Dear Doctor, is it possible to get rid of varicose forever or it is progressive sickness? thank you!
Possible to Get Rid of Varicose Veins Permanently or It is a Progressive Sickness?
Doctor Answers 4
Leg Varicose Vein Treatments are permanent
Varicose veins, if left untreated, ARE progressive disease and will get worse with time. However, patients can proactively slow down the progression by using compression stockings, exercising daily, and elevating one's legs as often as possible during the day. But if they become medically symptomatic (ie cause pain, swelling, cramping, charley horse, restless leg syndrome, burning sensation, dermatitis, ulcers, etc), then you should seek treatment immediately.
The goal of treating medically symptomatic varicose veins of legs is to achieve a permanent cure. Varicose veins of legs are caused by dilatation of the superficial veins, ineffectiveness of one-way valves, and resultant pressure in superficial venous systems. By treating the underlying venous insufficiency in GSV, LSV, Accessories, and Perforators, followed by sclerotherapies and/or phlebectomies of your bulging varicose veins, you should not get return of varicose veins. Spider veins may form, but they may have different etiologies such as hormone changes, trauma, medications, etc.
Will Varicose veins return?
Without seeing the vessels you are referring to it is difficult to say if the condition you want to treat is one that may recur or can be solved with treatment. If you have a tendency to get spider veins (small to medium collections of superficial vessels) then even after they are treated you will most likely get more over time. If it is a true varicose vein you are concerned with (protruding, purplish-green, rope-like, bumpy) then if you choose to have the vessel surgically removed it will not return. Many factors effect your chances of developing any of these, especially heredity and pregnancy. (to name just two) It is best to see someone who is very familiar with treating these conditions and can advise you of your likelihood for success as well as recurrence.
Hope that helps.
Dr. Grant Stevens
Varicose veins and venous insufficiency
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.