I can't advise you because you did not say what the problem is. Did you have a repeat ultrasound to look for recurrent or new reflux? If that does not answer the question then get another opinion.

Published on Jul 11, 2012

There is no way to address your question without additional information and careful evaluation. For example, the kind of problems you had prior to surgery, what kind of surgery was performed, what problems you have now, and many others.

Published on Jul 11, 2012

Firstly, not all symptoms are caused by venous insufficiency. Secondly, was your procedure in 2011 appropriate? Thirdly, you should seek a second opinion from a board-certified vascular surgeon who can properly perform an ultrasound to rule out any venous problems. You may find there are none. Try your compression hose to see if you get relief.

Published on Jul 11, 2012

It really depends on what was treated during your 2011 vein surgery. If you just had a few veins treated, then the reason is because your doc never really treated your vein issues. Since vein disease is generally inherited for most people, it is extremely unlikely that you only have 3-4 abnormal veins in your entire leg. The reality is that you probably have 50+ yards of it in each leg. The problem with that is vein disease is not really a cosmetic issue, despite the fact that you can see some of them. It is really a circulation defect. This is why if you only treat a yard or so of it out of 50+ yards by fixing 3-4 veins, like what was probably done in your case, your doc never really addressed your venous circulatory issue. This is why you are still having problems. If you want your legs to feel better, you need a doc who will treat your circulation, not just treat 1 or 2 veins that you visibly do not like to see.

Published on Jul 11, 2012

You could have had the following possibilities happen to you:

1) Development of alternative channels to allow other superficial veins to reflux; for example, accessory veins and tributaries

2) Return of reflux in segments of ablated veins due to elevated pressures in perforator veins and deep system

3) Perforator segment reflux

Closure rates following an ablation are about 95%, but these issues occur in many patients at 3-5 years after such successful procedures.
In any event, compression stockings would be helpful. I would also recommend a reassessment of your entire leg venous system.

Published on Jul 11, 2012

Hard to say what might be wrong, but the problems may not be from your veins.

Published on Jul 11, 2012

Your question is very vague. See a vein specialist for a full venous evaluation, including a venous ultrasound examination.

Published on Jul 11, 2012

Sometimes your body forms new veins and new connections. I would recommend a new ultrasound to see what is going on and see if you have venous insufficiency in any of the veins that are left.

Published on Jul 11, 2012