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Recent ultrasound: left leg reflux 3.7 sec in femoral, and 5.2 in GSV, Rt leg 1.4 sec in common femoral 4 sec in femoral. Another showed popliteal left leg. I am 47, BMI 19 & I exercise. I have spider veins but no varicose veins yet. Treatment options?
It sounds like you have reflux in your deep and superficial venous system. You can have treatment on the superficial veins. Sometimes this can improve the deep system indirectly. The only treatment for deep venous reflux is compression hose.
I think you mean DVT ( Deep Venous Thrombosis)? Or, perhaps Deep Venous Insufficiency (DVI)? Yes, a venous reflux exam would be required for DVI, but the exam for DVT is different than a reflux exam.
Spider vein treatment is available in many clinics, but as far as treatment for DVI, there are very few doctors, if any, who would perform a bypass on those refluxing veins. It is very risky and most vascular surgeons would not consider performing it.
It all depends on if you have symptoms: cramps, tiredeness, pain, heaviness, restless legs. If you do, then you should consider thermal ablation of the GSVs, perhaps SSVs. If no symptoms, then you could wait. Sooner or later, you will need thermal ablation. Venous insufficiency is a progressive disease.
It depends on what your symptoms are. If no pain, swelling, varicose veins or other clinical problems, then leave it alone. You need signs or symptoms of venous disease to justify the small but finite risk of deep vein clots after a closure procedure.
The best test for DVT is a venous ultrasound. Apparently your evaluation did not show any DVT. Reflux of the deep system may or may not mean anything. Many times this is simply an incidental finding. If you have a leg swelling problem then deep reflux may be important. The treatment for deep reflux is compression hose. You do have GSV reflux. Again, without varicose veins, this may not mean anything. It could be contributing to your spider veins but I would check with your physician.
Your best option would be to have an evaluation to further assess your clinical picture in addition to the recent ultrasound studies.