if I have problems that originate in my deep veins, will I always have problems with varicose veins? and in the future (I'm only 27 and have had veins rupture-very painful to walk) am i at risk for DVT's with surgeries like total joint replacements
I would advise you have a thorough evaluation by board certified vascular trained surgeon including ultrasound examination. Your femoral (deep) veins will be evaluated as well as the less deep saphenous veins. Varicose veins are typically caused by back flow (reflux) in the saphenous veins. If your femoral vein is patent (intact valves) then you should be able to undergo endovenous laser ablation to seal the saphenous veins and the surgeon can remove the bulging varicose veins at the same setting. These are office based procedures under local anesthetic with little downtime. If, however, you have a compromised deep femoral it would be up to the surgeon to discuss management. There is no "cure or procedure" for the deep vein. Compression hose should be worn every day and in your case, thigh length with at least 20-30 mmHg pressure. You will be more comfortable. These are prescription strength and should be measured and fitted by someone with experience and of good quality.
Published on Jul 11, 2012
There are no very effective treatments for deep vein problems though there are some and you should seek an opinion. To answer your second question it having problems with deep vein may or may not increase your risk for DVT. It depends on what is the cause of your current problem with your deep veins.
Published on Jul 11, 2012
EVLT or endovenous treatment of the leaking veins should permanently treat the problem and is the standard of care in my opinion. Sometimes follow up injections or microphlebectomy is needed to clean up smaller tributaries.
Published on Jul 11, 2012
Varicose veins are related to insufficiency of the superficial venous system, not the deep venous system. Most vein specialists will treat the superficial venous system (varicose veins) even if there is insufficiency of the deep venous system as long as there is no clot
(DVT) in the deep venous system. I don't really know what problem is with your deep veins and therefore can't answer the question regarding your risk of DVT. Laser light therapy is effective on certain types of varicose veins, the small spider veins.
Published on Jul 11, 2012
If you have reflux in your deep vein system, we do not recommend closing or stripping your saphenous veins. If it is your saphenous veins that you are referring to that have reflux, you can close or strip those to treat you varicose veins. If you are concerned about chronic clotting, there are coagulation studies that can be done, you should discuss that with your primary care physician.
Published on Jul 11, 2012