The valves within your refluxing veins cannot be repaired or replaced at our current level of medical science. This is why the primary goal in vein treatments is to close the refluxing veins down so as to allow the collateral "healthy" veins to take up the blood flow. What your legs need is to have the vein issues in your legs addressed. This means fixing all parts of your venous circulation. This will improve your venous circulation as a whole and thus make your legs feel better and look better. Remember that vein disease is not a cosmetic issue. It is a circulation defect. This is why you have symptoms. Fix your veins and those symptoms will improve.

Published on Jul 11, 2012

You might consider calling The Rane Center; they specialize in this problem. 601-939-4230.

Published on Jul 11, 2012

Vein valve surgery is very experimental. Compression hose for life is the recommendation. Periodic ultrasound to rule out superficial reflux can be helpful.

Published on Jul 11, 2012

It is not clear from your question whether the venous insufficiency is in superficial veins or deep veins.

Deep venous insufficiency may follow recanalization of deep vein thrombosis. Deep vein valves in the iliac veins can be repaired by those who have expertise in this type of surgery, and there are only a handful of surgeons who claim to have good results and outcomes. Below the groin, valve repair and replacement or autotransplantation has not been shown to be durable.

Most likely you have post-thrombotic syndrome causing pain and chronic swelling.

You certainly have complicated and advanced venous disease and require expert care.

If the venous insufficiency is in BOTH superficial and deep veins, published studies have shown that treating the superficial venous system with ablation will help improve deep venous insufficiency. Although the reasons for this is not entirely clear, it seems to work and help relieve symptoms of pain and swelling.

I recommend treatment of superficial venous insufficiency if you do not have residual obstructive deep vein thrombosis.

Published on Jul 11, 2012