How To Treat Venous Insufficiency

Endovenous Thermal Ablation

Endovenous thermal ablation, also known as endovenous laser therapy (EVTA and EVLT), is a medical procedure similar to chemically-based endovenous treatments, but involves the use of laser-focused thermal radiation instead of a chemical irritant to destroy the lining of a damaged vein. These procedures are performed by board-certified vascular surgeons who are specially trained in endovenous therapies.

EVTA is an effective method for dealing with troublesome varicosities and carries the same risks and benefits as previously described. Since it is minimally invasive (the only incision is one that allows access to the laser catheter), recovery time is fairly short, and the procedure itself is relatively painless.

Elevate The Legs When Lying Down

Individuals affected by venous insufficiency are often advised to elevate their legs when lying down as part of their treatment. Elevation of the legs means the legs are propped at a position higher than the heart and rest of the body. When lying down, the legs are typically in a position at the same elevation as the rest of the body. Individuals who have venous insufficiency often experience blood pooling in their legs because the valves within their veins cannot sufficiently push blood back to the individual's heart against the force of gravity. This malfunction makes it difficult for blood to maintain a healthy pattern of circulation in the lower regions of the body, including the legs and feet. When the legs are at the same elevation or lower than the heart, the valves in the veins are left with the full burden of getting blood back to the heart. Placing the legs at a higher elevation then that of the heart allows for easier blood flow through the veins back to the heart. The combination of leg elevation and any compromised effort of the valves in the legs can help keep blood circulating as it should.