The greater and lesser saphenous veins in both legs are ruled to be fine, but I do have a lot of varicose veins. How can I address these if the large vessels are fine?
Answer: Varicose veins and reflux. If you have a lot of varicose veins then more likely than not you have reflux in some of the saphenous veins. Was your ultrasound done in the standing position? A proper ultrasound evaluation should be done while standing because reflux is related to gravity and laying down even at a tilt can often yield false results. Other variables can also produce false negative results, for example if the room is too cold, if you are not properly hydrated or if you do an early morning study and had not been standing for any significant portion of the day, the veins may constrict (be too small) to adequately examine them. In addition,the experience of the ultrasound technologist is important, less experienced persons often miss reflux. Make sure you see a vein specialist and RVT that has a lot of experience doing venous ultrasounds.
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Answer: Varicose veins and reflux. If you have a lot of varicose veins then more likely than not you have reflux in some of the saphenous veins. Was your ultrasound done in the standing position? A proper ultrasound evaluation should be done while standing because reflux is related to gravity and laying down even at a tilt can often yield false results. Other variables can also produce false negative results, for example if the room is too cold, if you are not properly hydrated or if you do an early morning study and had not been standing for any significant portion of the day, the veins may constrict (be too small) to adequately examine them. In addition,the experience of the ultrasound technologist is important, less experienced persons often miss reflux. Make sure you see a vein specialist and RVT that has a lot of experience doing venous ultrasounds.
Helpful 1 person found this helpful
Answer: Choosing between different varicose vein and spider vein treatments It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.
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Answer: Choosing between different varicose vein and spider vein treatments It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.
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October 12, 2017
Answer: Varicose veins You can have varicose veins with mild reflux thats not considered significant or you could just have spider and reticular veins without any reflux. The best way would be to get the evaluation by a vascular specialist and if there is no reflux the treatment would be sclerotherapy for the prominent veins.
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October 12, 2017
Answer: Varicose veins You can have varicose veins with mild reflux thats not considered significant or you could just have spider and reticular veins without any reflux. The best way would be to get the evaluation by a vascular specialist and if there is no reflux the treatment would be sclerotherapy for the prominent veins.
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October 19, 2017
Answer: Ultrasound results Varicose veins are caused by underlying venous insufficiency/reflux in the superficial veins including the great and small saphenous veins. I would have the US repeated by a specialist; each case is unique and diagnosis is vital in assessing and treating venous insufficiency.
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October 19, 2017
Answer: Ultrasound results Varicose veins are caused by underlying venous insufficiency/reflux in the superficial veins including the great and small saphenous veins. I would have the US repeated by a specialist; each case is unique and diagnosis is vital in assessing and treating venous insufficiency.
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October 12, 2017
Answer: Varicose veins without reflux It is highly unlikely to have bulging varicosities without any underlying venous reflux disease. Typically if the saphenous veins are normal, then the reflux is coming from a perforator vein. This is where an experienced registered vascular technologist is invaluable in making the diagnosis. I would have the ultrasound repeated, and I agree with being well hydrated and avoiding caffeine. Also I recommend standing for the ultrasound rather than lying down. Make sure you are being seen by a practice that has an accredited vascular lab as well.
Helpful 1 person found this helpful
October 12, 2017
Answer: Varicose veins without reflux It is highly unlikely to have bulging varicosities without any underlying venous reflux disease. Typically if the saphenous veins are normal, then the reflux is coming from a perforator vein. This is where an experienced registered vascular technologist is invaluable in making the diagnosis. I would have the ultrasound repeated, and I agree with being well hydrated and avoiding caffeine. Also I recommend standing for the ultrasound rather than lying down. Make sure you are being seen by a practice that has an accredited vascular lab as well.
Helpful 1 person found this helpful
