I am trying to find out which vein procedure would be best for me. I have had varicose veins for some time now and on my left legs I have two spiral veins that are more visible. What can I do?
You should see a vein specialist for a full venous evaluation, including a venous reflux ultrasound. This will determine what the best procedure is to treat your veins.
Published on Jul 11, 2012
You should have a vascular consultation done including an ultrasound. This will dictate which treatment option is recommended for you. The size of your veins and the amount of reflux (back flow of blood) will determine which treatment will be best suited for your condition. Ablation can be done with laser and/or radiofrequency (RF) catheters. You may also need phlebectomy, which is the removal of the bulging varicose veins through small incisions. Many of our patients require a combination of ablation and phlebectomy.
Published on Jul 11, 2012
There are many ways of taking care of varicose veins - (endolaser, radiofrequency, miniphlebectomy, foam sclerotherapy, traditional sclerotherapy). Not one modality is good for everyone. To find out the best way of taking care of your varicose vein issue, it would be ideal to see a vein specialist to evaluate what type of varicose veins you have and the options available to treat those.
Published on Jul 11, 2012
If you have not been evaluated by a vein clinician, I would advise you to do so. Pending the results of your evaluation, that would determine what your treatment would be.
Published on Jul 11, 2012
You should be evaluated by a board-certified vascular surgeon, including ultrasound. This will determine if there is underlying vein reflux (backflow) causing the surface varicose veins. If there is, the appropriate procedure would be to seal this vein with laser or radiofrequency. I prefer laser (EVLA. ELT, etc). As a surgeon, I would also remove the surface vein using microphlebectomy (tiny punctures to take out the veins). It is an office-based procedure all under local anesthetic—walk in and walk out an hour or so later. Very little downtime. Sometimes there isn't a deeper issue and we can just perform the phlebectomies or inject the small connecting vein.
Published on Jul 11, 2012
First, get an ultrasound exam of your deep and superficial veins. That information can help determine what is the best treatment for you.
Published on Jul 11, 2012
See an experienced Phlebologist for a clinical exam and ultrasound evaluation.
Published on Jul 11, 2012
You need to find yourself a qualified vein specialist to have your full evaluation including full venous insufficiency ultrasound to determine the location of the problem causing your varicose veins. Consider your
diagnosis venous insufficiency with the presenting symptoms or sign of varicose veins. The varicose veins are the external sign of an internal problem with the valves in the underlying veins. Usually the veins feeding
the varicose veins are part of the superficial systems of saphenous veins and are treatable in most instances with endovenous ablation with either laser or radiofrequency energy.
Published on Jul 11, 2012
Depends on many factors including size and location, depth of veins.
Published on Jul 11, 2012
You need to obtain a consultation with a Vein Specialist. He/she will better evaluate the extent of your condition (beyond what meets the eye) and tailor a plan specific for you.
Published on Jul 11, 2012
The first thing you must do is see a vein specialist for proper diagnosis. There are 520 diplomates of the American Board of Phlebology who are sufficiently competent to evaluate you. A duplex ultrasound and physical exam and history are the initial step. It is essential to determine if your vein problem originates from a faulty saphenous vein or from a higher pelvic source. Once properly mapped, the diagnosis can be made and therapy options discussed. In the short term, a medical grade reverse gradient compression stocking of 30-40 mmHg compression can give temporary relief until treatment. The information you have provided is insufficient to advise you fully at this time.
Published on Jul 11, 2012