About four years ago, I had varicose vein ablation surgery on both legs. One leg came out well; the other did not because of the location of the bad valve. I wear compression socks but the bad leg aches constantly (and I am good at ignoring pain). I was told closing the tributary veins was not a great solution. I am 44, in good physical shape, and do wear compression socks. Are there other things I can do to help? Are there any next steps that could have a better outcome?
Yes, you need another procedure, and likely a simple one. If you're not satisfied with the answers you're getting, get a second opinion. The only time you are out of good options is when you have DEEP vein incompetence.
Published on Jul 11, 2012
If you only had an ablation procedure done on your legs four years ago and no other treatment, then you only received partial treatment at that time. The reason you continue to ache is because only a small fraction of your vein issues ever got addressed the first time. Vein disease affects the circulation in your legs. This is why they hurt. Addressing this circulation issue will eliminate your discomfort.
Published on Jul 11, 2012
You have a residual symptomatic tributary vein post EVLA. This vein can be excised, in the office using local anesthesia, or injected. Many non-surgeon "vein specialists" only want to perform ablations, and are unwilling or unable to complete the process. See a vascular surgeon.
Published on Jul 11, 2012
There are other solutions to this problem.
Published on Jul 11, 2012
Quite honestly, I'd get a second opinion. Some vein problems are more challenging than others. In the more challenging cases, the skill and experience of both the sonographer and the physician (if they are not the same person) are critical to getting a good outcome. The good news is that based upon your story, I'd say that there's hope! As long as your deep veins are ok, there shouldn't be a problem closing a tributary vein and getting rid of your pain with a good cosmetic outcome.
Published on Jul 11, 2012
Yes, if ablation fails, there are almost always alternative minimally invasive options to treat superficial venous reflux. Next steps range from repeat ablation to ultrasound guided foam sclerothearpy to micro-phlebectomy. In the vast majority of cases, a satisfactory result is not difficult to achieve. Good luck!
Published on Jul 11, 2012
You should see a vein specialist. The treatment of venous disease is a continual problem. A failed ablation can usually be corrected. You should have a repeat venous ultrasound to document the problem and then the problem can be addressed. Besides ablation with laser and RF, there are alternatives of foam sclerotherapy, Varithena and soon VenaSeal.
Published on Jul 11, 2012