1. Is treatment necessary?
2. Which treatment is best?
3. Is the loss of the vein a problem?
4. Will my veins come back?
5. What procedures are not covered by OHIP?
6. If I loss weight will my varicose veins get better?
7. Where can I get additional information?


1. Is treatment necessary?
Often no treatment other than lifestyle measures are needed.but this should be assessed by a physician.(link) Lifestyle measures will often help relieve symptoms and prevent worsening of your varicose veins. People with complications like phlebitis, bleeding varicose veins, ulcers and swelling usually require treatment above and beyond lifestyle measures. Many people choose additional treatments if lifestyle measures do not improve their symptoms or to improve how the varicose veins look.
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2. Which treatment is best?
There is not one type of treatment that is perfect for everyone. The type of treatment that is best for you will be determined by the size and location of the veins in addition to the underlying cause. You also have to consider the invasiveness, potential risk and cost of the procedure. Often there is more than one treatment choice available and then you must help us weigh the pros and cons to decide what is best for you. (link to vein treatments) Hopefully, by reading and understanding the information presented here, you will have a better basis for understanding and participating in your treatment decisions.
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3. Is the loss of the vein a problem?
No. There are many superficial veins in the leg and after treatment to the abnormal veins blood is diverted back to the healthy veins. The saphenous vein is used as a graft for coronary artery bypass surgery sometimes. The saphenous can not be used if it is removed, tied or sealed (EVLT). Other vessels are able to be used instead.
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4. Will my veins come back?

Varicose veins can come back months to years after any type of treatment. Almost all people have significant improvement following treatment of their varicose veins if the right procedure is done in the right person. Many people with large varicose veins will require more than one type of treatment. Most results should be durable but should be reassessed occasionally. Minor treatments may be required for new areas that develop. You can decrease the chance of the veins returning by using lifestyle measures.
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5. What procedures are not covered by OHIP?
• EVLT
• Ultrasound guided sclerotherapy
• Ambulatory phlebectomy
• Sclerotherapy for spider veins
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6. If I loss weight will my varicose veins get better?
Often it will improve symptoms but the existing damage will not be reversed. It will also help prevent further damage.
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7. Where can I get additional information?
There are many excellent resources for further information about venous insufficiency, spider veins and varicose veins. We have provided some preferred links.
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