Is there treatment for reflux in great saphenous veins only upon standing?

Since pregnancy in 2015, I have hx of pelvic congestion (recently embolized) and mild May Thurner's w/o DVT...my legs are the greatest source of my pain, and despite very obvious veins throughout my legs (including squiggly veins from buttocks down the thigh and swelling behind both knees), I was told that I have reflux only upon standing in my great saphenous veins. I wear compression hose every day (and still have pain), and was told there is no other treatment specifically for my deep reflux

ANSWERS FROM DOCTORS (1)


2 months ago by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Venous insufficiency will be worse in the upright position, especially in truncal veins such as the great saphenous and lesser saphenous.

2 months ago by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS (View Profile)

Venous insufficiency will be worse in the upright position, especially in truncal veins such as the great saphenous and lesser saphenous.


Related Questions for Chronic Venous Insufficiency Care

Chronic Venous Insufficiency Care - 1 year ago8 answers
See More
Chronic Venous Insufficiency Care - 1 year ago1 answer
The area where I live doesn't have many choices when it comes to vein doctors. They are two vein places: one doctor used to be general surgeon, while the other used to be cosmetic surgeon. They are now focusing on veins. Then, there are vascular surgeons at vascular centers. They deal with arteries a lot. Atlanta is 2 hours away. More choices there, but is it safe to commute after surgery? Any good ones to recommend there?
See More
Chronic Venous Insufficiency Care - 10 months ago3 answers
See More
Chronic Venous Insufficiency Care - 1 year ago5 answers
I was given an option of foam sclerotherapy treatment after a vein near the ankle bled spontaneously--as the NHS would only treat that vein and it is out of the question to have private treatment. Is there anything other than wearing compression stockings that could prevent further bleeding? I have had varicose veins for 30 years without any problems. I would not feel confident having more invasive treatments if they were offered.
See More
Chronic Venous Insufficiency Care - 1 year ago4 answers
Should you elevate both legs above your heart while wearing compression stockings, or should they be removed?
See More
Chronic Venous Insufficiency Care - 1 year ago1 answer
Since I started to have heavy, achy leg symptoms and being diagnosed with CVI a few months ago, I started to wear 20-30 mmHg compression stockings. It is the right tightness and helps some of my pain, but still does not get my pain under control completely. I am wondering if I can go up to 30-40 mmHg. I tried one pair of 30-40 mmHg for a day. As for the pain, it does get better, but the compression is too much to bear. I feel very uncomfortable. I don't know which level is right for me.
See More
Chronic Venous Insufficiency Care - 1 year ago8 answers
I have been wearing compression stockings for years and they have kept ankle ulcers at bay, but over the last 6 months they have stopped working. Why? The stockings are not old and are very snug. I now have big weeping ulcers. I have been scheduled for schlerotherapy but am wondering why the stockings no longer work.
See More
Chronic Venous Insufficiency Care - 1 year ago3 answers
Some part of the surface of my skin is numb above the ankle & below the knee how long before it gets normal.
See More
Chronic Venous Insufficiency Care - 1 year ago7 answers
I had DVT 3 years ago and have had severe symptoms since. I've seen at least 4 doctors and they won't recommend a treatment. With my last doc, I asked for a referral to a vascular physician and he ignored my request. I mentioned that my legs were swollen 3 years ago and that they burn, hurt and feel like the tendon in the bottom of my foot is pulling. He did order an ultrasound, but just reported no blood clot. I found out about the reflux on my own after requesting my records.
See More
Chronic Venous Insufficiency Care - 1 year ago6 answers
Ultrasound shows I have superficial and deep vein reflux in both legs. I am very symptomatic (heavy and achy legs) and manage this with compression stockings, elevation and exercise. Here is the greatest # on my ultrasound report: left GSV ( SFJ): 3200 ms, right SSV - mid calf: 6488 ms, common femoral vein 1168 ms on the right and 1248 on the left. Doctors do recommend procedures, but I feel I might not benefit from them. Can both the superficial and deep reflux be resolved with treatment?
See More
Chronic Venous Insufficiency Care - 1 year ago8 answers
I started to have achy, heavy leg feelings about a month after I sprained my right ankle and scratched my left knee last April. I was diagnosed with CVI (reflux on GSV and other veins ) through ultrasound several months later. I have no visible sign on my legs (no swelling, no varicose vein), but the heavy and achy legs torture me all the time. I can't sit nor stand in one place. Elevation instantly relieves my symptoms. Any light at end of the tunnel? I wear compression stockings religiously.
See More
Chronic Venous Insufficiency Care - 1 year ago4 answers
Following the clots I was on Coumadin for 6 months and given the all clear. But since then my legs have been awful--varicose veins, spider veins, an ulcer that never opened but it's a brown lumpy mark on my leg with skin damage. In 2010, I had stents put in and my quality of life did improve a little, but daily I still suffer from swelling, pain, discomfort, fatigue. What are my options ( if any) to get back healthy legs and have a better life? Can valves be repaired or replaced in deep veins?
See More
Chronic Venous Insufficiency Care - 1 year ago1 answer
I had 4 EVLT procedures done in the U.S.--Lft GSV July 20, rt GSV July 22, and on July 25 SSV on both legs. I followed all instructions and wore compression stockings for 2 weeks. I have started back my exercises and wear the stockings when I do. My ankles are still swelling as the day wears on, even with stockings. Does this mean the procedures have not worked? Also, my left leg was slightly swollen before the procedures. Will the leg return to normal?
See More
Chronic Venous Insufficiency Care - 10 months ago5 answers
I am a 32-year old male with lower extremity edema, venous stasis, non-healing ulcers, a hypercoaguable disorder, and NIH obesity class III. I also have severe reflux of both my deep and superficial venous systems as well as chronic post thrombotic changes of my left femoral vein. Also if I have the surgery, what is the worst possible outcome? Thank you for your time and expertise.
See More
Chronic Venous Insufficiency Care - 1 year ago1 answer
After laser ablation and a phlebectomy, I have gross swelling in my feet and ankles, severe tightness, hardening of my skin, and very red lower legs. Should the doctors proceed with sclerotherapy and removal of trapped blood?
See More
Chronic Venous Insufficiency Care - 1 year ago1 answer
See More
Chronic Venous Insufficiency Care - 11 months ago4 answers
I had an ablation for venous insufficiency last week. One leg had to be done twice to get the vein to close off. How long must I wear compression stockings afterwards?
See More
Chronic Venous Insufficiency Care - 1 year ago1 answer
See More
Chronic Venous Insufficiency Care - 1 year ago2 answers
The 1st ultrasound was done 3 months after I started to have heavy, achy legs. It showed reflux of my right GSV only. A month later, I had another at a different facility, and it showed reflux of the GSV on both legs and SSV on right. The third one was 2 months later at another facility; it showed reflux on both GSV, SSV, and a few other veins and even very mild reflux on femoral vein. Why are the results different at each place, despite being performed in the morning and within 3 months?
See More
Have specific questions?
ASK A DOCTOR

Suggested Doctors

Sorry, there are no matching doctors in your area
Please choose a different location

,

,

See more Suggested Doctors

Related Articles