Why did my VNUS cause multiple ulcers on my lower leg & ankle bone?

VNUS . 4 answers . 5 years ago

Within 5 minutes of VNUS surgery I had 7 large ulcers from the knee down. Any explanation why this would occur in only 1 leg? Could nerve damage in the leg from Shingles be a factor?

ANSWERS FROM DOCTORS


4 years ago by Nu Vela Esthetica

It is likely that you also have incompetent perforator veins in your legs and these had to be treated as well. Perforator veins are the veins that connect two parallel systems: the superficial venous system, and the deep venous system. These veins transport blood from the superficial veins to the deep veins. When the valves within the perforator veins are diseased and make the veins incompetent, blood is pushed back into the superficial veins causing branch vein varicosities and skin ulcers, particularly in the lower leg and ankle. An Ultrasound duplex imaging of your legs should be able to detect and identify the incompetent veins in your leg.

4 years ago by Nu Vela Esthetica (View Profile)

It is likely that you also have incompetent perforator veins in your legs and these had to be treated as well. Perforator veins are the veins that connect two parallel systems: the superficial venous system, and the deep venous system. These veins transport blood from the superficial veins to the deep veins. When the valves within the perforator veins are diseased and make the veins incompetent, blood is pushed back into the superficial veins causing branch vein varicosities and skin ulcers, particularly in the lower leg and ankle. An Ultrasound duplex imaging of your legs should be able to detect and identify the incompetent veins in your leg.


5 years ago by VeinCare Centers of Tennessee

Only a physician who is experienced with thermal ablation and who personally examines you can give you advice on this individual and unusual issue.

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

Only a physician who is experienced with thermal ablation and who personally examines you can give you advice on this individual and unusual issue.


5 years ago by Miller Vein

This is very unusual and I have never seen that. This should be discussed with your vein physician.

5 years ago by Miller Vein (View Profile)

This is very unusual and I have never seen that. This should be discussed with your vein physician.


4 years ago by Vanish Vein and Laser Center

Shingles should not be a factor. The VNUS procedure usually ends at the knee or 2 to 3 inches below the knee. If the ulcers were in the area of the radiofrequency, then the RF could be a contributing factor. If sclerotherapy was done in this area, then this could be a factor. Sometimes bandages, steri-strips or tape can lead to burns or ulcers. However, what you describe and to happen in such a short time is most unusual. I would recommend that you followup with your treating physician.

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

Shingles should not be a factor. The VNUS procedure usually ends at the knee or 2 to 3 inches below the knee. If the ulcers were in the area of the radiofrequency, then the RF could be a contributing factor. If sclerotherapy was done in this area, then this could be a factor. Sometimes bandages, steri-strips or tape can lead to burns or ulcers. However, what you describe and to happen in such a short time is most unusual. I would recommend that you followup with your treating physician.


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