Different causes for bulging veins?

Endovenous Laser Ablation . 4 answers . 3 years ago

I had minor vein reflux. My veins stand out at the end of the day in several spots in front of thighs (look like cellulite but are not) After 4 EVLTs two months ago on both legs, the swelling is still there. What can cause them to swell other than reflux?

ANSWERS FROM DOCTORS


3 years ago by General Vascular Surgery Group

Probably a source vein other than the ones teated, perhaps a perforating vein. Nevertheless, sometimes the veins buldge even if all sources are treated, and the cure is to remove those veins directly. See your provider for more advice.
Michael D. Ingegno, MD

3 years ago by General Vascular Surgery Group (View Profile)

Probably a source vein other than the ones teated, perhaps a perforating vein. Nevertheless, sometimes the veins buldge even if all sources are treated, and the cure is to remove those veins directly. See your provider for more advice.
Michael D. Ingegno, MD


3 years ago by Vein Specialties of St. Louis

There are a multitude of physiological things that can cause leg swelling. I would recommend seeing your PCP and having a full evaluation. There could be electrolyte imbalances, other heart related causes or even hormonal triggers that could all cause lower leg swelling.
Take care,
Sarah Ziegelmeyer, RN

3 years ago by Vein Specialties of St. Louis (View Profile)

There are a multitude of physiological things that can cause leg swelling. I would recommend seeing your PCP and having a full evaluation. There could be electrolyte imbalances, other heart related causes or even hormonal triggers that could all cause lower leg swelling.
Take care,
Sarah Ziegelmeyer, RN


3 years ago by VeinCare Centers of Tennessee

Commonly, there are varicose veins on the antererior or medial aspect of the thighs which are not solved with LASER ablations of the great saphenous veins. Sometimes, the problem is a refluxing anterior accessory saphenous vein or varicose veins that connect to the veins near the groin. Depending on the size, shape, and location of such veins, treatment might include LASER or radiofrequency ablation, microphlebectomy, foam sclerotherapy, or a combination of these techniques.

Stephen F. Daugherty, MD, FACS, RVT, RPhS

3 years ago by VeinCare Centers of Tennessee (View Profile)

Commonly, there are varicose veins on the antererior or medial aspect of the thighs which are not solved with LASER ablations of the great saphenous veins. Sometimes, the problem is a refluxing anterior accessory saphenous vein or varicose veins that connect to the veins near the groin. Depending on the size, shape, and location of such veins, treatment might include LASER or radiofrequency ablation, microphlebectomy, foam sclerotherapy, or a combination of these techniques.

Stephen F. Daugherty, MD, FACS, RVT, RPhS


3 years ago by Vanish Vein and Laser Center

EVLT does not necessarily shrink the varicose veins. If they were there before the EVLT and have not resolved by 6 months later then you should have them removed by microphlebectomies. If they have worsened after the EVLT then a follow up venous ultrasound would be indicated.

3 years ago by Vanish Vein and Laser Center (View Profile)

EVLT does not necessarily shrink the varicose veins. If they were there before the EVLT and have not resolved by 6 months later then you should have them removed by microphlebectomies. If they have worsened after the EVLT then a follow up venous ultrasound would be indicated.


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