I have a varicose vein in my left leg. Vein spec said that I had reflux in both legs, even though I am only symptomatic in left. Do I treat both legs?

I have a varicose vein in my left leg. My vein specialist said that I had reflux in both legs, even though I am only symptomatic in the left. Do I treat both legs? I was scheduled to do laser ablation on both legs. I canceled the right leg, only because it doesn’t hurt and doesn’t have a visible varicose vein. The left leg is the one with a visible vein and symptoms. Will treating the visible left leg help the right leg that is not symptomatic but that has reflux?

ANSWERS FROM DOCTORS (3)


Answered by Vein Specialties of St. Louis

While you may not have symptoms in both legs, it isn't uncommon to have reflux in both. However, I would proceed with the symptomatic leg for now and observe the other leg, wear hose when traveling, exercise, stay well-hydrated etc.

You may find when your symptoms are resolved in the affected leg, you may actually notice them in the other. This is a problem that develops slowly over time, so we are not always aware of what "normal" is.

Insurance will not cover an asymptomatic treatment if that is what was submitted to your insurance. Many people have some reflux in their veins with no symptoms. It doesn't mean we have to treat it. Conservative care is enough.

Published on Nov 21, 2018

Answered by Vein Specialties of St. Louis (View Profile)

While you may not have symptoms in both legs, it isn't uncommon to have reflux in both. However, I would proceed with the symptomatic leg for now and observe the other leg, wear hose when traveling, exercise, stay well-hydrated etc.

You may find when your symptoms are resolved in the affected leg, you may actually notice them in the other. This is a problem that develops slowly over time, so we are not always aware of what "normal" is.

Insurance will not cover an asymptomatic treatment if that is what was submitted to your insurance. Many people have some reflux in their veins with no symptoms. It doesn't mean we have to treat it. Conservative care is enough.

Published on Nov 21, 2018


Answered by Allure Medical

There is no reason to treat reflux if there are no abnormal external physical findings (such as rash or sores) and no symptoms. There is a chance that it will become symptomatic in the future, but it may never bother you. Just treat the leg with symptoms at this time.

Published on Nov 21, 2018

Answered by Allure Medical (View Profile)

There is no reason to treat reflux if there are no abnormal external physical findings (such as rash or sores) and no symptoms. There is a chance that it will become symptomatic in the future, but it may never bother you. Just treat the leg with symptoms at this time.

Published on Nov 21, 2018


Answered by Vanish Vein and Laser Center

The presence of reflux is not an indication to close a vein if there are no associated symptoms with the reflux. I see patients daily who have reflux and no symptoms. Conservative treatment is indicated for this such as support hose, exercise, and weight control.

Published on Nov 21, 2018

Answered by Vanish Vein and Laser Center (View Profile)

The presence of reflux is not an indication to close a vein if there are no associated symptoms with the reflux. I see patients daily who have reflux and no symptoms. Conservative treatment is indicated for this such as support hose, exercise, and weight control.

Published on Nov 21, 2018


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