If the veins are large, with severe reflux pressure, a minimally invasive stripping or compressive therapy is appropriate. If a patient has had phlebitis in the past, compressive therapy may be the only treatment. No matter which method of therapy, blood flow is shunted to the deep venous system. Since varicose veins are abnormal, they cannot be used for any bypass, and their removal or destruction does not adversely affect the patient. The vein becomes inflamed and collapses on itself.
Pressure is applied, using an ace bandage for one, two, or three days.
Support stockings are usually worn during the process. This work because the frequency of absorption of blood, and the laser light is the same. Large areas can be done, which shortens the treatment. The superficial saphenous veins are removed and all connections to the deep veins are severed. This reduces the pressure and helps heal ulcers.