What is the management strategy for symptomatic uncomplicated varicose veins?

The management of symptomatic uncomplicated varicose veins typically involves a range of treatment options focused on alleviating symptoms and preventing complications. Among these choices, “FACES” refers to a guideline framework used in the management of venous disease.

FACES stands for:

• F: Fasting

• A: Avoiding prolonged standing

• C: Compression stockings

• E: Exercise

• S: Surgery (if necessary)

In the context of symptomatic uncomplicated varicose veins, this comprehensive approach emphasizes lifestyle modifications and supportive therapies. Compression stockings are particularly noteworthy as they are one of the mainstays of conservative management, helping to reduce swelling and discomfort by promoting venous return. Exercise and avoiding prolonged standing are also beneficial for enhancing circulation and reducing symptoms.

While foam sclerotherapy and surgical stripping are treatment options, they're typically considered when conservative measures, such as those outlined in the FACES framework, are not sufficient in addressing the symptoms. Consequently, FACES effectively encompasses a holistic strategy that prioritizes non-invasive management while recognizing the role of surgical intervention when warranted. This multi-faceted approach is particularly important in treating varicose veins, as it addresses both the symptoms and underlying venous insuff