I had the VNUS closure procedure 2 wks ago on my left leg, but now I'm being advised to treat the right leg. Should I proceed or wait?

I had the VNUS closure procedure 2 weeks ago on left leg for reflux 4.4 sec. Now, I'm being advised to have the right leg treated even though the reflux is only 0.6 sec. The 0.6 sec reflux in right leg is above the knee and is only a 12cm segment. I have minimal symptoms, which consist of burning sensation on the medial and posterior aspect of my knee and up into posterior thigh a few inches. Should I proceed now with the procedure or wait?

Answers from doctors (5)


Vascular Institute of Chattanooga

Published on Aug 02, 2019

The goal of vein ablation is to relieve severe symptoms not responsive to compression therapy. If the clinical symptoms are minimal, the vein ablation is unlikely to improve them, and I would wait.

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Answered by Vascular Institute of Chattanooga

The goal of vein ablation is to relieve severe symptoms not responsive to compression therapy. If the clinical symptoms are minimal, the vein ablation is unlikely to improve them, and I would wait.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Feb 06, 2019

Your symptoms seem more consistent with knee changes (arthritis). If you do not feel comfortable going ahead at this time, wait. Many people have some degree of reflux in saphenous veins. In the absence of typical symptoms—aching, heaviness, cramping, painful varicose veins, etc.—I would observe you in my clinic to see if there is any progress. Wear your hose when sitting, standing or traveling for long periods, stay active, and wait and see.

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Answered by Vein Specialties of St. Louis

Your symptoms seem more consistent with knee changes (arthritis). If you do not feel comfortable going ahead at this time, wait. Many people have some degree of reflux in saphenous veins. In the absence of typical symptoms—aching, heaviness, cramping, painful varicose veins, etc.—I would observe you in my clinic to see if there is any progress. Wear your hose when sitting, standing or traveling for long periods, stay active, and wait and see.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Mar 07, 2016

My recommendation is to wait and get a second opinion if you have minimal symptoms and no varicose veins. Insurance company policies will not cover the operation for minimal symptoms.

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Answered by Cosmetic Vein Centers of Texas

My recommendation is to wait and get a second opinion if you have minimal symptoms and no varicose veins. Insurance company policies will not cover the operation for minimal symptoms.

Published on Jul 11, 2012


Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Published on Mar 05, 2016

If you have minimal symptoms as you describe, 0.6 seconds of reflux, then it is not likely that this degree of reflux is significant.

It is also NOT likely that is will relieve symptoms of burning, especially burning sensation in the posterior leg or thigh.

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

If you have minimal symptoms as you describe, 0.6 seconds of reflux, then it is not likely that this degree of reflux is significant.

It is also NOT likely that is will relieve symptoms of burning, especially burning sensation in the posterior leg or thigh.

Published on Jul 11, 2012


Advanced Vein Center

Published on Mar 04, 2016

If you have no significant symptoms, there is no reason to treat. There is no emergency.

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Answered by Advanced Vein Center

If you have no significant symptoms, there is no reason to treat. There is no emergency.

Published on Jul 11, 2012


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