What is the best treatment for varicose veins in the lower extremities?

The treatment of varicose veins of the lower limbs is usually based on the severity of the disease and the difference of the patient’s physical condition to choose the most appropriate way, the common treatment methods are non-surgical therapy, sclerotherapy and compression therapy and surgical therapy. 1. Non-surgical treatment: It is suitable for patients with mild symptoms, those who develop the disease during pregnancy (because the symptoms may disappear on their own after delivery), and those who are difficult to tolerate surgery. Usually, the sick side of the limbs wear medical compression stockings or use elastic bandage, the degree of compression can cause the varicose veins to shrivel up, at the same time, the patient should pay attention to avoid prolonged standing and sedentary activities, and intermittent elevation of the sick side of the limbs. 2. Sclerosing agent injection and compression therapy: Sclerosing agent is injected into the varicose vein to make it occluded. After the sclerosing agent is injected, local compression is needed, one week for thighs and six weeks for calves, so as to avoid the leakage of sclerosing agent which will lead to necrosis of the surrounding tissues. 3. Surgery: Surgery can be performed if there are no clear contraindications, usually by high ligation of the saphenous vein or saphenous vein and stripping of the main trunk and varicose veins. The effect of surgery is clear. The further the veins are from the center, the higher the venous pressure is and the faster the disease progresses. Therefore, varicose veins should be treated as early as possible after diagnosis in order to avoid deterioration of the disease.