in controlling the disease&#8217;s progression. Its advantage is that it is less invasive and less costly than other endovenous techniques.<\/p>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Echosclerosis uses an echo-Doppler device to facilitate the identification of leakage points, venous insufficiencies and links between different vascular structures. This device allows us to confirm the intravascular presence of the sclerosing agent during injection and to monitor its progress.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">To improve the safety and precision of the injection, especially if the vein is not easily accessible or visible, this treatment is done under ultrasound control (echosclerotherapy or ultrasound-guided sclerotherapy). For the treatment of saphenous veins or their recurrence, ultrasound guidance is mandatory and the recommended sclerosing agent is the foam (if there are no contraindications).<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Post-treatment care is minimal and requires only avoiding high physical exercise for a few days. Therefore, no convalescence (work stoppage) is necessary. Treated veins may be sensitive to palpation, but this is usually well tolerated.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\"><br \/>\n<\/span><strong>OTHER ENDOVENOUS TECHNIQUES<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Endovenous techniques such as laser, radiofrequency, cryotherapy and glue injections require more elaborate preparation and are more invasive. They, therefore, have the potential to cause greater complications, convalescence, and pain. Usually reserved for very large veins, these techniques are also more expensive.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\"><br \/>\n<\/span><strong>SURGICAL TREATMENTS FOR VARICOSE VEINS<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Surgical treatments such as ligation, stripping, phlebectomy are nowadays considered as treatments of last resort, as they are much more invasive and therefore likely to create more serious complications. The decline in these treatments has also allowed us to observe a high rate of recurrences, which will then be more difficult to treat.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>To learn more about varicose veins treatment in Montreal, Sherbrooke, or Val-d&#8217;Or, do not hesitate to <a href=\"https:\/\/elisebernier.ca\/en\/cliniques-2\/contact-us\/\">contact us<\/a> to book a consultation with Dr. Bernier.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.understand.com\/elisebernier\/en\/980e7aef-30f9-44ef-aba8-6a8d719fe8fc\/95861500-4134-42c1-a682-9c8d8a4a04be?pauseFirstStep=1\" width=\"100%\" height=\"557\" frameborder=\"0\" scrolling=\"no\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>CAUSES AND SYMPTOMS OF VARICOSE VEINS In the first stage of the disease, the affected veins are called varicosities. They resemble red or bluish filaments on the surface of the skin. When the affected veins have a larger diameter, these are called varicose veins. Varicosis is caused by the weakening of the superficial vein walls [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":1190,"parent":551,"menu_order":3,"comment_status":"closed","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.6.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Varicose Veins : Causes, treatment and prevention - Dr. Elise Bernier<\/title>\n<meta name=\"description\" content=\"To learn more about the causes and symptoms of varicose veins. 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