The first line of treatment for this condition would be conservative management, meaning to increase exercise, increase physical activity, wearing of support hose, and if it's a mild form of the disease avoiding standing, the symptoms can be controlled. If it's not controlled, there will be second and third line treatment options that we have.
If the conservative management does not work, patients still have symptoms, then we can start with ablation, which is basically closing those bad veins that are leaking into the legs. We do that by different methods. The most commonly used are the radio frequency ablation, and the laser therapy. The compliment treatment to this will be sclerotherapy, and also phlebectomy, or stripping of the veins.
