Your current management with compression stockings and calcium dobesilate is a great start. If you need further options, other pharmaceutical treatments include venotonic medications like diosmin and hesperidin to improve blood flow, or anti-inflammatory drugs for discomfort. For more definitive results, several minimally invasive medical procedures are highly effective: 1. Sclerotherapy: Injecting a solution to close smaller veins. 2. Endothermal Ablation: Using laser or radiofrequency heat to seal affected veins. 3. Ligation and Stripping: Surgical removal of larger veins, usually reserved for severe cases. Please consult your vascular specialist to discuss which of these safe and common procedures is best suited for your specific vein anatomy.