Can treatment of superficial venous reflux help improve deep venous insufficiency? I just got these results from duplex ultrasound.

My recent test results:
*No evidence of thrombosis
*Evidence of deep venous reflux in right common, deep & proximal femoral
*Evidence of superficial venous reflux in right greater saphenous vein (proximal, mid & distal calf)
*Evidence of deep venous reflux in left common femoral
*Evidence of superficial venous reflux in left greater saphenous vein at the junction & proximal calf
*No evidence of valvular incompetence in any of the perforator veins

Answers from doctors (2)


First of all, vascular surgeons treat symptoms of pain, heaviness, pressure in the legs and signs of skin damage, ulceration and darkening of the skin. Refluxing flow in the vein system can cause these problems. If you have none of the above symptoms it would be unlikely for a surgeon to treat you. As long as you have no history of DVT, I would treat your superficial system first. This often relieves symptoms in 90% of my patients alone. Sometimes we have to look into the deep vein system and fix problems there if symptoms persist.

Answered by Vascular Institute of Chattanooga (View Profile)

First of all, vascular surgeons treat symptoms of pain, heaviness, pressure in the legs and signs of skin damage, ulceration and darkening of the skin. Refluxing flow in the vein system can cause these problems. If you have none of the above symptoms it would be unlikely for a surgeon to treat you. As long as you have no history of DVT, I would treat your superficial system first. This often relieves symptoms in 90% of my patients alone. Sometimes we have to look into the deep vein system and fix problems there if symptoms persist.

Published on Jul 11, 2012


More About Doctor Allure Medical

Published on May 11, 2018

Yes! Numerous clinical studies have found that deep venous reflux is often improved by treating superficial disease. There are some subtle predictors such as velocity of deep reflux that help a doctor predict. But in general, we have found that in most cases the deep veins get better when the superficial veins are managed.

Answered by Allure Medical (View Profile)

Yes! Numerous clinical studies have found that deep venous reflux is often improved by treating superficial disease. There are some subtle predictors such as velocity of deep reflux that help a doctor predict. But in general, we have found that in most cases the deep veins get better when the superficial veins are managed.

Published on Jul 11, 2012


Related Questions for Venous Insufficiency Treatment

Venous Insufficiency Treatment -2 answers
On the underside of my penis, I have a long wriggly red vein that swells near the base and spreads out. Also, my dorsal vein is really enlarged and I have severe ED. Getting an erection isn't a problem, but I lose it in a few seconds. I never thought these things could be related, but I am starting to. Is there anything I can do to treat this problem? I have been diagnosed with venous leakage but have yet to find a cause.
See More
Venous Insufficiency Treatment -10 answers
I am a 28 years old female diagnosed with bilateral femoral vein reflux via doppler study. I have been experiencing slight edema on lower legs, and occasional pain and burning sensation. I already have visible spider veins. I am considering taking grape seed extract or horse chestnut supplement to slow down or treat my DVI. Thank you.
See More
Venous Insufficiency Treatment -6 answers
I'm a 36 year old female, nonsmoker, non-alcoholic with 20.5 BMI. I was recently diagnosed with venous reflux in my legs. I have no genetic history of anything similar & I do not show typical symptoms (no DVT, varicose veins, swelling); however upon the hardening of veins in my legs, I took a doppler exam that showed valves in my superficial vein were not closing effectively. Within a week, vein pain & tingly sensation spread to my arms, hands, feet & head. Is this a symptom of something else?
See More
Venous Insufficiency Treatment -13 answers
They do not seem to go away even with compression. What are my treatment options?
See More
Venous Insufficiency Treatment -7 answers
I have permanent afib even after an ablation and meds to correct it. My afib began after a violent gall bladder attack and surgery. My cardiologist wants to perform an ablation on my legs. I have venous insufficiency, swelling, pain, etc. Is my heart condition related to my leg problem? Also, based on what I've said, do you recommend a leg ablation?
See More
Venous Insufficiency Treatment -10 answers
I just started moderate weightlifting a year ago and have noticed prominent veins on my arms, hands and legs that are still present when I'm not working out. They aren't tender or tortuous but I'm guessing they are related to venous insufficiency worsened from valsalva during weight lifting. I'm careful about exhaling when lifting but they seem to be getting worse. I barely do leg exercises so it's not from leaner legs. They are getting very unsightly. What can I do?
See More
Venous Insufficiency Treatment -5 answers
I have had a few opinions given based on all testing performed. I have led an active lifestyle. Before retiring I spent 40 years as a plumber. The last 10 years of my career I commuted 24 miles roundtrip on the steep hills of Seattle by bicycle. I was a premie in 1952 and was what they categorized as an "oxygen kid," complete with compromised vision. Is this reflux issue yet another condition caused by the oversaturation of oxygen at birth?
See More
Venous Insufficiency Treatment -1 answer
I am 20 years old with a history of undiagnosed autoimmune disease, which is currently in an acute flare. After suffering from a case of phelbitis in greater saphenous vein of the right leg for two months, I was just recently diagnosed with venous insufficiency in both the greater and smaller saphenous veins of both legs, incompetent saphenofemoral junction in both legs, and incompetent femoral vein in the left leg. I have unknown family medical history.
See More
Venous Insufficiency Treatment -3 answers
Im 32 years old and have had my saphenous vein removed from my left leg. This has not eased my pain. My doctors have told me that the deep vein in my left leg is insufficient and that the deep vein in my right leg is also headed that way. They have recommended I wear compression tights daily as according to them there is no way to help my condition. Compression tights aren't a bad option unless you live in the tropics. Is there a more permanent treatment for my deep veins that you can recommend?
See More
Get answers from our experienced doctors.
How it works
Venous Insufficiency Treatment -6 answers
I am a Type 2 diabetic and I lead a sedentary life. The only place I go is to the Dr., and that's once a month. Do you think I am at risk for DVT? I do have pain in my left calf frequently. Dr. has checked it. She says I'm ok, but I don't believe her. She doesn't know about my lifestyle. I went through some deep depression that I'm still struggling with and I didn't move from my chair for at least 6 months. Got any ideas?
See More
Venous Insufficiency Treatment -1 answer
I had Doppler ultra sound and have reflux in deep veins behind the knee 1.5. Is that normal or mild? The saphenous vein inside my leg in is 1.2 reflux. I started wearing compression stockings of 23-30 mmHg.
See More
Venous Insufficiency Treatment -3 answers
I am 20 years old with a history of undiagnosed autoimmune disease, which is currently in an acute flare. After suffering from a case of phelbitis in greater saphenous vein of the right leg for two months, I was just recently diagnosed with venous insufficiency in both the greater and smaller saphenous veins of both legs, incompetent saphenofemoral junction in both legs, and incompetent femoral vein in the left leg. I have unknown family medical history.
See More
Venous Insufficiency Treatment -6 answers
Original results from a 2 year old ultrasound said right gsv positive for dilation & venous insufficiency, greater than 2 seconds at junction, symptoms are mild now, but one unsightly varicose vein at top of right inner thigh, about 5mm. I still don't want an EVLT, I’d prefer something less invasive. Also, how do they determine that it's not from pelvic origin or long term constipation/hemorrhoid pressure during a new Doppler/ultrasound study?
See More
Venous Insufficiency Treatment -5 answers
In addition to above, I was told that compression stockings will need to be worn forever, even though I have no varicose veins. I have major swelling of both calves, ankles, & feet. I've been wearing compression knee-high stockings for 3 months, and I'm still getting pain in both thighs.
See More
Venous Insufficiency Treatment -2 answers
I was told to take dafflon 500 and wear compression stocking and to walk on daily basis. What else should I do? Any specific treatment for the reflux disease? Many Thanks.
See More
Venous Insufficiency Treatment -1 answer
I had a VNUS ablation 18 days ago and now have a lot of pain in both legs. We did the ultrasound 4 days after the procedure and it was OK. I saw the doc last week because of the pain, and he gave me vasculera for pain and said it could be nerve damage. I still have 3 more veins to close but why now I'm in more pain than before. The pain, it's not at the big saphenous (the one was closed), it's in the back of both legs. When will the pain go away? It's keeping me from normal activities and work.
See More
Venous Insufficiency Treatment -2 answers
I've had some shin discomfort after working out a few days ago but I don't think that's related if I had to give my opinion. My larger concern is I have Factor V Leiden, heterogeneous, to which I had a DVT in the same leg 8 years ago (overweight, narrowed vein, and birth control were also contributing factors). The vascular surgeon told me to take Xeralto for 2 days post op as a precaution. The swelling is softer to the touch, like water retention also. Any reason for concern?
See More
Venous Insufficiency Treatment -3 answers
I am very active, used to be a professional dancer and now am just an avid outdoors person. I've had varicose veins in my right leg since I was 14. I feel them hurt and throb when I dance and run, etc. I just got an ultrasound and my doctor said my great saphenous vein is letting too much blood flow backwards. He suggests I get the vein closed off ASAP. I have tried compression stocking in activity which help. I'm just worried that if I close it off chances of other ones popping up will worsen.
See More
Venous Insufficiency Treatment -7 answers
I am 68 yrs old an have had moderate venous insuffency for years. I am experiencing increased problems in my left lower legs with more bulging and soreness. Sometimes it feels like a cool sensation or like something wet around my ankle area. I sometimes wear compression knee-high hose. Should I see a vein specialist?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR