Although successful ablative treatment completely eliminates the targeted veins, all treatment is considered palliative. This is because we can only eliminate the diseased veins as they surface and declare themselves clinically. Varicose vein disease is an inherited condition that is both chronic and progressive. As affected individuals age, veins that were previously normal undergo degeneration. This leads to significant reflux, and eventually, visible signs of bulging surface tributary veins and venous insufficiency (stasis dermatitis, pigmentation, ulceration). For spider vein disease, a network of “reticular veins” becomes prominent causing telangiectasia to sprout along their paths.
Reflux control by endovenous laser ablation (EVLT), Closure™ radiofrequency ablation (RFA), ultrasound guided sclerotherapy (UGS), or surgery can improve the appearance and symptoms of vein disease. Treatment also slows down its progression, and lengthens the time interval between maintenance treatments mandated by the appearance of new veins.
Thus, there is no “cure” for varicose or spider vein disease. Fortunately, effective non-surgical in-office treatment methods are available for most patients.