An ultrasound shows I have 5mm-7mm varicosities in my calf w/ reflux. I am mildly symptomatic (heavy, achy). Do I have endovenous laser ablation now, or wait until it gets worse? I would like to hear pros and cons of doing it now vs. waiting. Thanks.
This question can best be answered by the doctor who examined you.
Published on Jul 11, 2012
Pros
1) Relief of some pain/heaviness
2) Prevent damage to the deep system
3) Prevent more varicose veins forming from the increased pressure in those saphenous veins
4) Prevent skin deterioration and discoloration
Cons
1) Have to wear 30-40 mmHg compression stockings for a week after treatment.
Published on Jul 11, 2012
Pro - it affects your quality of life and you want improved quality of life.
Con- it doesn't affect your quality of life and your insurance will not cover it.
Published on Jul 11, 2012
Fixing it now will lessen the number of phlebectomies or sclerotherapy needed for the varices in the future. Also, you will enjoy the feeling of relief for years to come. You take a small risk (less than 1%) of blood clot with the procedure.
Published on Jul 11, 2012
When discussing the pros and cons of any procedures, you need to sit down and consult with a professional. Answering these questions takes time and requires attention.
Published on Jul 11, 2012
Since I am not fully familiar with your case, I can only offer a general opinion. The EVLA (or EVLT) as it is known is a procedure in which a catheter is passed up the incompetent vessel (usually the greater saphenous vein or the lesser saphenous vein). By heating the vessel with laser energy, the vein is then sealed or ablated. The visible varicosities, however, are another issue entirely and must be dealt with entirely different. The best and most effective way we feel is by microstab phlebectomies.
Published on Jul 11, 2012
We usually recommend treating varicosities sooner rather than later, especially if reflux is present. If blood is not flowing normally, there is an increased risk of developing clot in the vein, skin changes and more/larger varicose veins. However, if you wish to wait, we recommend the following:
1) Getting measured and fitted for compression hose
2) Stay well hydrated
3) Exercise regularly and maintain a healthy weight.
When your symptoms increase, it is time to treat the problem.
Published on Jul 11, 2012
It is best to treat your varicosities now before they get worse and you get permanent skin damage.
Published on Jul 11, 2012
Thermal ablation eliminates the problem now and slows the progression of your condition, while alleviating any related symptoms and reducing the chances of blood clots. Postponing treatment allows the condition and symptoms to progress more rapidly, while exposing you to the increased risk of blood clots.
Published on Jul 11, 2012
I feel that you should have the procedure sooner rather than later. Symptoms will only worsen with time. The procedure is extremely safe, done in the office under local anesthesia with excellent long term results. Waiting will only worsen the veins and make the procedure more involved.
Published on Jul 11, 2012
Venous disease is a chronic condition that progresses. If you have mild symptoms now, you will have worse symptoms later. If you have medium sized veins now, you will have larger veins later. If you need one or two procedures now, you will need more procedures later. Oh... one more thing... if you have insurance coverage now under Obamacare, you might not have coverage later.
Published on Jul 11, 2012