Varicose veins are a common condition affecting millions of Brazilians, causing discomfort and, in some cases, more serious complications. Fortunately, the Sistema Único de Saúde (SUS) offers free varicose vein treatment, allowing everyone access to adequate care. In this article, we will explore what varicose veins are, the treatments available through the SUS, and how you can access these services.

Why Treat Varicose Veins?

Beyond impacting quality of life, untreated varicose veins can lead to more serious problems, such as:

• Deep vein thrombosis: Formation of blood clots in the deep veins of the legs, which can detach and cause a pulmonary embolism.

• Venous ulcers: Open sores that are difficult to heal and can become infected.

• Chronic venous insufficiency: Impaired vein function, leading to persistent swelling and pain.

Treatments Available Through the SUS

The SUS offers various treatment options for varicose veins, ranging from conservative treatments to surgical procedures:

Conservative Treatments:

• Compression stockings: Aid in blood circulation and relieve symptoms.

• Leg elevation: Reduces swelling and a feeling of heaviness in the legs.

• Physical exercise: Strengthens leg muscles and improves circulation.

Surgical Procedures:

• Sclerotherapy: A medication is injected into the diseased veins, causing them to close.

• Endovenous laser: Uses laser energy to coagulate diseased veins.

• Conventional surgery: Removal of diseased veins through a small incision.

• Radiofrequency: Uses radiofrequency energy to coagulate veins.

How to Obtain Free Treatment Through the SUS

1.Identifying the Problem and Initial Consultation:

• Observe symptoms: Varicose veins manifest as dilated and tortuous veins, usually in the legs. Other symptoms may include pain, swelling, a feeling of heaviness, and itching.

• Consult a family doctor or general practitioner: The initial consultation should be with a general practitioner. They will assess your symptoms, perform a physical exam, and order additional tests if necessary.

2.Additional Tests:

• Ultrasound: This exam uses sound waves to create images of the veins, allowing for identification of varicose veins and assessment of their size and location.

• Doppler: This exam evaluates blood flow in the veins, helping to identify potential obstructions or blood reflux.

3.Referral to a Specialist:

• Angiologist or vascular surgeon: After diagnosis, the general practitioner will refer you to a specialist in vascular diseases. This professional will assess your case in detail and recommend the most appropriate treatment.

4.Scheduling a Consultation with the Specialist:

• Documentation: Bring all your documents, such as your SUS card, ID, CPF, and the referral letter.

• Choosing a healthcare facility: Research hospitals or clinics that offer varicose vein treatment through the SUS in your area.

• Scheduling: Contact the chosen facility to schedule your appointment.

5.Specialist Evaluation and Treatment Definition:

• Comprehensive evaluation: The specialist will perform a detailed physical exam and analyze your test results.

• Treatment definition: Based on the evaluation, the doctor will recommend the most suitable treatment for your case.

6.Treatment:

• Medical follow-up: Follow all the doctor's instructions during and after treatment.

• Return visits: It's crucial to return for follow-up appointments to assess treatment progress and make necessary adjustments.

Where to Seek Care

You can seek varicose vein treatment at the following healthcare facilities:

• Family health units: Usually the first point of contact to initiate treatment.

• Public hospitals: Many public hospitals have specialized services in angiology and vascular surgery.

• Referral centers: There are specialized centers for treating vascular diseases that can offer more comprehensive care.

How to Find a Healthcare Facility:

• Consult the City Hall website: The city hall website often has a health section with information about healthcare facilities and their services.

• Health apps: Some apps, like Conecte SUS, allow you to locate nearby healthcare facilities.

• SUS hotline: Call the SUS hotline for information on healthcare facilities that offer varicose vein treatment.

Tips for Expediting Care:

• Organize your documents: Have your SUS card, ID, CPF, and proof of address ready.

• Inquire about necessary documentation: Each healthcare facility may request specific documents.

• Arrive early: Arriving early prevents delays and ensures you're seen at your scheduled time.

• Be patient: Wait times for treatment may vary based on demand.

Post-Treatment Care

After treatment, it's important to follow medical advice to ensure full recovery and prevent the recurrence of varicose veins. Some important measures include:

• Using compression stockings: As recommended by your doctor.

• Elevating the legs: When resting, keep your legs elevated relative to your heart.

• Engaging in regular physical activity: Walking, swimming, and cycling are excellent options.

• Maintaining a healthy weight: Excess weight can increase pressure on the veins.

Conclusion

The SUS offers free and effective treatment for varicose veins, ensuring that everyone has access to healthcare. By following the guidelines in this guide, you can find appropriate treatment and improve your quality of life.