Conservative Therapy
The initial treatment option for varicose veins is conservative management. This includes compression stockings, exercise, leg elevation, leg rest and weight loss. These approaches may provide temporary symptom relief but will not make the varicose veins go away or prevent them from worsening, as the underlying disease process of venous reflux has not been addressed.
Compression Stockings
Most insurance companies require a documented period of wearing compression stockings in order to provide payment for procedures, usually a period of 8-12 weeks. Oceana Vein Specialists have multiple different styles of compression stockings available for purchase on the day of your appointment. As a service to our patients, we buy stockings in bulk direct from the manufacturer and sell them at our cost, usually $40-$50. Alternatively, we can provide you with a list of local vendors that carry Medical Grade (20-30 grade) Compression Stockings.
Materials and Types of Compression Stockings
Compression stockings come in a variety of materials and types. The most common are graduated compression stockings, which apply the most pressure at the ankle and decrease up the leg. Stockings are available in different compression levels:
- Mild Compression (8-15 mmHg): Ideal for occasional leg discomfort.
- Moderate Compression (15-20 mmHg): Relieves symptoms of mild venous insufficiency, swelling, and varicose veins.
- Firm Compression (20-30 mmHg): Recommended for more advanced conditions such as chronic venous insufficiency and preventing DVT.
- Extra-Firm Compression (30-40 mmHg): Reserved for severe venous disorders under medical supervision.
Benefits of Compression Stockings
Compression stockings (also known as compression socks or support hose) provide numerous benefits, greatly enhancing vascular health. Let’s explore why they are such a valuable tool:
1. Improved Blood Circulation
Compression stockings help promote blood flow from the legs back to the heart by applying graduated pressure, with the greatest pressure at the ankle. This process aids venous return, supports valve function, and prevents blood from pooling in the veins. Compression therapy is a core part of conservative therapy used to manage venous insufficiency.
2. Reduction of Swelling
Swelling (edema) is a common symptom of venous insufficiency. Compression stockings redistribute excess fluid, reducing swelling and restoring natural leg shape, allowing for more comfortable movement.
3. Pain Relief
Compression stockings evenly distribute pressure across the legs, alleviating pain and reducing muscle fatigue, particularly during long periods of standing or walking. This can be an excellent addition to various other vein treatments for those dealing with discomfort caused by varicose or spider veins.
4. Prevention of Blood Clots
Compression stockings reduce the risk of deep vein thrombosis (DVT) by improving blood flow, making them essential for individuals at higher risk, such as those recovering from surgery or taking long flights. Preventative measures like these are often recommended before exploring advanced treatments like varicose vein treatment or spider vein treatment.
After we document compression stocking therapy was attempted without relief of symptoms, insurance companies will approve advanced treatment for your varicose veins. Definitive, long-term treatments for varicose veins include radiofrequency ablation (RFA), sclerotherapy, microphlebectomy, and cosmetic spider vein treatments.