Varicose veins are not surface deep. The root of the problem begins a few centimeters beneath the surface of the skin.
Proper treatment does not begin at the surface but addresses the root cause. Radiofrequency ablation (RFA) is an FDA approved vein treatment. This procedure entails inserting a tiny catheter into the diseased vein under ultrasound guidance. The RFA catheter uses heat energy to seal the diseased vein shut internally. To prevent discomfort during the procedure saline mixed with lidocaine (tumescent anesthesia) is injected along the path of the vein to be treated. RFA seals the leaky vein with diseased valves shut. The blood reroutes up healthy veins and the branch varicose veins shrink with time. Symptoms including: swelling, pain, cramping can also improve.
You do not need to alter your diet or medications prior to the procedure. Post procedural care involves: application of a compression wrap to the treated leg for 48 hours. You should refrain from exercise for 2 days after the procedure. The compression wrap can be removed and normal activity can be resumed 2 days after the procedure.
It is typical to experience bruising and mild to moderate discomfort after the procedure. Anti-inflammatory medications like ibuprofen can help with the pain (unless you have a contra-indication to their use).
You will need a follow-up ultrasound after the procedure.