Leg still swelling after GSV ablation - what could cause this? (photos)

Question

A year ago I went hiking and developed bilateral ankle swelling. My left ankle resolved ; however, my right did not. Eventually after seeing a general practitioner and podiatrist, I was referred to a vein surgeon and I had skin discoloration, progressive swelling not corrected by 15-20 mmhg socks, and shiny skin. I had reflux of both my GSV and SSV with filling to a varicose vein. One year after ablation of only the GSV my skin is getting darker and swelling. What could cause this?

Thomas Wright, MD · Answer

arobins9. Thank you for your question and posting the pics.

Your history and photos suggest that you have either more advance skin changes from vein disease [ Chronic Venous Insufficiency CVI] or possibly a bit secondary lymphedema.  Once venous insufficiency progresses to the point of skin changes and swelling, some the changes and swelling may not be reversed by successful treatment of vein disease or venous insufficiency. It is also possible you have a bit of lymphedema , however the distinction does not matter because the treatment is the same life long compression socks or stocking of at least 20-30 mm Hg strength. You might need even stronger 30 -40 mm Hg . I recommend you follow up with your doctor to confirm my thoughts. Wishing you the best of health. Dr Wright

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