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My legs look as if they have snakes under the skin from the groin area through the calves. I have had these for many years and would like to have them taken care of before I reach age 65. I fear invasive therapy. Is laser light therapy appropriate?
You can have these veins treated non-invasively, through a combination of
endovenous techniques(heating the vein shut from inside) supplemented with
foam sclerotherapy, if appropriate. The endovenous technique could be laser
based heat or electrical heat (called Radiofrequency) . In either case, You
do have to have a definitive diagnosis first, with a duplex ultrasound, to
find out where the the incompetent veins are (leakage points where the deep
vein blood is flowing in reverse direction into the superficial veins). Only
then can you come up with an effective treatment plan.
You need to have a venous ultrasound to fully evaluate the source of your veins but sounds like you would need a minimally invasive approach such as an EVLT or similar.
David A. Engleman M.D.
Firstly you should be evaluated as to the cause of the "snake like" veins. If there is a valve problem in the saphenous vein, this should be closed first. This is usually done by laser or radiofrequency and is a minimally invasive procedure. Depending upon the size of the varicose veins, they can be removed through tiny holes, injected with a sclerosing solution or left alone to see if they resolve after the saphenous is closed. You can be evaluated in the office using Doppler ultrasound.
Laser light therapy is for very superficial fine red veins on the surface such as the cheeks on the face.
Norman. N. Bein MD FACS RVT
Endovenous laser ablation is what you likely need.
External LASER therapy is not often used for veins more than about 2-3 mm in diameter. You need to see a phlebologist for evaluation of your veins in order to get answers about your options.
The procedure you are looking for is called Endovenous Ablation, as you most likely have an incompetent saphenous vein. This is minimally invasive, causes only minor discomfort, and is something not to fear. Do not waste your time and money on laser light therapy. It will not accomplish anything. If you read about Endovenous Ablation and consult your local vascular surgeon and decide it is not right for you, just wear a compression stocking and call it a day.