The first place I went to did a very superficial ultrasound study while I was lying down, performing the Vasalva maneuver. This study showed venous insufficiency in my saphenous veins. They recommended EVLT/sclero. Insurance denied that and had me go to a different place. Much more thorough exam, which determined normal veins. I do have a lot of reticular veins and spider veins I would like to take care of. Should I see another specialist? Is it bad to do EVLT if I don't have insufficiency?
March 11, 2018
Answer: IF it aint broke don't fix it Why treat something that is not broken. I would not respect the physician who is recommending this procedure when you do not have venous insufficiency. There are risks with any procedure and if you do not have venous insufficiency then the benefits do not out weight the risks. I would not go back to a doctor who is recommending a procedure when you have no reason to be treated.
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March 11, 2018
Answer: IF it aint broke don't fix it Why treat something that is not broken. I would not respect the physician who is recommending this procedure when you do not have venous insufficiency. There are risks with any procedure and if you do not have venous insufficiency then the benefits do not out weight the risks. I would not go back to a doctor who is recommending a procedure when you have no reason to be treated.
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November 14, 2017
Answer: Repeating Venous Doppler ultrasound for venous reflux Thank you for your question. I recommend repeating Venous Doppler ultrasound for venous reflux. This time, try to be well hydrated, avoid caffeinated products prior to ultrasound imaging, exercise beforehand, be standing for reflux evaluation portion of the test, and make sure exam room and exam table are not too cold. By doing these above, you are preventing constriction of the vessels and increasing the chances of finding retrograde flow if reflux is really happening in your LE venous system. Varicose or dilated veins showing in the surface of the skin is one of many signs and symptoms of venous reflux. Also, discuss with your vein specialist the different treatment options if underlying venous insufficiency is present as well as treating your cosmetic concerns otherwise. Best ,
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November 14, 2017
Answer: Repeating Venous Doppler ultrasound for venous reflux Thank you for your question. I recommend repeating Venous Doppler ultrasound for venous reflux. This time, try to be well hydrated, avoid caffeinated products prior to ultrasound imaging, exercise beforehand, be standing for reflux evaluation portion of the test, and make sure exam room and exam table are not too cold. By doing these above, you are preventing constriction of the vessels and increasing the chances of finding retrograde flow if reflux is really happening in your LE venous system. Varicose or dilated veins showing in the surface of the skin is one of many signs and symptoms of venous reflux. Also, discuss with your vein specialist the different treatment options if underlying venous insufficiency is present as well as treating your cosmetic concerns otherwise. Best ,
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