What is the best treatment for varicose veins and venous ulcer?

I am 20 and have varicose veins and also venous ulcer in its last or highest stage. Is it treatable? I have had three varicose vein surgeries, but there seems to be no improvement/effect. I am in great pain. What should be my next step or treatment?

Answers from doctors (3)


Vein Specialties of St. Louis

Published on Nov 02, 2016

I highly recommend you seek a consultation with a Board Certified Vascular surgeon and also a wound treatment center. If the ulcer is venous in origin, sometimes a simple sclerotherapy (foam) solution into the smaller reticular veins in the area can help. You are very young to have these issues, and it may not be of venous origin. Some university centers combine consultations with dermatology and vascular surgery and wound center.

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Answered by Vein Specialties of St. Louis

I highly recommend you seek a consultation with a Board Certified Vascular surgeon and also a wound treatment center. If the ulcer is venous in origin, sometimes a simple sclerotherapy (foam) solution into the smaller reticular veins in the area can help. You are very young to have these issues, and it may not be of venous origin. Some university centers combine consultations with dermatology and vascular surgery and wound center.

Published on Jul 11, 2012


Vascular Center and Vein Clinic of Southern Indiana

Published on Nov 02, 2016

You need a venous duplex ultrasound with reflux assessment followed by a vascular surgery evaluation.

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Answered by Vascular Center and Vein Clinic of Southern Indiana

You need a venous duplex ultrasound with reflux assessment followed by a vascular surgery evaluation.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Dec 16, 2014

Venous ulcers are treatable, but they require aggressive care. See a vein specialist. Treatments involve wound care, a venous duplex ultrasound to find the source of the feeding veins to the ulcer, closure of any refluxing truncal veins (great and small saphenous veins), closure of feeding perforator veins and then compression bandages. Careful follow up is essential, as well as local skin care around the wound. This is a process and may take months to heal but it can be healed.

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Answered by Vanish Vein and Laser Center

Venous ulcers are treatable, but they require aggressive care. See a vein specialist. Treatments involve wound care, a venous duplex ultrasound to find the source of the feeding veins to the ulcer, closure of any refluxing truncal veins (great and small saphenous veins), closure of feeding perforator veins and then compression bandages. Careful follow up is essential, as well as local skin care around the wound. This is a process and may take months to heal but it can be healed.

Published on Jul 11, 2012


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