The type of stripping operation that Dr. Lanctot recommends is a short 30-minute operation (to remove the upper part of the problem vein) that can be done under a local anesthetic. There are only two small incisions required for this operation. After part of the vein is removed, other veins take over in that same area to return the blood to the heart.

Do not confuse this surgery with the old and complicated surgery under general anesthetic that used to be done. This type of surgery involves multiple incisions, and does not yield any better results.

Sclerotherapy consists of tiny injections of a chemical agent into affected veins that cause the walls of the veins to glue together permanently. As Dr. Lanctot adds, "This technique leaves no marks, although slight skin discoloration may occur in rare instances." Sclerotherapy can get rid of most of the ugly looking spider veins as well as smaller and medium sized veins.

Usually, sclerotherapy is done over about eight to ten sessions, with 25 to 30 injections of the sclerosing agent being given at each session. Scelerotherapy should start with the larger veins first, with the spiders being done at the very end. Usually there is little pain, described as being like a pin prick, and less than for electrolysis. However, local anesthetic may be added to each injection if necessary.

Treating spider veins is considered a cosmetic procedure and this will not be covered by medical plans. However, treatment of veins causing significant symptoms and involving the large veins will usually be covered.

What you can expect after surgical and/or sclerotherapy treatment is almost always relief of symptoms as well as a pleasing cosmetic result. Varicose veins may reoccur after surgery, especially if attention is not given to the preventative steps outlined in this chapter.

Prevention Of Varicose Veins

1. Get regular exercise especially walking, cycling or swimming.

2. Eat a high fibre diet emphasizing fresh fruits and vegetables, whole grains and beans. Cut down or eliminate red meat and excess fat. Drink plenty of water.

3. Avoid being constipated and straining during bowel movements.

4. Use the vitamin supplements mentioned above to prevent or modify the tendency to varicose veins.

5. Good support hose should be worn during all jobs that require a lot of standing or heavy lifting, especially during pregnancy. Nowadays, fashionable sheer nylon support hose are easily available.

Further Info

VARICOSE VEINS SELF-HELP, by Dr. Leon Chaitow (Thorsons, 1986). This helpful book on natural treatments for varicose veins can be obtained through your health food store or by mail order from Alive Books, Box 80055, Burnaby, BC, V5H 3X5. 1-800-663-6513. In the U.S. from Keat's Publishing, 27 Pine St, New Canaan, CT, 06840-0876.

HOW TO HAVE GREAT LEGS AT ANY AGE, A Woman Doctor's Personal Program for Strong, Healthy and Attractive Legs, by Dr. Guylaine Lanctot (New Chapter Press, 1988). Dr. Lanctot has established clinics for treatment of varicose veins in Quebec, Ontario and Florida and has trained many physicians in her methods.