What are the treatment options for varicose veins?

The treatment options for patients with symptomatic varicose veins are that they will all potentially benefit from an interventional treatment. The National Institute of Clinical Excellence in the UK has recommended a treatment hierarchy for patients with varicose veins and this This is particularly related to having incompetence in what we call the truncal veins, which are the main vein on the inner aspect of the leg or just behind the knee. The recommendations are to perform either endothermal ablation, which can either be done using laser or radiofrequency. If a patient isn't suitable for that, then the recommendation is to use foam sclerotherapy. If that is not suitable, then there's a recommendation for additional surgery. There are two new techniques that have become available and these fit under the umbrella name of non-thermal, non-tuminescent and these are the use of either glue or mechanical chemical ablation. And two of the techniques that are used for this are one called Venaseal or Clarivein.