Greenish veins have appeared in my inner and upper thigh. The veins kind of swoop sideways. The doctor I saw mentioned no origin of my problem, but wants to do ELA. Can they guarantee this will solve the problem where the location of veins?
There is absolutely no indication to treat a normal superficial system in the absence of symptoms. No medical intervention is warranted. However, if you would like your varicose veins treated, a number of options are available such as sclerotherapy and microphlebectomy. You do not need EVLT at all.
Published on Jul 11, 2012
Find another doctor. Make sure he/she is accredited by the American College of Phlebology. If there is no source of reflux, there is no need to treat. Those green veins most of the time can't be treated without significant risk of making them look worse cosmetically.
Published on Jul 11, 2012
An ultrasound must first be done to determine if the saphenous vein is the cause of your surface veins. If it is, then EVLA is appropriate; if not, then EVLA is not appropriate. Unfortunately, there are no guarantees.
Published on Jul 11, 2012
You need Phlebectomy to those veins.
Published on Jul 11, 2012
If you have symptomatic varicose veins (larger bulging tender veins) from saphenous incompetence EVLA may be necessary and you may be eligible for insurance coverage. However, if these are flatter blue veins and asymptomatic just unsightly they are not eligible for insurance coverage as they are not medically necessary. These are cosmetic and can be treated by sclerotherapy injections.
Published on Jul 11, 2012
Great question but difficult to answer without an exam or ultrasound results. If they are true varicose veins, then laser ablation is a great option. Reticular veins will not change with ablation nor would you treat
those regardless. Is there associated pain, swelling, or bulging? You may need to have another conversation with your practitioner to discuss further details.
Published on Jul 11, 2012
Most likely endovenous ablation of the great saphenous vein will help provided they also know to identify and properly treat all the sources of reflux and the secondary branches. Most of the time endovenous ablation of the great saphenous vein alone will not solve all the problems. You must make sure that the treating doctors knows and has experience how to deal with the secondary branches properly.
Published on Jul 11, 2012
Endovenous ablation is done for refluxing valves of the saphenous system of veins. If you do not have refluxing valves then there would be no indication to do endovenous ablation. I am sure that your doctor would do a venous reflux ultrasound in your vein evaluation and this will determine if the procedure is right for you or if another treatment such as sclerotherapy would be better.
Published on Jul 11, 2012