Is this vein above my ankle that enlarges when standing ankle problematic? (photos)

When standing for longer periods of time, the vein above my ankle becomes enlarged in my right leg only. I recently had a venous study ultrasound and was told I have reflux in my Great saphenous vein (1.9 s), but that it is not significant. I am 33 and beyond paranoid about this. I've been checked for DVTs several times, and always negative. I just want to know this is not serious. I am very anxious by nature...

Doctor Answers 5

Venous insufficiency

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Consider a vein specialist that is able to recommend the best treatment for you according to a full evaluation including ultrasound results. Without treatment of venous insufficiency, those with the disease may experience progressive symptoms like leg swelling, skin damage and/or ulcers that can debilitate and impact a great deal the quality of life; however, that outcome is preventable with proper treatment if indicated. According to the type of treatment a patient may resume normal activities fairly quick. 

All the best, 

Segmental reflux of the GSV below knee

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What you are showing is a prominent great saphenous vein. You may have segmental reflux of the GSV below the knee. Seek guidance from a vein specialist and take a citrus bioflvonoid formula that promotes vein health (see link).

H Karamanoukian MD FACS

certified vein specialist from ABVLM


Ultrasound to diagnose vein disease in Los Angeles

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The bulging vein is the most distal part of your greater saphenous vein and is normal. I would obtain a diagnostic ultrasound to see if you have more proximal reflux. 

Best, 

Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

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Bulging vein in foot

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I would only be concerned about the vein if it was causing you discomfort or you were suffering with pain, swelling, fatigue or heaviness in that leg, which are all symptoms of venous disease.  If not I would simply advise you to follow up annually to see if the reflux is worsening or the vein is becoming more enlarged.  If at anytime you become symptomatic, then I would consider treatment.

Lisa Perez, MD
Atlanta Physician

Normal saphenous vein

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The posted picture is a normal distal great saphenous vein and is common in many people.  As you stand the veins fill with blood and the vein may appear distended.  This is normal.  I agree that your reflux appears to be insignificant.

John Landi, MD
Naples General Surgeon

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.