What is Conservative Management?Before seeking out a surgical or non-surgical treatment for varicose veins and other uncomfortable vein disorders, doctors may recommend conservative management techniques for patients. Conservative treatments may be required by an insurance company before other treatments can be considered. Common techniques include:
- Compression stockings, devices and donning supplies
- Periodic elevation of legs during the day
- Anti-inflammatory medication
- Prescription Medical Food
Compression TherapyMany vein specialists consider graduated compression hose to be one of the most important advances in the treatment of venous disease. Compression hose has proven effective when used during treatment, for long-term therapy after treatment, and for preventative care. Compression hose, while not intended to cure the underlying venous disease, are effective in the treatment of its symptoms. Designed to prevent blood from pooling in the leg veins, compression hose use graduated compression, which is strongest at the ankle and weakest at the thigh, to improve overall circulation. There are many newer types of compression hosiery and devices that are effective. Donning supplies make them easier to put on. Conservative treatment will often not be practical for many patients, particularly due to work requirements, and progression of varicose veins may occur despite proper conservative treatment. Unfortunately, for some patients with severe deep venous insufficiency or postphlebitic syndrome, conservative treatment may be the only possible treatment option. This represents a small minority of patients with venous disease.
Support hose is mandatory for conservative management by insurance companies and is required post procedures, sclerotherapy and for lifelong management when traveling.