Doctor Blogs

VARICOSE VEINS - Here’s what you can do about them
by: Dr. Prabal roy
Director Department of General and Minimal Access Surgery

What are varicose veins?

Veins have the job of taking blood back to the heart. Your legs have 2 groups of veins: superficial veins, which lie near the skin; and deep veins in the leg muscles. Blood passes from the superficial veins through perforator veins to the deep veins in the leg muscles. When the leg muscles are used, as in walking, they act as a pump sending the blood up to the heart. Veins have one-way valves in them to overcome the effects of gravity. When the walls of the leg veins lose their elasticity and the valves stop functioning properly, blood can flow backwards and pool in the superficial leg veins, causing the veins to swell and become varicose. When veins become visibly twisted and swollen, they are known as varicose veins. They most commonly occur in the legs.

Factors that can increase your chance of developing varicose veins include:

  • increasing age;
  • pregnancy;
  • family history of varicose veins;
  • being overweight;
  • being female; and
  • standing still or sitting for long periods of time.

Initially, varicose veins are usually painless. Over time they can cause symptoms and signs such as:

  • aching pain in the legs, especially when standing and walking;
  • cramps in the legs;
  • mild swelling of the legs and feet;
  • discoloured skin in the area around the varicose veins; and
  • an itchy rash (varicose eczema).

It is recommend having a doppler ultrasound to look at the veins in your legs, check for blood clots and check whether the valves in the veins are functioning properly

How are Varicose veins treated?

The treatment of varicose veins has undergone a paradigm shift from open removal of the entire diseased vein to a minimally invasive operation. Varicose vein treatment, also known as endovenous ablation, uses radiofrequency or laser energy to close varicose veins in the legs. Endovenous ablation is safe, less invasive than conventional surgery, and leaves virtually no scars.

During the operation an ultrasound is used to visualize the varicose vein. A laser fiber or radiofrequency electrode is advanced to the desired location within the vein. Laser or radiofrequency energy is then applied, heating the vessel and causing it to close. The tip of the fiber or electrode is exposed by pulling the catheter back slightly.

Following the procedure, the faulty vein will shrink and "scar down."

Pressure will be applied to prevent any bleeding and the opening in the skin is covered with a bandage. No stitches are generally needed.

This procedure is usually completed within an hour. Additional procedures such as sclerotherapy may be necessary to treat associated small veins.


  • No surgical incision is needed—only a small nick in the skin is all that is sufficient & it leaves no scar
  • When compared with traditional techniques, endovenous ablation is more effective, has fewer complications, and is associated with much less pain during recovery.
  • Most of the veins treated are effectively invisible even to ultrasound 12 months after the procedure.
  • Most patients report symptom relief and are able to return to normal daily activities immediately, with little or no pain.


  • It is generally a safe operation, however, infrequently encountered issues include local infection, some bleeding and bruising. In about less than one in 1,000.
  • Blood clots that are formed in the veins can travel to the lungs; however, this is an extremely rare occurrence and is prevented using blood thinning agents in immediate post-operative period.

Both modalities of endovenous surgery (Laser & Radiofrequency) are offered at QRG Healthcity. The team has the largest experience of management of varicose veins by endovenous therapy in Faridabad.

For consultation with Dr Prabal Roy call 0129-4330000 / 9540022121
OPD Timings: Mon to Sat: 10 am to 5 pm