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I have spider veins on my lower ankle, as well as below the knee. If I have surgery, will I need to wear compression stockings for the rest of my life?
The time period for which an individual should use compression stockings depends on how severe their condition is and how well they respond to treatment. Patients with mild to moderate vein disease usually do not need to wear stockings after successful treatment, whereas patients with more severe vein disease find it helpful to wear stockings much longer. Vein surgery is rarely needed since thermal ablation became available over 10 years ago.
It depends on the symptoms and if there is residual vein reflux.
After successful vein treatment, compression is not required. Some choose to continue strictly due to a feeling of comfort. Tiny residual veins can be treated with sclerotherapy to eradicate them. The goal of the surgery is so that compression is no longer needed.
No, compression stockings are typically only worn for several days to a couple of weeks.
You shouldn't have to wear compression stocking for the rest of your life after varicose vein surgery. However, this is something you should confirm with your treating physician since he/she knows your medical condition and has performed an evaluation and ultrasound.
If you have spider veins, you will not require "surgery" for these. However, if ultrasound examination shows your have venous reflux and it is causing your symptoms and spider veins, you may be a candidate for endovenous laser ablation. Spider veins can also be successfully treated with a series of sclerotherapy and/or laser combinations. Which method will be used depends on the treating physician. Compression stockings are typically worn anywhere from 3 days to several weeks. In our practice, we have our patients wear hose for one week.
The reason varicose veins and sometimes spider veins form is due to refluxing valves, usually in the saphenous system. If you have surgery to correct the valves, then the underlying problem should have been corrected and, therefore, compression stockings should not need to be worn for life. Now, correcting the valves is no guarantee that other veins will not form. Wearing support hose increases venous return and reduces venous pressure. It also helps to reduce any possible recurrences. If you have only spider veins, then wearing support hose is really up to you. Most likely, veins will recur to some extent whether or not you wear the hose.
No, compression stockings are usually temporary.