Can Varicose Veins Be Treated Without Open Surgery?

Author : Dharav Kheradia | Published On : 30 Sep 2026

Seeing enlarged or twisted veins on your legs can raise a common question: does treatment always require traditional surgery? In many cases, varicose veins can be treated with minimally invasive procedures that use a small puncture rather than a large surgical cut. The suitable option depends on the condition of the veins and the symptoms involved.

What Causes Varicose Veins?

Varicose veins usually develop when the valves inside the veins do not work properly. Blood can then collect in the veins, making them enlarged and sometimes uncomfortable. Common symptoms include:

Aching or heaviness in the legs
Swelling around the ankles
Itching or discomfort
Leg cramps
Skin changes around affected veins

Symptoms may become more noticeable after long periods of standing or sitting.

Dr Dharav Kheradia evaluates patients with vein conditions and discusses treatment according to their symptoms and test results. A duplex ultrasound may be used to check blood flow and identify how the veins are functioning before treatment is selected.

What Are the Non-Open Treatment Options?

Several minimally invasive treatments are available for suitable patients.

Endovenous laser treatment: A thin catheter is guided into the affected vein, and laser energy is used to close it.

Radiofrequency ablation: Similar to laser treatment, controlled heat is used to close the problematic vein.

Foam sclerotherapy: A medical foam is injected into selected veins to close them and redirect blood through healthier veins.

These approaches generally avoid the larger incisions associated with traditional vein stripping and are often performed as outpatient procedures.

Is Open Surgery Still Needed?

Sometimes. The treatment decision depends on the vein anatomy, severity of symptoms, test findings, and whether minimally invasive treatment is suitable. Current clinical guidance generally considers endothermal ablation first when appropriate, followed by foam sclerotherapy or surgery when other options are unsuitable.

Dr Dharav Kheradia's practice website describes minimally invasive approaches for varicose veins, including ablation procedures, using image-guided techniques.

What Can You Do Before Treatment?

For mild symptoms, everyday measures may help manage discomfort. Regular movement, avoiding long periods of standing or sitting, leg elevation while resting, and compression stockings when recommended can be useful for some people.

If symptoms continue or varicose veins are associated with swelling, skin changes, ulcers, or bleeding, a vascular evaluation is important.

If you are searching for the best varicose veins treatment in Mumbai, focus on getting a proper diagnosis and understanding which treatment fits your specific condition rather than assuming that open surgery is the only choice.

Dr Dharav Kheradia discusses vascular treatment options based on individual needs and the findings of the vascular assessment. Understanding your options before treatment can help you have a clearer conversation with your specialist.

For More Information,

Visit:https://endovascularcure.com/