You are absolutely correct. Go back to the physician who treated you and have them reevaluate your legs with Duplex ultrasound.

Published on Jul 11, 2012

Yes is the answer to all your questions. A duplex ultrasound exam should answer all the questions.

Published on Jul 11, 2012

While the failure to close rate is very low for these procedures when performed correctly, some do reopen. I would advise a reevaluation by a board-certified vascular surgeon who specializes in treating veins and making diagnoses via an ultrasound. This will determine if veins are the cause of the pain. I always inform my patients that not all pain is caused by the varicose veins and at times will not resolve those symptoms.

Published on Jul 11, 2012

You need to see a vein specialist and get a duplex ultrasound of your veins. Previously treated veins could have reopened or some new veins may be refluxing. After ultrasound test, your doctor should be able to tell you what is going on and what can be done to fix it.

Published on Jul 11, 2012

Yes, the veins can certainly reopen. You likely will need another ultrasound to evaluate it.

Published on Jul 11, 2012

Endovenous ablation is usually about 95-97% successful, but yes a vein could reopen or there may be other veins that are refluxing. Both could be causing your problem. A complete venous duplex scan (ultrasound) by a qualified ultrasonographer is needed to answer the questions as to the cause of your pain.

Published on Jul 11, 2012

Yes, it is likely that your veins have reopened.

Published on Jul 11, 2012

If all you had done was the EVLT, then the likelihood that your treated vein reopened, is possible. The mistake many vein docs make is that they only treat a part of your vein issues. Given that vein disease, which is what you have, is inherited, the likelihood that only one vein is abnormal is completely ludicrous. Most patients have yards and yards of it ranging from the large vein you had treated all the way out to the skin surface. Keeping in mind that what makes your large vein dysfunctional, is exactly the same thing that makes your spider veins fail. There is no difference. The affect that your large vein has on your venous circulation is proportionally the same as the impact your spiders and reticular veins have on that same circulation. That is why proper vein treatment requires weeks of treatment, not just one or two visits. That said, if you are hurting, then a consult with a vein doc is probably necessary. This time find one that treats the entire leg, not just a vein.

Published on Jul 11, 2012

It's possible that the vein was not completely treated or that a nearby vein (such as an incompetent perforator vein) wasn't treated. If indeed your original pain responded to the initial treatment, it does indeed suggest that you again have a vein problem. I would agree with you that consulting a vein specialist is in order.

Published on Jul 11, 2012

The vein can re-open. I have a follow-up protocol to ensure that patients I have treated are progressing the way they should following treatment. If you haven't seen the physician who performed your procedure, then this is the place to start. This would not be a consultation; it is a follow-up visit.

Published on Jul 11, 2012

Yes, the veins could have reopened. See your treating physician.

Published on Jul 11, 2012

You should definitely see a vein specialist and have a follow-up venous ultrasound. I usually recommend a one-year follow-up on all venous ablations.

Published on Jul 11, 2012

It is possible for varicose veins to recur and could be due to a different vein leaking/refluxing, causing pain in the area. This will be best evaluated at a consultation with a vein specialist who can perform an ultrasound.

Published on Jul 11, 2012

I would recommend seeing a vein doctor. There may be insufficiency below your prior incision, new veins that are causing problems or possibly the vein treated has reopened.

Published on Jul 11, 2012

Yes, it is possible that the veins have reopened. The only way to know for sure is to see your vein MD and be examined.

Published on Jul 11, 2012