When should varicose veins be evaluated?
Pain or heaviness, swelling, itching, skin pigmentation, recurrent superficial thrombophlebitis, bleeding, venous eczema or a non-healing venous ulcer are common reasons to seek assessment.
How is the diagnosis made?
Clinical examination is combined with venous Doppler ultrasound to map reflux, check deep-vein patency and identify the veins responsible for symptoms.
How are varicose veins treated?
Depending on anatomy and symptoms, treatment may include endovenous laser or other thermal ablation, glue-based closure in selected patients, ultrasound-guided procedures and treatment of associated tributaries.
Recovery
Many modern endovenous procedures are day-care treatments. Walking is usually encouraged soon after treatment, although exact recovery instructions depend on the procedure and the individual patient.
First glue therapy for varicose veins in MP–CG
A practice milestone from 2021. This is presented as a documented procedural first from the clinic archive.
Endovenous treatment in practice
Laser therapy: minimally invasive endovenous treatment performed through a small access point.
Glue therapy: catheter-based closure of the abnormal superficial vein without surgical stripping.
Early adoption of endovenous glue therapy in MP–CG
Regional milestone
Dr Agamya Saxena’s practice archive documents early/first regional use of endovenous glue therapy for varicose veins, with contemporary press coverage.
Presented as a professional milestone; treatment choice still depends on individual venous anatomy and clinical assessment.
Frequently asked questions
Does every visible varicose vein need treatment?
No. Treatment is generally based on symptoms, complications and Doppler-confirmed reflux rather than appearance alone.
Is laser always the best option?
No single technique is best for every anatomy. Doppler findings, vein size, tortuosity, previous thrombosis and patient preference all influence the choice.