Varicose veins are a progressive problem. You have veins and are symptomatic. If the ultrasound reveals nonfunctioning venous valves that are causing the problem then you would benefit from a closure procedure. A trial of medical management with support stockings for 3 months should be done. If you benefit from the stockings and do not want a procedure then you can continue with the stockings. If stockings do not help then closure should be performed.

Published on Jul 11, 2012

If you have symptomatic vein reflux in the saphenous (long or short) this can be treated with endovenous laser ablation and the bulging varicose veins can be removed at the same setting (microphlebectomy). These are office-based procedures and typically covered by your insurance--no expensive hospital bills or long down time. All under local anesthetic.

Published on Jul 11, 2012

It all depends on signs and symptoms, vein evaluation, and ultrasound results. A vein specialist is able to recommend the best treatment for you according to your ultrasound results and your specific goals. Your vein specialist may recommend a regular walking regimen and suggest to refrain from very heavy activity like lifting or prolonged standing for a few weeks following the vein treatment, as well as the use of medical compression stocking depending on the vein treatment that was used. There are vein treatments where the use of compression stocking is not necessary. There are other treatment options that do require the use of compression stockings for a week or so post procedure.
Without treatment of venous insufficiency, those with the disease may experience progressive symptoms like leg swelling, skin damage and ulcers that can debilitate and affect a great deal the quality of life; however that outcome is preventable with proper treatment. According to the type of treatment a patient may resume normal activities more quickly.
Thanks for your question and good luck!

Published on Jul 11, 2012