My leg is cold and if I sit for more than two hours it starts swelling even more especially around the ankles. The veins are still bulging and are visible.
You should follow up with your treating physician and I would recommend a follow up Venous ultrasound to to look at the treated area.
Published on Jul 11, 2012
The described symptoms would emanate from one of several potential problems. The patient would do well to have an immediate follow up venous ultrasound evaluation of the effected leg. There is potential for a deep venous thrombosis or "blood clot" that would require immediate treatment.
Published on Jul 11, 2012
It all depends how long after the surgery and what kind of symptoms you had prior to the surgery. It is common to have what you describing within the first two and sometimes up to four weeks. As long as it is overall improving, there is nothing to be concerned about. Maintaining what is called "normal for you level of physical activity" is important. It is better to take a pain killer and move normally, than to be in pain and move less: circulation and, therefore, regeneration of tissues, suffer and healing is slowing down. The re-assessment of bulging veins should be postpone until after complete recovery: when swelling, bruising and resolved. Hope it helps. Good luck!
Published on Jul 11, 2012
You need to have further venous duplex ultrasound evaluation and possibly CT arteriogram and venogram.
Published on Jul 11, 2012
Go back to the your physician to determine if the treated vein(s) have successfully closed. If not, it makes sense you are still having trouble. If the saphenous veins are closed, you may also need the bulging surface veins treated as well.
Published on Jul 11, 2012
If you only had the VNUS surgery, it means that you only had a small part of your vein issues treated. This is why you are still experiencing the swelling and other issues with your legs. The bulging veins that you see are still there because they were never treated. Since vein disease develop over time, one or two treatments rarely constitutes adequate treatment. My patients normally take 2-3 months to complete their treatment but in the end, their legs look and feel really good.
Published on Jul 11, 2012
Follow up with your Vascular Surgeon to discuss stab phlebectomy.
Published on Jul 11, 2012
It is really best to contact your surgeon and discuss it with him or her. It is usual to develop new swelling after a VNUS surgery.
Published on Jul 11, 2012
You need an ultrasound evaluation and a consultation with a board certified MD vascular surgeon
Published on Jul 11, 2012
I would consider getting a new ultrasound of the leg to 1) rule out a blood clot 2) look for superficial insufficiency that may have gone untreated 3) look for deep insufficiency in the veins
Published on Jul 11, 2012