What is the best treatment for recurring varicose vein? (Photos)
Doctor Answers 6
Painful vein post phlebectomies
I would see a vein specialist who can perform a venous insufficiency ultrasound to determine what is the cause of the recurrent varices and leg pains. Sometimes there is an underlying vein that has insufficiency that is causing the problem. This vein may not be visible and could have gone Untreated with your former phlebectomies. There are several options to close off insufficient veins. Venaseal is one option but it is expensive and not covered by insurance. Other options are covered such as endovenous laser, radio frequency ablation, clarivein, ultrasound guided foam sclerotherapy and others. Hope this helps.
You need to see an expert who can scan you him or her self
Unfortunately, the answer is not simple. The real issue is getting an understanding of the venous reflux pattern and in my opinion that is best done by a doctor who is expert in venous disease. As an interventional radiologist, I have spent my career using ultrasound, and not just a weekend course. You should seek out someone who is interested in this disease and will scan you themselves. This is really the only way to get to the root of the issue.
I recommend you see a vascular specialist since you might have underlying venous reflux that can be identified by a simple ultrasound. If there is reflux in the saphenous veins then I recommend fixing that first before proceeding with phlebectomy or sclerotherapy.
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From the pictures it looks like you have soft tissue damage or scarring where the prior phlebectomy was performed. You do look like you have varicose veins around the knee area. A sign that you may have reflux disease in the larger superficial veins of the leg. I would recommend a venous ultrasound to determine the cause of your varicose veins. There are great minimally invasive treatments that should improve the look and physical well being of your venous issues. Definitely worth looking into.
Recurrent varicose vein
I wonder if you have had any ablation or closure procedures prior to the phlebectomies. If there is a large truncal vein or feeder under the area of the varicose vein, then it needs to be treated before the varicose vein can be treated. I suggest getting a second opinion with a full ultrasound to look for the source of the venous disease.
Recurrent varicose veins
If your varicose veins recurred so quickly, I would be concerned that you might have underlying venous reflux that has not been identified. You should see a vascular specialist and have a high quality duplex ultrasound, preferably in an Accredited lab, to be sure you receive an accurate diagnosis. Regarding Venaseal, that is a particular treatment for venous reflux. There are others, such as RF ablation (Closure), endovenous laser, and Clarivein. All of these are effective in treating reflux. The reason to have one vs. the others is usually based on factors such as physician preference and experience and insurance coverage issues. Prior to knowing what treatment is best, you need to have a correct diagnosis.
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